{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T19:30:31Z","timestamp":1769283031884,"version":"3.49.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Korea government","award":["RS-2023-00252649"],"award-info":[{"award-number":["RS-2023-00252649"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Oesophageal leakage is a serious complication that can lead to infection, sepsis, malnutrition, and death. Negative Pressure Wound Therapy has been increasingly used to treat oesophageal leaks; however, in cases of cervical oesophageal leakage, deep tract and anatomical complexity often hinder an airtight seal and limit transmission of negative pressure. We developed a modified Negative Pressure Wound Therapy technique by connecting a surgical drain to the base of the foam dressing and securing it with subcutaneous occlusive sutures to ensure a reliable seal and effective negative pressure transmission. Four cases of modified application were included in this study. All leaks were controlled without complications attributable to the procedure. The modified Negative Pressure Wound Therapy technique effectively addresses the limitations of conventional methods in complex anatomical regions. By ensuring a reliable occlusive seal and enhancing negative pressure transmission, this approach promotes optimal wound healing through improved exudate clearance and reduced maceration.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf296","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:23:39Z","timestamp":1764768219000},"source":"Crossref","is-referenced-by-count":0,"title":["Modified Negative Pressure Wound Therapy Using Surgical Drain and Occlusive Sutures for Leakage After Esophageal Injury"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9512-8909","authenticated-orcid":false,"given":"Ho Seong","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, and Biomedical Research Institute, Pusan National University Hospital , Busan 49241,","place":["Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Su","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Graduate School, Pusan National University , Busan 49241,","place":["Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiseung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, School of Medicine, Pusan National University, and Biomedical Research Institute, Pusan National University Hospital , Busan 49241,","place":["Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3198-8237","authenticated-orcid":false,"given":"Hyo Yeong","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, and Biomedical Research Institute, Pusan National University Hospital , Busan 49241,","place":["Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"issue":"4","key":"2026012304315841500_ivaf296-B1","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1002\/jso.26550","article-title":"Major modifications to minimize thoracic esophago-gastric leak and eradicate esophageal stricture after Ivor Lewis esophagectomy","volume":"124","author":"Housman","year":"2021","journal-title":"J Surg Oncol"},{"key":"2026012304315841500_ivaf296-B2","first-page":"doz007","article-title":"Study protocol for a multicenter prospective cohort study on esophagogastric anastomoses and anastomotic leak (the Oesophago-Gastric Anastomosis Audit\/OGAA)","volume":"33","author":"Evans","year":"2020","journal-title":"Diseases of the Esophagus"},{"key":"2026012304315841500_ivaf296-B3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5314\/wjd.v6.i1.1","article-title":"Evidence based review of negative pressure wound therapy","volume":"6","author":"Panayi","year":"2017","journal-title":"WJD"},{"key":"2026012304315841500_ivaf296-B4","first-page":"1247","article-title":"Description of a technique for vacuum-assisted deep drains in the management of cavitary defects and deep infections in devastating military and civilian trauma","volume":"68","author":"Rispoli","year":"2010","journal-title":"J Trauma"},{"key":"2026012304315841500_ivaf296-B5","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.amjoto.2013.03.001","article-title":"Vacuum assisted closure in the management of wound healing disorders in the head and neck: a retrospective analysis of 23 cases","volume":"34","author":"Reiter","year":"2013","journal-title":"Am J Otolaryngol"},{"key":"2026012304315841500_ivaf296-B6","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12893-019-0497-5","article-title":"Endoscopic vacuum therapy for postoperative esophageal leak","volume":"19","author":"Min","year":"2019","journal-title":"BMC Surg"},{"key":"2026012304315841500_ivaf296-B7","doi-asserted-by":"crossref","first-page":"787","DOI":"10.5946\/ce.2021.240","article-title":"Current status of endoscopic vacuum therapy in the management of esophageal perforations and post-operative leaks","volume":"54","author":"Livingstone","year":"2021","journal-title":"Clin Endosc"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/1\/ivaf296\/65760891\/ivaf296.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/1\/ivaf296\/65760891\/ivaf296.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T09:32:06Z","timestamp":1769160726000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivaf296\/8369081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,4]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,6]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivaf296","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,4]]},"article-number":"ivaf296"}}