{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:05:45Z","timestamp":1792670745918,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Tracheal anastomosis can be performed with different suture techniques. In this experimental work, the resilience of anastomotic techniques to pressure and tensile stress was studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Ex vivo pig model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Experimental.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The trachea with the 2\u00a0main bronchi in freshly slaughtered pigs was isolated and intubated (CH 8.0). Both main bronchi were closed distally by a stapler. After resection of the trachea, an anastomosis (n = 15 per group) was created: group 1, single interrupted sutures; group 2, continuous running suture; group 3, mixed technique. A continuous tensile stress of 0, 500, 1000, or 1500\u00a0g was applied to the preparations. Mechanical ventilation with a maximum pressure of 70\u00a0mbar was initiated. The airtightness of the anastomosis was verified by submerging the entire preparation under water.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At tensile loads of 0.5 and 1.0\u00a0kg, all anastomoses created in the single\u2010stitch technique were airtight; at 1.5\u00a0kg, 93.3% were without leaks. In the continuous suture technique, the airtightness of anastomoses decreased with increasing tensile load: from 93.3% at 500\u00a0g to 73.3% at 1\u00a0kg and 66.6% at 1.5\u00a0kg (<jats:italic>P<\/jats:italic> =. 02 at 1.5\u00a0kg). Anastomoses in the mixed technique were airtight in 80% at 500\u00a0g, 66.6% at 1\u00a0kg, and 46.6% at 1.5\u00a0kg (<jats:italic>P<\/jats:italic> =. 01\u00a0in comparison with single stitches).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Anastomoses created with single interrupted sutures showed the highest resilience against combined pressure and tensile stress.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599818757723","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T08:02:43Z","timestamp":1518508963000},"page":"1079-1083","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Initial Load Stability of Different Trachea Suture Techniques: Tests on an Ex Vivo Model"],"prefix":"10.1002","volume":"158","author":[{"given":"Andreas","family":"Kirschbaum","sequence":"first","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery University Hospital Marburg Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Abing","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery University Hospital Marburg Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolas","family":"Mirow","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery University Hospital Marburg Marburg 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