Evidence map›Paper›PMID 35233044›Full record

ArticleScientific reports2022

Biomechanics of esophageal elongation with traction sutures on experimental animal model.

Krystian Toczewski, Sylwester Gerus, Maciej Kaczorowski, Marta Kozuń, Justyna Wolicka, Kamila Bobrek, Jarosław Filipiak, Dariusz Patkowski

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Krystian ToczewskiDepartment of Paediatric Surgery and Urology, Wrocław Medical University, Borowska 213, 50-556, Wrocław, Poland. krystian.toczewski@umw.edu.pl.
Sylwester GerusDepartment of Paediatric Surgery and Urology, Wrocław Medical University, Borowska 213, 50-556, Wrocław, Poland.
Maciej KaczorowskiDepartment of Clinical and Experimental Pathology, Wrocław Medical University, Borowska 213, 50-556, Wrocław, Poland.
Marta KozuńDepartment of Mechanics, Materials and Biomedical Engineering Mechanical Faculty, Wrocław University of Science and Technology, Łukasiewicza 7/9, 50-371, Wrocław, Poland.
Justyna WolickaDepartment of Mechanics, Materials and Biomedical Engineering Mechanical Faculty, Wrocław University of Science and Technology, Łukasiewicza 7/9, 50-371, Wrocław, Poland.
Kamila BobrekDepartment of Epizootiology and Clinic of Birds and Exotic Animals, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, pl. Grunwaldzki 45, 50-366, Wrocław, Poland.
Jarosław FilipiakDepartment of Mechanics, Materials and Biomedical Engineering Mechanical Faculty, Wrocław University of Science and Technology, Łukasiewicza 7/9, 50-371, Wrocław, Poland.
Dariusz PatkowskiDepartment of Paediatric Surgery and Urology, Wrocław Medical University, Borowska 213, 50-556, Wrocław, Poland.
Wroclaw Medical University · PLAGH University of Krakow · PLWroclaw University of Environmental and Life Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophageal elongation is one of the methods of long gap esophageal atresia treatment. The aim of the study was to determine the best type of traction suture for esophageal lengthening on an animal model. White Pekin Duck's esophagi were used as a model (fresh-frozen and thawed). The esophagus was cut in half, then both ends were sutured together and extended on a tensiometer. Tested sutures involved simple suture, suture aided by a single or double clip, and suture aided by pledget (10 samples each). Constant and 2 methods of intermittent traction were also compared. The histological study showed similarities between duck's and newborn's esophagus. The highest maximal force was achieved with pledget suture (F = 8.59 N ± 1.45 N), then with double clip (F = 5.74 N ± 1.29 N) and the lowest with single suture (F = 3.80 N ± 0.54 N) (p < 0.001). Pledget suture also allowed for the greatest elongation (p < 0.01). Intermittent traction results in better elongation at the same breaking strength as constant traction (p < 0.05) if traction is maintained during breaks. Reinforced sutures (pledget or double clip) should be taken into consideration in internal traction. When performing traction sutures, it is worth step by step carefully tightening the sliding knot in short periods before its final binding.

Indexed as

Suture TechniquesTractionAnastomosis, SurgicalAnimalsBiomechanical PhenomenaDisease Models, AnimalEsophagusSuturesTensile Strength

Identifiers

PMID35233044
PMCPMC8888589
OpenAlexW4214675472

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.