Evidence map›Paper›PMID 38960901›Full record

ArticlePediatric surgery international2024

Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients.

Anna-Maria Ziegler, Daniel Svoboda, Britta Lüken-Darius, Andreas Heydweiller, Fritz Kahl, Sophie Christine Falk, Udo Rolle, Till-Martin Theilen

Abstract readMulticenter Study
In one paragraph

Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Article
  3. ERNICA evidence based guideline on omphalocele.Orphanet journal of rare diseases · 2026
    Review
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.

Anna-Maria Ziegler *Department for Pediatric Surgery, University Medical Center, Bonn, Germany.
Daniel Svoboda *Department for Pediatric Surgery, University Medical Center, Mannheim, Germany.
Britta Lüken-DariusDepartment for Pediatric Surgery, University Medical Center, Bonn, Germany.
Andreas HeydweillerDepartment for Pediatric Surgery, University Medical Center, Bonn, Germany.
Fritz KahlDepartment for Pediatric Surgery, University Medical Center, Göttingen, Germany.
Sophie Christine FalkDepartment for Pediatric Surgery, University Medical Center, Göttingen, Germany.
Udo RolleDepartment of Pediatric Surgery and Pediatric Urology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/M., Germany.
Till-Martin TheilenDepartment of Pediatric Surgery and Pediatric Urology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/M., Germany. tillmartin.theilen@ukffm.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAbdominal wall closure in patients with giant omphalocele (GOC) and complicated gastroschisis (GS) remains to be a surgical challenge. To facilitate an early complete abdominal wall closure, we investigated the combination of a staged closure technique with continuous traction to the abdominal wall using a newly designed vertical traction device for newborns.

methodsFour tertiary pediatric surgery departments participated in the study between 04/2022 and 11/2023. In case primary organ reduction and abdominal wall closure were not amenable, patients underwent a traction-assisted abdominal wall closure applying fasciotens

resultsTen patients with GOC and 6 patients with GS were included. Complete fascial closure was achieved after a median time of 7 days (range 4-22) in GOC and 5 days (range 4-11) in GS. There were two cases of tear-outs of traction sutures and one skin suture line dehiscence after fascial closure. No surgical site infection or signs of abdominal compartment syndrome were seen. No ventral or umbilical hernia occurred after a median follow-up of 12 months (range 4-22).

conclusionTraction-assisted staged closure using fasciotens

Indexed as

Abdominal WallAbdominal Wound Closure TechniquesGastroschisisHernia, UmbilicalTractionFemaleHumansInfantInfant, NewbornMaleProspective StudiesTreatment OutcomeFascial tractionGastroschisisGiant omphalocelePrimary closureViscero-abdominal disproportion

Identifiers

PMID38960901
PMCPMC11222185

What OpenQuestion holds

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Registered trials

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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.