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Publisher: LWW Wolters Kluwer   (Total: 290 journals)

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Showing 1 - 200 of 290 Journals sorted alphabetically
A&A Case Reports     Hybrid Journal   (Followers: 1)
Academic Medicine     Full-text available via subscription   (Followers: 59, SJR: 2.202, h-index: 107)
Accountancy     Partially Free   (Followers: 3)
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 8, SJR: 0.206, h-index: 8)
Addictive Disorders & Their Treatment     Hybrid Journal   (Followers: 5, SJR: 0.173, h-index: 13)
Advanced Emergency Nursing J.     Full-text available via subscription   (Followers: 33, SJR: 0.209, h-index: 8)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 13, SJR: 1.262, h-index: 59)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 41, SJR: 0.495, h-index: 27)
Advances in Nursing Science     Full-text available via subscription   (Followers: 29, SJR: 0.402, h-index: 43)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 14)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 5, SJR: 0.101, h-index: 6)
AIDS     Hybrid Journal   (Followers: 18, SJR: 3.112, h-index: 188)
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 17, SJR: 1.37, h-index: 75)
Alzheimer's Care Today     Full-text available via subscription   (Followers: 4)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 56, SJR: 0.846, h-index: 64)
American J. of Dermatopathology     Hybrid Journal   (Followers: 14, SJR: 0.632, h-index: 58)
American J. of Forensic Medicine & Pathology     Hybrid Journal   (Followers: 24, SJR: 0.426, h-index: 44)
American J. of Nursing     Full-text available via subscription   (Followers: 67, SJR: 0.286, h-index: 42)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 43, SJR: 0.804, h-index: 76)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 29, SJR: 2.393, h-index: 165)
American J. of Therapeutics     Hybrid Journal   (Followers: 10, SJR: 0.318, h-index: 49)
Anesthesia & Analgesia     Full-text available via subscription   (Followers: 162, SJR: 1.523, h-index: 161)
Anesthesiology     Full-text available via subscription   (Followers: 140, SJR: 2.162, h-index: 181)
Annals of Pediatric Surgery     Full-text available via subscription   (Followers: 7, SJR: 0.148, h-index: 3)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 16, SJR: 0.988, h-index: 68)
Annals of Surgery     Hybrid Journal   (Followers: 67, SJR: 4.503, h-index: 246)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 6, SJR: 0.795, h-index: 78)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 6)
ASAIO J.     Hybrid Journal   (Followers: 2, SJR: 0.836, h-index: 49)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 2)
Behavioural Pharmacology     Full-text available via subscription   (Followers: 2, SJR: 0.876, h-index: 68)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 46, SJR: 0.496, h-index: 61)
Blood Pressure Monitoring     Hybrid Journal   (SJR: 0.445, h-index: 50)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.209, h-index: 14)
Cancer J.     Full-text available via subscription   (Followers: 5, SJR: 1.973, h-index: 60)
Cancer Nursing     Hybrid Journal   (Followers: 27, SJR: 1.034, h-index: 61)
Cardiology in Review     Hybrid Journal   (Followers: 9, SJR: 0.972, h-index: 43)
Cardiovascular Endocrinology     Hybrid Journal   (Followers: 1)
CIN Computers Informatics Nursing     Full-text available via subscription   (Followers: 12, SJR: 0.417, h-index: 36)
Clinical Dysmorphology     Hybrid Journal   (SJR: 0.294, h-index: 22)
Clinical J. of Pain     Hybrid Journal   (Followers: 12, SJR: 1.111, h-index: 101)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 31, SJR: 0.933, h-index: 80)
Clinical Neuropharmacology     Hybrid Journal   (Followers: 2, SJR: 0.776, h-index: 66)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 3, SJR: 0.507, h-index: 45)
Clinical Nurse Specialist     Full-text available via subscription   (Followers: 25, SJR: 0.272, h-index: 24)
Clinical Nutrition Insight     Full-text available via subscription   (Followers: 15)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 22, SJR: 0.836, h-index: 59)
Clinical Pulmonary Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.178, h-index: 13)
Clinical Spine Surgery     Hybrid Journal   (Followers: 2)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 6, SJR: 0.592, h-index: 54)
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 3)
Contemporary Neurosurgery     Full-text available via subscription   (Followers: 3)
Contemporary Spine Surgery     Full-text available via subscription   (Followers: 4)
CONTINUUM : Lifelong Learning in Neurology     Full-text available via subscription   (Followers: 1, SJR: 0.489, h-index: 15)
Cornea     Hybrid Journal   (Followers: 5, SJR: 1.273, h-index: 96)
Coronary Artery Disease     Hybrid Journal   (Followers: 2, SJR: 0.712, h-index: 53)
Critical Care Medicine     Full-text available via subscription   (Followers: 231, SJR: 3.748, h-index: 220)
Critical Care Nursing Quarterly     Full-text available via subscription   (Followers: 13, SJR: 0.373, h-index: 26)
Critical Pathways in Cardiology     Hybrid Journal   (Followers: 3, SJR: 0.605, h-index: 18)
Current Opinion in Allergy and Clinical Immunology     Hybrid Journal   (Followers: 10, SJR: 1.219, h-index: 66)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 51, SJR: 0.724, h-index: 49)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 13, SJR: 0.984, h-index: 64)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 21, SJR: 1.698, h-index: 81)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 61, SJR: 1.182, h-index: 68)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 26)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 17, SJR: 1.331, h-index: 47)
Current Opinion in Gastroenterology     Hybrid Journal   (Followers: 11, SJR: 1.57, h-index: 62)
Current Opinion in Hematology     Hybrid Journal   (Followers: 16, SJR: 1.878, h-index: 81)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 10, SJR: 2.613, h-index: 41)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 18, SJR: 2.242, h-index: 81)
Current Opinion in Lipidology     Hybrid Journal   (Followers: 6, SJR: 2.515, h-index: 105)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 10, SJR: 1.632, h-index: 75)
Current Opinion in Neurology     Hybrid Journal   (Followers: 21, SJR: 2.18, h-index: 95)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 13, SJR: 0.905, h-index: 59)
Current Opinion in Oncology     Hybrid Journal   (Followers: 24, SJR: 1.89, h-index: 77)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 18, SJR: 1.827, h-index: 69)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 8, SJR: 1.088, h-index: 34)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 10, SJR: 0.885, h-index: 49)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 37, SJR: 1.076, h-index: 64)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 48, SJR: 1.651, h-index: 65)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 9, SJR: 1.397, h-index: 58)
Current Opinion in Rheumatology     Hybrid Journal   (Followers: 9, SJR: 1.718, h-index: 90)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 19, SJR: 0.774, h-index: 24)
Current Opinion in Urology     Hybrid Journal   (Followers: 7, SJR: 0.986, h-index: 48)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 11, SJR: 0.137, h-index: 16)
Current Sports Medicine Reports     Full-text available via subscription   (Followers: 17, SJR: 0.555, h-index: 33)
Dermatitis     Full-text available via subscription   (SJR: 0.802, h-index: 43)
Diagnostic Molecular Pathology     Full-text available via subscription   (Followers: 5, SJR: 0.887, h-index: 48)
Dimensions of Critical Care Nursing     Full-text available via subscription   (Followers: 5, SJR: 0.265, h-index: 22)
Diseases of the Colon & Rectum     Full-text available via subscription   (Followers: 28, SJR: 2.077, h-index: 135)
Ear & Hearing     Hybrid Journal   (Followers: 8, SJR: 1.794, h-index: 81)
Egyptian J. of Histology     Partially Free   (SJR: 0.12, h-index: 2)
Egyptian J. of Oral and Maxillofacial Surgery     Partially Free   (Followers: 1)
Egyptian J. of Pathology     Partially Free   (Followers: 1)
Egyptian Liver J.     Partially Free   (Followers: 2, SJR: 0.105, h-index: 1)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Epidemiology     Hybrid Journal   (Followers: 51, SJR: 2.981, h-index: 137)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 21, SJR: 0.999, h-index: 59)
European J. of Cancer Prevention     Full-text available via subscription   (Followers: 3, SJR: 1.157, h-index: 65)
European J. of Emergency Medicine     Hybrid Journal   (Followers: 18, SJR: 0.608, h-index: 34)
European J. of Gastroenterology & Hepatology     Hybrid Journal   (Followers: 18, SJR: 0.867, h-index: 86)
Evidence-Based Gastroenterology     Full-text available via subscription   (Followers: 5)
Evidence-Based Ophthalmology     Full-text available via subscription   (Followers: 10)
Exercise and Sport Sciences Reviews     Full-text available via subscription   (Followers: 47, SJR: 2.118, h-index: 74)
Eye & Contact Lens Science & Clinical Practice     Hybrid Journal   (Followers: 4, SJR: 0.58, h-index: 43)
Family & Community Health     Partially Free   (Followers: 12, SJR: 0.374, h-index: 33)
Female Pelvic Medicine & Reconstructive Surgery     Hybrid Journal   (SJR: 0.71, h-index: 13)
Gastroenterology Nursing     Hybrid Journal   (Followers: 10, SJR: 0.183, h-index: 23)
Harvard Review of Psychiatry     Hybrid Journal   (Followers: 11, SJR: 1.078, h-index: 62)
Health Care Management Review     Full-text available via subscription   (Followers: 12, SJR: 0.806, h-index: 39)
Health Physics     Full-text available via subscription   (Followers: 7, SJR: 0.683, h-index: 55)
Hearing J.     Full-text available via subscription   (Followers: 3, SJR: 0.105, h-index: 16)
Holistic Nursing Practice     Full-text available via subscription   (Followers: 6, SJR: 0.282, h-index: 27)
Home Healthcare Now     Hybrid Journal   (Followers: 3)
Human Andrology     Partially Free   (Followers: 2)
Implant Dentistry     Full-text available via subscription   (Followers: 5, SJR: 0.445, h-index: 44)
Infants and Young Children     Full-text available via subscription   (Followers: 5, SJR: 0.461, h-index: 32)
Infectious Disease in Clinical Practice     Hybrid Journal   (Followers: 10, SJR: 0.138, h-index: 18)
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery     Hybrid Journal   (Followers: 1, SJR: 0.395, h-index: 12)
Intervention     Full-text available via subscription   (Followers: 1)
Intl. Anesthesiology Clinics     Hybrid Journal   (Followers: 10, SJR: 0.296, h-index: 25)
Intl. Clinical Psychopharmacology     Hybrid Journal   (Followers: 2, SJR: 1.006, h-index: 79)
Intl. J. of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8, SJR: 0.426, h-index: 18)
Intl. J. of Gynecological Cancer     Hybrid Journal   (Followers: 25, SJR: 0.83, h-index: 65)
Intl. J. of Gynecological Pathology     Hybrid Journal   (Followers: 6, SJR: 0.723, h-index: 64)
Intl. J. of Rehabilitation Research     Hybrid Journal   (Followers: 18, SJR: 0.569, h-index: 39)
Intl. Ophthalmology Clinics     Hybrid Journal   (Followers: 3, SJR: 0.381, h-index: 33)
Investigative Radiology     Hybrid Journal   (Followers: 8, SJR: 2.862, h-index: 89)
J. for Healthcare Quality     Hybrid Journal   (Followers: 20, SJR: 0.468, h-index: 17)
J. for Nurses in Professional Development     Full-text available via subscription   (Followers: 11, SJR: 0.289, h-index: 3)
J. of Acute Care Physical Therapy     Hybrid Journal  
J. of Addiction Medicine     Hybrid Journal   (Followers: 6, SJR: 0.829, h-index: 25)
J. of Addictions Nursing     Full-text available via subscription   (Followers: 9, SJR: 0.215, h-index: 11)
J. of Ambulatory Care Management, The     Hybrid Journal   (Followers: 4, SJR: 0.548, h-index: 30)
J. of Bronchology & Interventional Pulmonology     Full-text available via subscription   (Followers: 2, SJR: 0.337, h-index: 23)
J. of Burn Care & Research     Full-text available via subscription   (Followers: 8, SJR: 0.713, h-index: 57)
J. of Cardiopulmonary Rehabilitation and Prevention     Full-text available via subscription   (Followers: 7, SJR: 0.88, h-index: 54)
J. of Cardiovascular Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.309, h-index: 35)
J. of Cardiovascular Nursing     Hybrid Journal   (Followers: 16, SJR: 0.69, h-index: 40)
J. of Cardiovascular Pharmacology     Hybrid Journal   (Followers: 7, SJR: 0.962, h-index: 82)
J. of Christian Nursing     Partially Free   (Followers: 3, SJR: 0.113, h-index: 5)
J. of Clinical Engineering     Full-text available via subscription   (SJR: 0.215, h-index: 9)
J. of Clinical Gastroenterology     Hybrid Journal   (Followers: 12, SJR: 1.274, h-index: 87)
J. of Clinical Neuromuscular Disease     Hybrid Journal   (SJR: 0.39, h-index: 18)
J. of Clinical Neurophysiology     Hybrid Journal   (Followers: 3, SJR: 0.578, h-index: 82)
J. of Clinical Psychopharmacology     Hybrid Journal   (Followers: 26, SJR: 1.091, h-index: 106)
J. of Computer Assisted Tomography     Hybrid Journal   (Followers: 1, SJR: 0.848, h-index: 80)
J. of Craniofacial Surgery     Hybrid Journal   (Followers: 4, SJR: 0.443, h-index: 56)
J. of Developmental & Behavioral Pediatrics     Hybrid Journal   (Followers: 10, SJR: 1.055, h-index: 81)
J. of ECT     Hybrid Journal   (Followers: 13, SJR: 0.784, h-index: 46)
J. of Geriatric Physical Therapy     Full-text available via subscription   (Followers: 10, SJR: 0.549, h-index: 27)
J. of Glaucoma     Hybrid Journal   (Followers: 2, SJR: 1.477, h-index: 69)
J. of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 12, SJR: 1.205, h-index: 75)
J. of Hospice & Palliative Nursing     Full-text available via subscription   (Followers: 22, SJR: 0.279, h-index: 14)
J. of Hypertension     Hybrid Journal   (Followers: 13, SJR: 2.193, h-index: 146)
J. of Immunotherapy     Hybrid Journal   (Followers: 6, SJR: 2.165, h-index: 76)
J. of Infusion Nursing     Full-text available via subscription   (Followers: 5, SJR: 0.347, h-index: 25)
J. of Lower Genital Tract Disease     Hybrid Journal   (SJR: 1.08, h-index: 31)
J. of Nervous & Mental Disease     Hybrid Journal   (Followers: 7, SJR: 0.929, h-index: 98)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 6, SJR: 0.57, h-index: 41)
J. of Neurologic Physical Therapy     Full-text available via subscription   (Followers: 8, SJR: 1.189, h-index: 31)
J. of Neuroscience Nursing     Hybrid Journal   (Followers: 7, SJR: 0.399, h-index: 31)
J. of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 7, SJR: 0.913, h-index: 49)
J. of Nursing Administration     Full-text available via subscription   (Followers: 24, SJR: 0.782, h-index: 65)
J. of Nursing Care Quality     Partially Free   (Followers: 14, SJR: 0.643, h-index: 35)
J. of Nursing Research     Full-text available via subscription   (Followers: 19, SJR: 0.388, h-index: 22)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 52, SJR: 0.894, h-index: 84)
J. of Orthopaedic Trauma     Hybrid Journal   (Followers: 15, SJR: 1.142, h-index: 89)
J. of Patient Safety     Hybrid Journal   (Followers: 8, SJR: 0.691, h-index: 22)
J. of Pediatric Gastroenterology & Nutrition     Hybrid Journal   (Followers: 48, SJR: 1.227, h-index: 99)
J. of Pediatric Hematology/Oncology     Hybrid Journal   (Followers: 7, SJR: 0.452, h-index: 64)
J. of Pediatric Orthopaedics     Hybrid Journal   (Followers: 17, SJR: 1.186, h-index: 69)
J. of Pediatric Orthopaedics B     Hybrid Journal   (Followers: 8, SJR: 0.376, h-index: 41)
J. of Pediatric Surgical Nursing     Hybrid Journal  
J. of Pelvic Medicine and Surgery     Full-text available via subscription  
J. of Perinatal & Neonatal Nursing, The     Hybrid Journal   (Followers: 10, SJR: 0.364, h-index: 32)
J. of Prosthetics and Orthotics     Full-text available via subscription   (Followers: 11, SJR: 0.314, h-index: 23)
J. of Psychiatric Practice     Hybrid Journal   (Followers: 2, SJR: 0.696, h-index: 41)
J. of Public Health Management and Practice     Hybrid Journal   (Followers: 7, SJR: 0.859, h-index: 38)
J. of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 3, SJR: 0.798, h-index: 73)
J. of Strength and Conditioning Research, The     Full-text available via subscription   (Followers: 64, SJR: 1.228, h-index: 84)
J. of the Dermatology Nurses' Association     Partially Free   (Followers: 2, SJR: 0.116, h-index: 3)
J. of The Egyptian Public Health Association     Partially Free   (Followers: 1)
J. of the Egyptian Women’s Dermatologic Society     Partially Free  
J. of Thoracic Imaging     Hybrid Journal   (Followers: 4, SJR: 0.751, h-index: 44)
J. of Trauma and Acute Care Surgery, The     Full-text available via subscription   (Followers: 27, SJR: 1.557, h-index: 144)
J. of Trauma Nursing     Partially Free   (Followers: 12, SJR: 0.205, h-index: 12)
J. of Trauma, The     Full-text available via subscription   (Followers: 24)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 13, SJR: 0.712, h-index: 34)
JAIDS J. of Acquired Immune Deficiency Syndromes     Hybrid Journal   (Followers: 3, SJR: 2.434, h-index: 127)
JBJS Open Access     Open Access   (Followers: 2)
JCR J. of Clinical Rheumatology     Hybrid Journal   (Followers: 6, SJR: 0.634, h-index: 39)
JONA s Healthcare Law Ethics and Regulation     Full-text available via subscription   (Followers: 5)
Labor Law J.     Full-text available via subscription   (Followers: 4)
Lippincott’s Bone and Joint Newsletter     Full-text available via subscription   (Followers: 2)
MCN The American J. of Maternal/Child Nursing     Full-text available via subscription   (Followers: 4, SJR: 0.272, h-index: 30)
Medical Care     Hybrid Journal   (Followers: 11, SJR: 2.004, h-index: 146)
Medical Innovation & Business     Full-text available via subscription   (Followers: 2)

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Journal Cover Annals of Pediatric Surgery
  [SJR: 0.148]   [H-I: 3]   [7 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by LWW Wolters Kluwer Homepage  [290 journals]
  • Bowel management in children: how to keep children clean
    • Authors: Pfeifle; Viktoria A.; Holland-Cunz, Stefan
      Abstract: imageObjective: The term bowel management refers to an individualized program for fecal incontinent patients. The main principle is the administration of fluid to wash out the colon, either transanally or antegrade through a stoma.Method: A literature search was performed to find the best method to keep fecal incontinent children clean.Results: Bowel management with an individually determined amount of fluid, either by abdominal radiographs or hydrosonography, showed better success rates compared with transanal enemas with an estimated amount of fluid. Furthermore, transanal enemas had higher success rates compared with bowel management with antegrade continence enemas and showed fewer complications.Conclusion: To improve a child’s quality of life an antegrade continence enema can be considered. Before surgery it has to be shown that a bowel management with rectal irrigations works. The indication for a surgical approach for bowel management has to be set carefully. Conservative measures must be tried first.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Congenital Morgagni’s hernia in infants and children: a national
           review
    • Authors: Al-Salem; Ahmed H.
      Abstract: imageBackground: Congenital Morgagni’s hernia (CMH) is rare and has unique features in terms of clinical presentation, high incidence of bilaterality, and associated anomalies. This is a review of all CMH cases reported from Saudi Arabia, highlighting clinical features, associated anomalies, aspects of diagnosis, and management.Patients and methods: A Medline search was made for all manuscripts published from Saudi Arabia on CMH. The total number of patients, their age at diagnosis, sex, clinical features, associated anomalies, site of hernia, and methods of treatment were recorded.Results: From 1991 to 2014, 19 manuscripts were published from Saudi Arabia. The total number of patients reported was 106 (72 male and 31 female). In three patients, the sex was not reported. Their mean age was 23.8 months (1 month–9 years). Recurrent chest infection was the most common presentation [56 (54.4%)]. In seven (6.8%) patients, the hernia was discovered incidentally and 19 (18.4%) presented acutely. Associated anomalies were seen in 66 (64%) of 103 patients. Down’s syndrome (30%) and congenital heart disease (23%) were the most common. Sixty-four (60.4%) underwent repair through an abdominal approach, 36 (34%) underwent laparoscopic-assisted repair, and in five (4.7%) patients the hernia was repaired laparoscopically. In 94 patients, the site of the hernia was specified [45 (47.9%) right, 22 (23.4%) left, and 27 (28.7%) bilateral]. Four (3.8%) developed recurrences and three had an incisional hernia. One developed midgut volvulus 3 years postoperatively.Conclusion: CMH is rare and the presentation is nonspecific and variable but the majority present with repeated attacks of chest infection. Physicians caring for these patients should be aware of this, and infants and children with repeated attacks of chest infection should be investigated. It is also important to evaluate these patients for possible associated anomalies, including an echocardiogram. Once the diagnosis of CMH is confirmed, they should be repaired surgically regardless of whether symptomatic or asymptomatic. The laparoscopic-assisted approach is a simple, safe, and sound technique, and leaving the hernia sac intact has no adverse effects.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Congenital pyloric atresia: clinical features, diagnosis, associated
           anomalies, management and outcome
    • Authors: Bawazir; Osama A.; Al-Salem, Ahmed H.
      Abstract: imageBackground: Congenital pyloric atresia (CPA) is very rare and usually seen as an isolated anomaly, which has an excellent prognosis. CPA can be associated with other anomalies or familial and these are usually associated with other hereditary conditions with poor prognosis. This review is based on our experience with 20 infants with CPA.Patients and methods: This is a review of CPA, highlighting its clinical features; associated anomalies; and aspects of diagnosis, management and outcome.Results: This review is based on our experience with 20 patients with CPA (nine male and 11 female). Their mean birth weight was 2.1 kg (1.1-3.9 kg). Polyhydramnios was seen in 13 (65%) patients. Seven patients were full-term and the remaining 13 were premature. Two were brothers and four were members of the same family. Isolated CPA was seen in seven (35%) patients and 13 had associated anomalies. Epidermolysis bullosa was seen in eight (40%) patients and multiple intestinal atresias in five (25%). Three patients had associated esophageal atresia. Pyloric diaphragm was the most common and seen in 13 patients including double diaphragms in two followed by pyloric atresia with a gap in four and pyloric atresia without a gap in three. All patients did well in the early postoperative period; however, 10 died later giving an overall survival of 40%. Sepsis was the main cause of death.Conclusion: CPA is a very rare malformation that can be familial and inherited as an autosomal recessive. It can either occur as an isolated lesion with an excellent prognosis, or be associated with other anomalies. The overall prognosis of CPA, however, is still poor, and this is due to the frequent-and often fatal-associated anomalies.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Laparoscopic versus open splenectomy in children with benign hematological
           diseases in children: a single-center experience
    • Authors: Khirallah; Mohammad G.; Eldesouki, Nagi I.; Hasaballah, Saied Z.; Elshanshoury, Mohamed
      Abstract: imageIntroduction: Splenectomy whether open or laparoscopic addresses the role of the spleen in the hematology disorders, particularly that of the cellular sequestration and destruction and antibody production. Laparoscopic splenectomy (LS) has been increasingly used for the removal of spleen in children. However, there are still certain questions as regards the feasibility, economic reflections, appropriate splenic size suitable for LS, vascular control of that organ, and final outcomes related to either procedure.Patients and methods: In the period between May 2007 and March 2017, 70 children with benign hematological diseases underwent splenectomy, either laparoscopic or open. They were divided into group A and group B. Group A included cases who had LS, and group B included cases who had open splenectomy (OS). We performed LS while the child was in the right lateral position. In cases of normal splenic size, we used three ports and four ports in cases of splenomegaly. OS was performed in supine position.Results: A total of 70 children were subjected to splenectomy, of whom 20 were boys and 50 were girls. Thalassemia was present in 36 cases, idiopathic thrombocytopenic purpura in 24 cases, and spherocytosis in 10 cases. Five cases were converted to the traditional approach, and three of them were because of huge splenomegaly and two cases were because of accidental bleeding. In the LS group, small-sized spleens were extracted using retrieval bags, whereas large spleens were extracted through Pfannenstiel incision. OS procedure was performed through midline incision. Cholecystectomy was performed in five cases during the original procedure because of gall bladder stones: three cases in group A and two cases in group B.Conclusion: Although both LS and OS achieved the same goal for the children with benign hematological disease, the advantages of minimal invasive surgery made LS the standard approach for treatment of children with benign hematological diseases. However, the main concern is the high economic burden of LS when compared with OS.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Pneumatic versus hydrostatic reduction in the treatment of intussusception
           in children
    • Authors: Ali; Ahmad; Sheir, Hesham; Saied, Basem; Wafa, Tamer; El-Ghazaly, Mohamed
      Abstract: imageBackground: The aim of this study was to compare pneumatic reduction under guidance of fluoroscopy and hydrostatic saline enema reduction under guidance of ultrasound in treatment of intussusception in pediatric patients.Methods: The study included 80 patients with intussusception in the time period from September 2014 to September 2015 who were divided into two groups: group A included 40 patients who underwent US guided hydrostatic reduction and group B included 40 patients who underwent fluoroscopic guided pneumatic reduction.Results: The success rate was significantly higher in the pneumatic group (80%) (P=0.017) when compared to the hydrostatic group (55%) after 1st trial. However, the outcome was equal in both groups after the 2nd trial with success rate of 82.5%. The time needed for reduction was significantly shorter in the pneumaic group (P=0.001). There was only one case of perforation in hydrostatic group (2.5%).Conclusion: Pneumatic reduction is safe, simple, fast, less messy and as effective as hydrostatic reduction.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Current management of anorectal malformation in Egypt: a survey of members
           of the Egyptian pediatric surgical association
    • Authors: Abo Halawa; Nezar A.; Abdelgawad, Abdelghany E.M.; Elhalaby, Essam A.
      Abstract: imageBackground/aim: Anorectal malformation (ARM) represents a wide spectrum of anomalies. Its management includes various strategies. This survey aims at detecting the current preferences of Egyptian pediatric surgeons regarding the management of ARM.Materials and methods: A survey was circulated individually to the members of the Egyptian Pediatric Surgical Association (EPSA) during the general assembly meeting. Another online survey using web-based surveys (Survey Monkey) was also used.Results: Responses were received from 91 surgeons. Nine responses were excluded because of incomplete or duplicate responses, yielding 82 survey charts for analysis. The 82 responses represent 74.5% of the 110 fully-trained pediatric surgeons currently working in Egypt.Sixty-one (74.4 %) of responders used invertogram for preoperative diagnosis of ARM. A further seven (8.5%) combined invertogram with perineal ultrasonography or MRI. The remaining 14 (17.1%) used either perineal ultrasonography or MRI.The age at surgery for high ARM was preferred immediately after birth without colostomy by only five (6.1%) of responders, from 1 to 3 months after initial colostomy by 21 (25.61%), 3–6 months after colostomy by 45 (54.88%), and 6 months after colostomy by 11 (13.41%).The preferable definitive surgical technique for high ARM in male is posterior sagittal anorectoplasty according to 63 (76.82%) surgeons, laparoscopic assisted by 15 (18.3%), and abdminoperineal by four (4.88%)The preferable time for primary repair of rectovestibular fistulas was neonatal period for only nine (10.98%) surgeons, from 1 to 3 months for 20 (24.39%), after the third month for life by 40 (48.78%), whereas 13 (15.85%) did not perform single-stage repair.As regard to outcome of primary versus staged repair for rectovestibular fistula, 64.7% of participants stated that primary repair has similar outcomes compared with staged repair, 19.5% stated that staged repair has lesser complications and better outcome, and 15.8% of participants did not perform single-stage repair.Conclusion: The current EPSA survey indicates that most surgeons still use the invertogram as the principal preoperative diagnostic study. Posterior sagittal anorectoplasty is the preferable definitive surgical technique for high ARM in males. Most surgeons prefer primary repair for rectovestibular fistulas. Laparoscopic approach for the management of high ARM is currently practiced by only a few surgeons.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Sacrococcygeal teratoma excision: a vertical rather than transverse wound
           closure
    • Authors: AbouZeid; Amr A.; Mohamed, Mohamed H.; Dahab, Mohamed M.; GadAllah, Mohamed A.; Zaki, Ahmed M.
      Abstract: imageBackground: The chevron incision has been the standard approach for sacrococcygeal teratoma (SCT) excision. Here, we are reporting our experience of shifting to the vertical posterior sagittal approach.Patients and methods: During the period 2011 through 2016, we operated on 17 (16 female and one male) cases of SCT. Their age at presentation ranged from day 1 to 26 months (mean=4.8 months, median=2 months). The chevron incision was used in five, whereas the vertical posterior sagittal approach was used in 12 patients.Results: In this series, we had one case of perioperative mortality, in addition to another case of perineal wound disruption (in the group of vertical wound closure), which was managed conservatively (to heal by secondary intention) with a very satisfactory hidden scar at 6-month follow-up. Overall, we did not find the vertical approach to add any extra limitations to the surgical exposure or dissection; meanwhile, it provided a well-recognized cosmetic advantage.Conclusion: The vertical posterior sagittal approach for excision of SCT is both feasible and advantageous in terms of the cosmetic outcome. It provides a well-hidden scar in the natal cleft and preserves normal contouring of the buttocks.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Gonadal infection: a risk factor for the development of adolescent
           varicocele
    • Authors: El-Tatawy; Hassan; Elsakka, Ahmed M.; Tawfik, Ahmed; Ghaith, Ahmed; Gameel, Tarek A.; Soliman, Mohamed G.
      Abstract: imageObjective: The aim of this study was to determine whether a relationship between previous gonadal infections and adolescent varicocele occurrence exists.Patients and methods: All adolescents who presented with varicocele at Tanta Urology Department during the period from January 2006 to March 2011 were included in this study. Patients were evaluated for age, clinical presentation, previous history of epididymitis or epididymo-orchitis, laterality, and grading of varicocele. Examination of testicular consistency and ultrasound measurement of testicular volume were carried out for all patients to define those with testicular atrophy.Results: Sixty-three boys were included in this study. The mean patients’ age was 15.6 years (range: 10–18, SD; 1.6 years). Twenty-nine (44.4%) boys had signs of testicular atrophy (testes are soft in consistency with ultrasound-detected volume smaller than that normal for age) either unilateral or bilateral. About 28.6% of patients (18 boys) had a history of epididymitis or epididymo-orchitis either associated with mumps or of unknown etiology. Of those patients, six boys had previous history of single attack, 10 boys had two attacks, and two boys had more than two attacks of epididymo-orchitis. A significant positive correlation was seen between the incidence of epididymo-orchitis attacks and the grade of varicocele (rs=0.63, 95% confidence interval: 0.21–0.85, P
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Assessment of lower urinary tract function in children before and after
           transanal endorectal pull through for Hirschsprung’s disease
    • Authors: Zahi; Siham; Mahir, Laila; Lmidmani, Fatima; El Fatimi, Abdellatif
      Abstract: imageIntroduction: Usually, in Hirschsprung’s disease (HD), long-term sequelae in children are related to abnormalities in defecation. However, some of these patients also develop lower urinary tract problems. The aim of this study was to assess and define the effects of transanal endorectal pull-through procedure in patients with HD on lower urinary tract function through urodynamic studies performed before and after surgery.Patients and methods: The present study was conducted at Ibn Rochd University hospitals during the period from 2007 to 2016. Twenty-eight patients with HD were subjected to urodynamic studies before and after the different definitive surgical procedures. They were all males with a mean age of 3 years. The main outcome measurements were maximum cystometric capacity, compliance, unstable detrusor contraction, and residual urinary volume.Results: Urodynamic findings were normal in 23 (82%) children, and abnormal in five (18%) children. In the uroflowmetric study, dysuria with detrusor sphincter dyssynergia and significant postvoid urine residuals (>20 ml) were found in the three symptomatic children. In the cystometric study, five children had unstable detrusor contraction, low bladder compliance, and small-capacity bladder.Conclusion: In HD, neurovesical dysfunction may exist preoperatively, and, although the incidence of postoperative changes in neurovesical function may appear high, children who present with urinary problems after surgery should be assessed urodynamically.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Abdominoplasty for Ladd’s procedure: optimizing access and esthetics
           
    • Authors: Aliotta; Rachel; Kundu, Neilendu; Stallion, Anthony; Cavaliere, Christi
      Abstract: imageRotational anomalies occur when there is an abnormal arrest of rotation in the embryonic gut during development. The characteristic population affected is considered to be infants or young children, but in clinical practice, can be found in older children and adults as well. In these patients, the Ladd procedure is performed, whereby the abdomen is opened using traditional incisions, such as the midline laparotomy, for full visualization of the abdominal cavity. Despite providing excellent visualization, approaches such as this carry both increased surgical-site morbidity and an often-displeasing incision and visible scar. In this case report, we advocate consideration of the low transverse pfannenstiel incision and approach used traditionally in cosmetic and reconstructive abdominoplasty for surgical access to the abdomen for Ladd’s procedure. We believe that this alternative approach provides superior visualization without compromising the integrity or the esthetics of the abdominal wall in appropriate populations desiring to minimize the morbidity and visibility of their scar.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Management of supernumerary testis: a rare case of polyorchidism in a
           2-year-old boy
    • Authors: Lustig; Daniel Ben; Martin, Kathryn; Nasr, Ahmed
      Abstract: imagePolyorchidism is a rare congenital abnormality described as the presence of three or more testicles. We report the case of a 2-year-old boy with intermittent left-sided scrotal swelling and an ipsilateral undescended testis. During the operation, a left cryptorchid testis was found at the external ring, with further dissection revealing a second vas deferens attached to an additional intrascrotal testis. The cryptorchid testis was pexied in the left hemiscrotum with the second descended testis left in place. A review of the literature reveals over 150 cases of supernumeracy testis. Triorchidism is the most common form with the third testis typically located within the scrotal sac. Supernumeracy testis is frequently associated with undescended testis, testicular torsion, inguinal hernia, and hydrocele. Management is controversial with some advocating for orchidectomy due to concerns of malignancy. The family was educated about the risk for malignancy and the importance of regular follow-up and testicular self-examination starting at puberty.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
  • Urinary ascites in a preterm female neonate: a rare case report
    • Authors: Rattan; Kamal N.; Singh, Jasbir; Dalal, Poonam; Rattan, Ananta
      Abstract: imageHere we report a rare case of urinary ascites due to spontaneous bladder rupture in a preterm female neonate. The baby presented with respiratory distress, abdominal distension, anuria, and renal insufficiency. The diagnosis of bladder rupture was confirmed by peritoneal fluid aspiration with biochemical analysis and ultrasonography abdomen. The patient was managed successfully by establishing urinary outflow with indwelling Foley’s catheterization of the urinary bladder.
      PubDate: Sun, 01 Oct 2017 00:00:00 GMT-
       
 
 
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