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Publisher: LWW Wolters Kluwer   (Total: 285 journals)

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Showing 1 - 200 of 285 Journals sorted alphabetically
A&A Case Reports     Hybrid Journal  
Academic Medicine     Full-text available via subscription   (Followers: 57, SJR: 2.202, h-index: 107)
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 8, SJR: 0.206, h-index: 8)
Addictive Disorders & Their Treatment     Hybrid Journal   (Followers: 6, SJR: 0.173, h-index: 13)
Advanced Emergency Nursing J.     Full-text available via subscription   (Followers: 32, SJR: 0.209, h-index: 8)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 7, SJR: 1.262, h-index: 59)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 36, SJR: 0.495, h-index: 27)
Advances in Nursing Science     Full-text available via subscription   (Followers: 27, SJR: 0.402, h-index: 43)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 12)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 3, SJR: 0.101, h-index: 6)
AIDS     Hybrid Journal   (Followers: 17, 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: 3)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 50, 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: 23, SJR: 0.426, h-index: 44)
American J. of Nursing     Full-text available via subscription   (Followers: 73, SJR: 0.286, h-index: 42)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 38, SJR: 0.804, h-index: 76)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 24, SJR: 2.393, h-index: 165)
American J. of Therapeutics     Hybrid Journal   (Followers: 7, SJR: 0.318, h-index: 49)
Anesthesia & Analgesia     Full-text available via subscription   (Followers: 139, SJR: 1.523, h-index: 161)
Anesthesiology     Full-text available via subscription   (Followers: 116, SJR: 2.162, h-index: 181)
Annals of Pediatric Surgery     Full-text available via subscription   (Followers: 6, SJR: 0.148, h-index: 3)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 13, SJR: 0.988, h-index: 68)
Annals of Surgery     Hybrid Journal   (Followers: 53, SJR: 4.503, h-index: 246)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 8, SJR: 0.795, h-index: 78)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 4)
ASA Refresher Courses in Anesthesiology     Full-text available via subscription   (Followers: 12)
ASAIO J.     Hybrid Journal   (Followers: 1, 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: 9)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 48, 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: 29, SJR: 1.034, h-index: 61)
Cardiology in Review     Hybrid Journal   (Followers: 8, SJR: 0.972, h-index: 43)
Cardiovascular Endocrinology     Hybrid Journal  
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: 11, SJR: 1.111, h-index: 101)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 28, 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: 19, SJR: 0.272, h-index: 24)
Clinical Nutrition Insight     Full-text available via subscription   (Followers: 13)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 20, 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: 1)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 6, SJR: 0.592, h-index: 54)
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 2)
Contemporary Neurosurgery     Full-text available via subscription   (Followers: 2)
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: 4, SJR: 1.273, h-index: 96)
Coronary Artery Disease     Hybrid Journal   (Followers: 3, SJR: 0.712, h-index: 53)
Critical Care Medicine     Full-text available via subscription   (Followers: 195, 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: 52, SJR: 0.724, h-index: 49)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 10, SJR: 0.984, h-index: 64)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 16, SJR: 1.698, h-index: 81)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 54, SJR: 1.182, h-index: 68)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 22)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 15, 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: 7, SJR: 2.613, h-index: 41)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 16, 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: 12, SJR: 1.632, h-index: 75)
Current Opinion in Neurology     Hybrid Journal   (Followers: 17, SJR: 2.18, h-index: 95)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 15, 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: 15, SJR: 1.827, h-index: 69)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 7, SJR: 1.088, h-index: 34)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 7, SJR: 0.885, h-index: 49)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 34, SJR: 1.076, h-index: 64)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 44, 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: 7, SJR: 1.718, h-index: 90)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 15, SJR: 0.774, h-index: 24)
Current Opinion in Urology     Hybrid Journal   (Followers: 6, SJR: 0.986, h-index: 48)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 9, SJR: 0.137, h-index: 16)
Current Sports Medicine Reports     Full-text available via subscription   (Followers: 16, 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: 4, SJR: 0.887, h-index: 48)
Dimensions of Critical Care Nursing     Full-text available via subscription   (Followers: 7, SJR: 0.265, h-index: 22)
Diseases of the Colon & Rectum     Full-text available via subscription   (Followers: 25, SJR: 2.077, h-index: 135)
Ear & Hearing     Hybrid Journal   (Followers: 7, 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: 18, 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: 14, 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: 8)
Exercise and Sport Sciences Reviews     Full-text available via subscription   (Followers: 38, SJR: 2.118, h-index: 74)
Eye & Contact Lens Science & Clinical Practice     Hybrid Journal   (Followers: 1, 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: 7, SJR: 1.078, h-index: 62)
Health Care Management Review     Full-text available via subscription   (Followers: 9, SJR: 0.806, h-index: 39)
Health Physics     Full-text available via subscription   (Followers: 6, SJR: 0.683, h-index: 55)
Hearing J.     Full-text available via subscription   (Followers: 2, SJR: 0.105, h-index: 16)
Holistic Nursing Practice     Full-text available via subscription   (Followers: 5, 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: 9, 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: 11, 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: 24, SJR: 0.83, h-index: 65)
Intl. J. of Gynecological Pathology     Hybrid Journal   (Followers: 5, SJR: 0.723, h-index: 64)
Intl. J. of Rehabilitation Research     Hybrid Journal   (Followers: 17, SJR: 0.569, h-index: 39)
Intl. Ophthalmology Clinics     Hybrid Journal   (Followers: 2, SJR: 0.381, h-index: 33)
Investigative Radiology     Hybrid Journal   (Followers: 4, SJR: 2.862, h-index: 89)
J. for Healthcare Quality     Hybrid Journal   (Followers: 21, 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: 5, SJR: 0.829, h-index: 25)
J. of Addictions Nursing     Full-text available via subscription   (Followers: 10, SJR: 0.215, h-index: 11)
J. of Ambulatory Care Management, The     Hybrid Journal   (Followers: 3, SJR: 0.548, h-index: 30)
J. of Bronchology & Interventional Pulmonology     Full-text available via subscription   (Followers: 1, SJR: 0.337, h-index: 23)
J. of Burn Care & Research     Full-text available via subscription   (Followers: 6, SJR: 0.713, h-index: 57)
J. of Cardiopulmonary Rehabilitation and Prevention     Full-text available via subscription   (Followers: 3, 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: 13, SJR: 0.69, h-index: 40)
J. of Cardiovascular Pharmacology     Hybrid Journal   (Followers: 6, SJR: 0.962, h-index: 82)
J. of Christian Nursing     Partially Free   (Followers: 1, 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   (Followers: 1, 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: 24, 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: 3, 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: 9, SJR: 0.549, h-index: 27)
J. of Glaucoma     Hybrid Journal   (Followers: 1, 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: 20, 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: 4, 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: 6, SJR: 0.929, h-index: 98)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 8, 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: 9, SJR: 0.399, h-index: 31)
J. of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 6, SJR: 0.913, h-index: 49)
J. of Nursing Administration     Full-text available via subscription   (Followers: 41, SJR: 0.782, h-index: 65)
J. of Nursing Care Quality     Partially Free   (Followers: 12, SJR: 0.643, h-index: 35)
J. of Nursing Research     Full-text available via subscription   (Followers: 17, SJR: 0.388, h-index: 22)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 48, SJR: 0.894, h-index: 84)
J. of Orthopaedic Trauma     Hybrid Journal   (Followers: 14, 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: 45, SJR: 1.227, h-index: 99)
J. of Pediatric Hematology/Oncology     Hybrid Journal   (Followers: 5, SJR: 0.452, h-index: 64)
J. of Pediatric Orthopaedics     Hybrid Journal   (Followers: 16, SJR: 1.186, h-index: 69)
J. of Pediatric Orthopaedics B     Hybrid Journal   (Followers: 7, 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: 11, SJR: 0.364, h-index: 32)
J. of Prosthetics and Orthotics     Full-text available via subscription   (Followers: 9, 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: 6, SJR: 0.859, h-index: 38)
J. of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2, SJR: 0.798, h-index: 73)
J. of Strength and Conditioning Research, The     Full-text available via subscription   (Followers: 51, 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: 24, SJR: 1.557, h-index: 144)
J. of Trauma Nursing     Partially Free   (Followers: 11, SJR: 0.205, h-index: 12)
J. of Trauma, The     Full-text available via subscription   (Followers: 21)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 9, SJR: 0.712, h-index: 34)
JAIDS J. of Acquired Immune Deficiency Syndromes     Hybrid Journal   (Followers: 9, SJR: 2.434, h-index: 127)
JCR J. of Clinical Rheumatology     Hybrid Journal   (Followers: 5, SJR: 0.634, h-index: 39)
JONA s Healthcare Law Ethics and Regulation     Full-text available via subscription   (Followers: 5)
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: 6, SJR: 0.272, h-index: 30)
Medical Care     Hybrid Journal   (Followers: 13, SJR: 2.004, h-index: 146)
Medical Innovation & Business     Full-text available via subscription   (Followers: 2)
Medical Research J.     Partially Free   (Followers: 2)
Medicine     Open Access   (Followers: 16, SJR: 0.877, h-index: 116)

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Journal Cover Annals of Pediatric Surgery
  [SJR: 0.148]   [H-I: 3]   [6 followers]  Follow
    
   Full-text available via subscription Subscription journal  (Not entitled to full-text)
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by LWW Wolters Kluwer Homepage  [285 journals]
  • Oral versus topical propranolol for management of superficial infantile
           hemangiomas: a comparative study
    • Authors: Abdel Wahab; Safy M.; Almetaher, Hisham A.; Fayad, Hesham; Elhalaby, Essam A.
      Abstract: imageBackground/purpose: Oral propranolol has been used successfully for the treatment of infantile hemangiomas (IHs). However, its safety is questioned. Topical therapy with 1% propranolol ointment has been reported to be safe and effective. The objective of this study was to compare the effectiveness and safety of oral versus topical propranolol (1% ointment) as a nonselective β-blocker in the management of cutaneous IH.Patients and methods: Forty-eight patients with IH were randomly divided into two equal groups: group A (n=24) was treated with oral propranolol and group B (n=24) was treated with propranolol ointment 1%. The patients were followed up for 3 months after treatment was stopped.Results: There was a significant statistical difference between the two groups as regards the effectiveness of the drug (P=0.041). In the oral group, 50% (n=12) showed an excellent response, 33.33% (n=8) showed good response, and 16.67% (n=4) showed a fair response, whereas in the topical group 16.67% (n=4) showed an excellent response, 45.83% (n=11) showed good response, and 37.5% (n=9) showed a fair response. There was no significant adverse event in any group during the follow-up period.Conclusion: Oral propranolol is an effective, safe, and fast-acting drug for treating IH and can be monitored on an outpatient basis. Topical propranolol is an easily prepared drug and seems to be an alternative therapeutic option for superficial cutaneous hemangioma. However, the optimal dosing and duration of treatment are still to be defined.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000482654.21247.63
       
  • Classification of first branchial cleft anomalies: is it clinically
           relevant'
    • Authors: McMurran; Avril E.L.; Clement, William A.; Davis, Carl F.; Irwin, Greg J.; Wynne, David M.; Kubba, Haytham
      Abstract: imageBackground: There are three classification systems for first branchial cleft anomalies currently in use. The Arnot, Work and Olsen classifications describe these lesions on the basis of morphology, tissue of origin and clinical appearance. However, the clinical relevance of these classifications is debated, as they may not be readily applicable in all cases and may provide no additional information on how the lesion should be managed.Objective: We seek to investigate this issue by applying these classification systems to cases from our centre and evaluating the information gained.Patients and methods: A retrospective case note review of all first branchial cleft anomalies excised at our institution between 2004 and 2014 was carried out, recording patient demographics, information on the anomalies and how they were investigated and managed.Results: This search identified eight unilateral cases and one bilateral case of first branchial cleft anomalies. These were a heterogenous group of lesions, which were variably investigated and managed. Categorization of these cases into Arnot, Work and Olsen subtypes did not correlate with the lesion’s relation with the facial nerve or the outcome of excision.Conclusion: The current classification systems used for first branchial cleft anomalies have little clinical relevance apart from providing extensive descriptions to aid in diagnosis. We advise instead that clinicians use imaging techniques to gain as much information as possible about these lesions before excision and be aware of the risk to the facial nerve at the time of excision. A description of the lesion’s relation with the facial nerve at the time of excision may provide more information on the likely outcomes compared with the classifications currently in use.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000459983.88215.34
       
  • Incidence and treatment of adhesive bowel obstruction after gastroschisis
           closure
    • Authors: Mueller; Claudia; Bouchard, Sarah
      Abstract: imageBackground: Children with gastroschisis, especially when it is complicated by atresia or perforation, often suffer from severe long-term sequelae such as short-bowel syndrome and chronic dysmotility. These children are also susceptible to adhesive bowel obstruction later in life, which can alter their nutritional intake and may require repeated visits to the hospital. However, few long-term studies have attempted to determine the rate of occurrence of intestinal occlusion after gastroschisis. In this study we measured the incidence and management of adhesive bowel obstruction in children with gastroschisis at one academic pediatric hospital.Methods: A retrospective chart review was carried out on patients with gastroschisis born between January 2000 and December 2007. A total of 74 patients who underwent closure of their gastroschisis during this period were identified.Results: Twelve of these 74 (16%) patients were readmitted to the hospital with at least one episode of adhesive bowel obstruction. Three of the 12 patients had gastroschisis complicated by atresia. Eight patients underwent immediate primary closure of their defect on the first day of life. Silos were installed on the remaining four (36%) and were kept in place for an average of 6.25 (range: 4–9) days. Five of the 12 children resolved their obstruction with nasogastric tube decompression alone. The remaining seven (58%) required lysis of adhesions after failure of decompression. The seven children who underwent surgical lysis of adhesions did not have additional episodes of occlusion after laparotomy.Conclusion: In this study, 16% of the patients born with gastroschisis within a 7-year period presented with a adhesive obstruction. Occurrence of obstruction was unrelated to the method of closure or the severity of the defect. Although conservative management with nasogastric tube decompression may be effective initially, over half of patients with occlusion will need eventual surgery for lysis of adhesions.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491011.90298.2c
       
  • Laparoscopic versus open appendectomy in children with complicated
           appendicitis
    • Authors: Khirallah; Mohammad G.; Eldesouki, Nagi I.; Elzanaty, Aya A.; Ismail, Khalid A.; Arafa, Mohammad A.
      Abstract: imageIntroduction: Acute appendicitis represents one of the most common causes of urgent surgical interventions in pediatric age group. With the advances in minimal invasive surgery laparoscopic appendectomy (LA) has been introduced as a suitable line of treatment. We compare between laparoscopic and conventional open appendectomy in the treatment of complicated appendicitis in children.Patients and methods: During the period from October 2012 to March 2016, 390 children with acute complicated appendicitis diagnosed clinically and with laboratory and available imaging studies were operated. LA performed for 200 cases and open conventional appendectomy for 190 cases. Three ports technique was used in laparoscopic cases. The operating table is shifted in Trendelenburg position and towards the left side. The surgeon stands on the left side of the patient. The appendicular mesoappendix was secured using electro cautery. The base was secured by extracorporeal ties and the appendix was retrieval within the umbilical port. The wounds were closed. Open appendectomy was done through McBurny incision as the traditional approach.Results: A total of 390 children diagnosed with acute complicated appendicitis were operated. The mean age was 12.04 years in group A and 12.2 in group B. There were 260 were boys and 130 were girls. The mean operative time in the laparoscopic group was 56.4 min; while in the conventional group was 63.42 min.Conclusion: LA was a suitable, effective and safe procedure in complicated cases that did not involve the base. It was associated with lower complications rate with all the advances of minimal invasive surgery when compared to the conventional open appendectomy.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000496987.42542.dd
       
  • Implementation of a bowel management program in the treatment of
           incontinence in children for primary healthcare providers
    • Authors: Elfiky; Mahmoud M.A.; Gad, Mostafa A.; ElBarbary, Mohamed M.; Kaddah, Sherif N.; El Tagy, Gamal H.
      Abstract: imageObjectives: Our surgical team has devised a bowel management program (BMP) as a basic approach for primary healthcare providers with the least use of resources.Background: Soiling in children is a major problem that has a serious impact on the child’s social and psychological life. Causes vary from idiopathic constipation to postoperative or neuropathic causes as meningomyelocele.Participants and methods: Seventy five children suffering from fecal incontinence were assessed and divided into true incontinence and pseudoincontinence groups. The BMP was applied to both categories in the form of proper diet control, enemas, drugs, and bowel habit alteration. The program was fashioned according to the age, type, severity, and response of each case. A fecal incontinence scoring system was used to assess the results.Results: All cases with pseudoincontinence attained 50% or more improvement in incontinence score whereas the true incontinence cases attained excellent results except in post high anorectal malformation repairs and neurologic groups.Conclusion: Most of the cases suffering from constipation with pseudoincontinence can be treated properly by BMPs, whereas the minority suffering from true incontinence need multidisciplinary work to achieve acceptable results.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000508439.29481.67
       
  • Short-term outcome of posterior anorectal myectomy for treatment of
           children with intractable idiopathic constipation
    • Authors: Hashish; Mohamed S.; Elsawaf, Mohamed I.
      Abstract: imagePurpose: Many children with idiopathic constipation (IC) fail to improve with bowel management program. The role of surgical treatment in this subset of patients with intractable IC is still controversial. The aim of this study was to assess the outcome of anorectal myectomy in treatment of intractable IC.Patients and methods: Twenty-five patients with intractable IC were included in this study after failure of bowel management program for at least 1 year. Work-up was made to exclude all other causes of chronic constipation. All patients were selected for internal sphincter myectomy. Patients were followed for at least 6 months postoperatively. Clinical improvement was evaluated by number of bowel motions per week, weaning of laxatives, soiling, child’s own feedback, and overall parent satisfaction.Results: Study included 25 children with a mean age of 6.3±1.6 years, suffering from constipation for a mean of 32.9±8.5 months, with failed trails of bowel management program for at least 12 months. All children were subjected to anorectal myectomy with a mean follow-up of 12.4 months. Children’s feedback showed a mean of 79.1% improvement. Postoperative parent satisfaction had a mean of 75.9%.Conclusion: Anorectal myectomy is an effective and technically simple procedure in selected patients with intractable IC.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000511424.62150.c9
       
  • Urethral advancement procedure in the treatment of primary distal
           hypospadias: a series of 20 cases
    • Authors: Hashish; Mohamed S.; Elsawaf, Mohamed I.; Moussa, Mohamed A.
      Abstract: imageIntroduction: Distal hypospadias is the most common genital anomaly, occurring in almost 65% of all hypospadias cases. Although there are several surgical techniques for the treatment of distal hypospadias, it is clear that none can be used to correct all forms of hypospadias. The aim of the study was to evaluate urethral advancement in the repair of primary distal penile hypospadias with regard to feasibility, complication rates and the final cosmetic outcome.Patients and methods: Between October 2014 and June 2015, the urethral mobilization technique was used in 20 patients who presented at the Pediatric Surgery Unit, Tanta University Hospital, with primary distal hypospadias. A submeatal crescent-like incision was performed a few millimeters proximal to the meatus with two vertical incisions from the lateral ends of the submeatal incisions. The urethra within the corpus spongiosum was dissected from the skin of the ventral surface and from the glans and corpora cavernosa for a distance of ∼4 : 1. The urethra was advanced till the urethral meatus reached its normal position without any tension. Spongioplsty can be performed, and covering Buck’s or Dartos’ layers can be used. The follow-up was conducted on a weekly basis in the outpatient clinic in the first month, and then every month for 6 months.Results: The age of the patient at the time of operation ranged from 6 to 24 months, with a mean age of 10.5 months. The operative time ranged from 60 to 90 min, with a mean time of 73.5 min. Intraoperative urethral injury occurred only in one patient. In all patients, the catheter was removed immediately postoperatively except for one patient who had operative urethral injury. Deep wound infection was noticed in only one patient, followed by partial glanular disruption. Only one patient had urethrocutaneous fistula and two patients had meatal retraction.Conclusion: Urethral advancement can be used safely in the mobilization of the distal urethra with wide glanular dissection and wide lateral mobilization of glanular wings. However, it should be stressed that in the presence of hypoplastic distal urethra and/or persistent ventral curvature, another technique should be adopted. The majority of our patients had very good cosmetic results and minimal complication. However, the technique requires further studies with a larger number of patients and longer follow-up periods to draw more precise and final conclusions.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000503268.11426.ab
       
  • The use of pedicled prepucial skin flap urethroplasty for proximal
           bulbomembraneous urethral stricture in children: an easy alternative to
           transpubic urethroplasty
    • Authors: Bal; Harshjeet S.; Kurian, Jujju J.; Sen, Sudipta
      Abstract: imageObjective: Pediatric urethral strictures are not uncommon, and a myriad of treatment options is available. The use of pedicled prepucial skin to augment a narrowed urethra is one of the useful methods. In this study, we describe the successful use of this technique in three children with stricture of the proximal bulbomembranous urethra.Materials and methods: In this study, we reviewed three children aged 4, 7, and 10 years, respectively, with proximal bulbomembranous urethral stricture, who were treated at Christian Medical College, Vellore, India, between 2012 and 2014, using a pedicled prepucial skin flap.Results: The mean follow-up time was 28 months (range: 20–41 months). There were no intraoperative or postoperative complications. All three children were symptom-free with a good urinary stream at last follow-up.Conclusion: The pedicled prepucial flap technique for proximal bulbomembranous urethral stricture in children is simple and easy to perform with good overall outcome.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000503400.13933.ce
       
  • Recurrence of floor of the mouth dysontogenic cyst in childhood
    • Authors: Prada-Arias; Marcos; Lema-Carril, Ana; Montero-Sánchez, Margarita; Pérez-Pedrosa, Alberto; Mañas-Uxo, Jorge; Fernández-Lorenzo, José R.
      Abstract: imageThe dysontogenic cysts of the floor of the mouth, which probably derive from pluripotent ectodermal cells entrapped during midline fusion of the branchial arches, include three histological subtypes: epidermoid, dermoid, and teratoid. The teratoid cyst, composed of ectodermal, endodermal, and mesodermal structures, is rare, with 26 cases reported in the English literature, most of them detected during childhood. We present a case of a teratoid cyst of the floor of the mouth in an 8-month-old boy, which was initially operated on the suspicion of ranula. A year after the operation a recurrent teratoid cyst was detected, with a sinus tract to the floor of the mouth. A recurrent dysontogenic cyst is very rare, with only five cases reported, and only one during childhood. The presence of tracts or adhesions not identified during the primary excision could explain the recurrence.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489159.09035.c3
       
  • Vasopressin in perioperative management of congenital diaphragmatic
           hernia: a case report
    • Authors: Malikiwi; Andra; Ferguson, Peter; Sehgal, Arvind
      Abstract: imagePerioperative care of infants with diaphragmatic hernias can be a challenge because of pulmonary hypertension and systemic hypotension. The objective of this study was to report the usefulness of vasopressin infusion in improving pulmonary and systemic haemodynamics in an infant with congenital diaphragmatic hernia. Oxygenation failure, pulmonary hypertension and refractory systemic hypotension in infants with diaphragmatic hernia are managed by ventilation and conventional inotropes (dobutamine and dopamine). Vasopressin is a recent addition that exerts vasodilatory effects on the pulmonary circulation and vasotonic effects on the systemic circulation. The net effect is a reduction in pulmonary vascular resistance and improvement in cardiac output and reduced need for inotropes. This paradoxical response (vasodilation in some vascular beds) distinguishes it from other vasoconstrictor agents. The infant was administered intravenous vasopressin infusion for severe pulmonary hypertension that needed inhaled nitric oxide and for systemic hypotension that needed multiple inotropes under close echocardiographic monitoring. Informed parental consent and appropriate institutional ethics approval were obtained. Addition of vasopressin led to improved oxygenation and weaning off from nitric therapy. Improvement in cardiac output and blood pressure facilitated the weaning off from inotropes. Close echocardiographic monitoring was performed to ascertain the haemodynamic effects of vasopressin. Under echocardiographic monitoring, vasopressin is a useful adjunct for managing pulmonary and systemic perioperative haemodynamic instability in infants with diaphragmatic hernia.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489147.17551.89
       
  • Presentation of an ingested foreign body as a vesical calculus: a common
           condition, but uncommon presentation
    • Authors: Pal Singh; Shailendra; Pandey, Anand; Gupta, Vipin; Pandey, Jigyasa; Verma, Rajesh
      Abstract: imageVesical calculus is a common entity in children of developing countries. Foreign body ingestion is a common occurrence in the pediatric population. An ingested foreign body eroding into the urinary bladder and leading to the formation of a vesical calculus is an extremely rare condition. We encountered a 14-year-old girl who presented with a vesical calculus and a history of ingestion of a nut bolt 7 years earlier. After cystolithotomy and retrieval of the calculus, we noticed that the nut bolt formed its core. As it is an extremely uncommon presentation, it is being reported here, with a brief review of the literature.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489162.87949.60
       
  • Pygomelia with genitalia duplication at Treichville Teaching Hospital: two
           new cases
    • Authors: Martial O; Moulot; Soroboua, Agbara; Manuela, Ehua; Eric, Yébouet; Bankolé, Sanni R.
      Abstract: imagePygomelia is a rare deformity (1/100 000) defined by the presence of one or more supernumerary members in the pelvic region. In this article, we report two new cases, including one that was successfully operated upon in our unit. The first case was characterized by the presence of two additional lower limbs postioned in the hypogastric region and a third vestigial epigastric upper limb associated with visceral deformations. Surgical treatment was successfully accomplished. The clinical examination of the second case objectified the third lower limb at the level of the left buttock with a rudimentary pelvis, a sacrococcygeal teratoma, and a genital duplication. The newborn child died during the investigations. The nosological limits of pygomelia are still poorly specified because it is similar to cases of duplication of the lower limbs and dipygus.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489161.10821.64
       
  • A rare case of juvenile-onset Behçet’s disease: Fournier’s gangrene
           followed by intestinal involvement
    • Authors: Ayanoglu; Burcu Tugrul; Degertekin, Halil; Gündüz, Özge; Gürler, Aysel; Erdogan, Fatma G.; Özis, Salih E.
      Abstract: imageBehçet’s disease (BD) is a multisystemic, inflammatory disease with still unknown etiology and rarely seen in childhood. BD has worse prognosis in young, male patients. BD exacerbations may be triggered by viral, bacterial, and other undefined antigenic stimuli in genetically predisposed individuals. Fournier’s gangrene (FG) is a rapidly progressive, necrotizing fasciitis of the genital and perineal regions with high morbidity and mortality. FG is usually seen in immunocompromised patients and may be triggered by local factors such as trauma, trombosis, and vasculitis. Here, we present a adolescent, male patient with juvenile-onset BD who developed FG and afterwards entero-Behçet. This unique assocation without any other underlying immunocompromised condition is discussed.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489158.01411.b5
       
  • Retroperitoneal lipoblastoma causing chronic constipation in a young boy
    • Authors: Jones; Patrick; Croffie, Joseph
      Abstract: imageConstipation is a frequent occurrence in infants and children and a common indication for referral to pediatric gastroenterologists. Although most children will be diagnosed with functional constipation and respond well to laxatives, dietary changes, and behavioral modifications, a smaller subset of patients will not improve on first-line therapies. In these children, it is necessary to consider organic etiologies like an anatomic malformation, metabolic derangement, or neuropathy. Occasionally, abdominal or pelvic tumors will present with constipation. We report an unusual case of a retroperitoneal lipoblastoma causing constipation in a young boy.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489160.03197.7b
       
  • Atypical back pain in a child: subcutaneous lumbar abscess associated with
           chickenpox
    • Authors: King; Ian C. C.; Lawson, Geoff; Tourret, Lisa
      Abstract: imageBack pain in children has numerous possible causes. Although chickenpox is an extremely common and contagious condition in the paediatric population, it can be associated with potentially life-threatening musculoskeletal complications. We discuss the extremely unusual case of a child with an extensive subcutaneous lumbar abcess who presented with severe back pain associated with active chickenpox infection.
      PubDate: Sun, 01 Jan 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489146.09928.13
       
 
 
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