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Publisher: LWW Wolters Kluwer   (Total: 287 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: 56, 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: 5, SJR: 0.173, h-index: 13)
Advanced Emergency Nursing J.     Full-text available via subscription   (Followers: 31, SJR: 0.209, h-index: 8)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 8, 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: 28, SJR: 0.402, h-index: 43)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 13)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 5, SJR: 0.101, h-index: 6)
AIDS     Hybrid Journal   (Followers: 17, SJR: 3.112, h-index: 188)
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 18, 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: 51, 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: 25, SJR: 0.426, h-index: 44)
American J. of Nursing     Full-text available via subscription   (Followers: 78, SJR: 0.286, h-index: 42)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 39, 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: 148, SJR: 1.523, h-index: 161)
Anesthesiology     Full-text available via subscription   (Followers: 125, 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: 14, SJR: 0.988, h-index: 68)
Annals of Surgery     Hybrid Journal   (Followers: 57, SJR: 4.503, h-index: 246)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 7, SJR: 0.795, h-index: 78)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 5)
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: 9)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 43, 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: 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: 11, 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: 21, 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: 21, 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: 3)
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: 210, 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: 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: 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: 15, SJR: 1.878, h-index: 81)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 8, SJR: 2.613, h-index: 41)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 17, 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: 8, 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: 23, SJR: 1.89, h-index: 77)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 16, 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: 35, SJR: 1.076, h-index: 64)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 45, SJR: 1.651, h-index: 65)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 10, 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: 17, 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: 10, 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: 5, 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: 27, 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: 49, SJR: 2.981, h-index: 137)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 19, 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: 15, 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: 42, 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: 8, 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: 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: 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: 5, 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: 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: 23, 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: 9, 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: 2, SJR: 0.337, h-index: 23)
J. of Burn Care & Research     Full-text available via subscription   (Followers: 7, SJR: 0.713, h-index: 57)
J. of Cardiopulmonary Rehabilitation and Prevention     Full-text available via subscription   (Followers: 5, 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: 18, 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: 2, 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: 25, 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: 11, 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: 4, 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: 38, 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: 18, 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: 7, SJR: 0.691, h-index: 22)
J. of Pediatric Gastroenterology & Nutrition     Hybrid Journal   (Followers: 47, 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: 14, 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: 2, SJR: 0.798, h-index: 73)
J. of Strength and Conditioning Research, The     Full-text available via subscription   (Followers: 57, 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: 23)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 10, SJR: 0.712, h-index: 34)
JAIDS J. of Acquired Immune Deficiency Syndromes     Hybrid Journal   (Followers: 3, 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: 12, 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: 15, SJR: 0.877, h-index: 116)
Medicine & Science in Sports & Exercise     Hybrid Journal   (Followers: 46, SJR: 2.007, h-index: 171)

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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
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by LWW Wolters Kluwer Homepage  [287 journals]
  • Improving the prognostic value of blunt abdominal trauma scoring systems
           in children
    • Authors: Khirallah; Mohammad G.; Elsayed, Elsayed I.
      Abstract: imagePurpose: Blunt abdominal trauma (BAT) is a frequent reason for hospital admission and a significant cause of death in children older than 2 years of age. Mechanisms causing abdominal injuries are predominantly motor vehicle accidents, falls, and intentional injuries. Blunt trauma accounts for 90% of pediatric injuries. There are many scoring systems that are designed to monitor victims of BAT and to predict victims who may require conservative management and those who may require surgical intervention. None of these scoring systems is perfect and fulfill the data for accurate prediction of the prognosis of these victims. We assessed three different clinical scoring systems and their prognostic properties alone and after their modification by adding a plain, erect, abdominal radiographic film to improve their prognostic values.Patients and methods: We included all patients presenting with BAT older than 2 years and younger than 18 years. All children were subjected to three different trauma scoring systems. We evaluated all children using Pediatric Trauma Score, Clinical Abdominal Score System, and Blunt Abdominal Trauma in Children. We then added plain, erect, abdominal radiographic films to these systems.Results: A total of 250 children with BAT were subjected to three different scoring systems. Among them, 58% were boys and 42% were girls. The cause for BAT in two hundred and two cases was car accidents, falling from heights in seven, and kicks and abuse in 41 cases. The mean time until hospital arrival was 2 h. The mean age was 15 years. The mean time for every scoring system was 5 min. Radiographic imaging showed positive signs of trauma (air under diaphragm, elevated copula of diaphragm) in 45 patients.Conclusion: Adding a simple radiographic film in the erect position of the abdomen and lower chest markedly improved the prognostic value of the different scoring systems included.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000503402.52051.19
  • The value of intra-abdominal pressure monitoring through transvesical
           route in the choice and outcome of management of congenital abdominal wall
    • Authors: Elsaied; Adham; Medhat, Sherif; Sheir, Hesham; Aly, Kamal
      Abstract: imageIntroduction: Gastroschisis and omphalocele are most common congenital abdominal wall defects (AWDs). Surgical management aims to reduce the evisceration safely, close the defect with a cosmetically acceptable outcome under guidance of intraoperative monitoring of intra-abdominal pressure (IAP). Intravesical pressure monitoring technique recommended by (WSACS) is the most reliable technique for IAP measurement in neonates.Aim: The aim of this study is to assess the value of IAP monitoring via vesical pressure measurement in the choice and outcome of management of congenital AWDs.Patients and methods: This is a prospective study of 25 cases that suffered congenital anterior AWDs (gastroschisis and omphalocele) admitted to Mansoura University Children Hospital during the period from October 2013 to October 2015. They were all operated upon guided by IVP monitoring during and after repair.Results: In our study, 14 (56%) cases presented with gastroschisis and 11 (44%) presented with exomphalos with a median age of 24 h. Males (56%) were slightly more than females (44%). Congenital anomalies were reported in 16 cases (64%). Primary fascial closure was successful in 15 (60%) cases, whereas Silo repair was done in six (24%) cases and skin closure in only four (16%) cases. During the attempts of closure the mean abdominal perfusion pressure was 40.24±5.59, the mean peak inspiratory pressure was 24±6.11 and the mean IAP was 22.60±6.89. Two cases developed intra-abdominal hypertension after abdominal closure (8%) and only one of them needed decompressive laparotomy (4%). Postoperative complications were reported in 15 (60%) cases and mortality occurred in eight (32%) cases.Conclusion: Increased IAP secondary to forceful closure of the abdominal defect is associated with the occurrence of complications. IVP monitoring is feasible during closure of AWDs and a threshold of 20 cm H2O is appropriate to decide between primary and staged approach.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000511425.39279.13
  • Laparoscopic Thal versus laparoscopic Nissen fundoplication in children:
           comparative study regarding outcome and patient satisfaction
    • Authors: Wafa; Tamer A.; El-Saied, Adham; Dessouky, Nabil M.; El-Ghazaly, Mohammed; Barakat, Tarik
      Abstract: imageIntroduction: Gastroesophageal reflux disease is a common condition in pediatric age group. Many surgeons believe that complete fundoplication provides better reflux control, yet it results in more dysphagia and gas-bloat symptoms. On the other hand, a partial wrap is reported to have fewer adverse effects but a higher failure rate in controlling reflux. Until now, there is no agreement and little evidence as to whether complete or partial fundoplication is the optimal procedure in this age group.Patients and methods: This is a prospective single-blinded randomized comparative study that included 30 patients who were admitted in the time period from May 2013 to May 2015 and were treated laparoscopically by either Nissen or Thal fundoplication.Results: Operative time (minutes) was significantly longer in the Thal group (186±52) when compared with the Nissen group (150±48) (P=0.031). Intraoperative complications showed no significant difference when comparing the two groups. Although the incidence of postoperative dysphagia was statistically insignificant, the duration of dysphagia did show significantly shorter duration in the Thal group (median: 6 days), when compared with the Nissen group (median: 17 days). There was no recurrence in the Thal group, whereas there was one recurrence in the Nissen group.Conclusion: This study suggests that Thal fundoplication offers an effective alternative to Nissen fundoplication with apparently shorter duration of dysphagia and thus earlier return to the normal eating pattern.Level of evidence: 1b.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000511421.16408.d3
  • Hepaticoduodenostomy as a technique for biliary anastomosis in children
           with choledochal cyst: an experience with 31 cases
    • Authors: Saxena; Nandita A.; Kulkarni, Bharati K.; Borwankar, Shyam S.; Lahoti, Hemant N.; Multani, Pooja; Oak, Sanjay N.
      Abstract: imageObjective: The aim of this study was to investigate the efficacy and complications of hepaticoduodenostomy in the treatment of choledochal cyst in children.Summary background data: The conventional treatment of choledochal cyst includes Roux-en-Y hepaticojejunostomy for biliary reconstruction. This procedure, however, disrupts normal bowel continuity and requires two anastomoses. We studied the technique of hepaticoduodenostomy as an effective alternative to this technique.Patients and methods: A total of 31 children undergoing hepatoduodenostomy for choledochal cyst over a period of 9 years were included in this study.Results: The patients operated upon had outcomes similar to those treated by the Roux-en-Y technique in other studies.Conclusion: Hepaticoduodenostomy is an effective alternative to the conventional Roux-en-Y anastomotic technique in cases of choledochal cyst in children.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000508440.37104.0d
  • Peritoneal drainage versus laparotomy in necrotizing enterocolitis: a
           continued asked question
    • Authors: Khirallah; Mohammad G.; Eid, Ahmed I.
      Abstract: imageIntroduction: Necrotizing enterocolitis (NEC) is a severe surgical problem affecting mainly premature neonates (low birth weight and short gestational age neonates). Because of the severe deterioration in their general condition, some babies are subjected to formal laparotomy as a definitive treatment whereas others cannot tolerate this operative decision and may die if operated. Therefore, these poor babies may be subjected to bedside drainage with local anesthesia or sedation. Surprisingly, some of these neonates who undergo primary peritoneal drainage survive. This led us to compare both methods to identify a definitive management of this serious problem.Patients and methods: Fifty-six cases who presented with surgical NEC were studied during the period from March 2013 to March 2016. They were subdivided into two groups. Group A included cases treated by peritoneal drainage. Group B included cases treated by laparotomy. All cases had plain erect abdomen, abdominopelvic ultrasound, complete blood count, C-reactive protein, blood culture, and arterial blood gases. We inserted a central venous catheter in all cases and total parenteral nutrition was planned.Results: The mean age of the babies at presentation was 10 days. The mean gestational age in group A was 31.9 weeks, whereas in group B it was 31.8 weeks. The mean body weight was 1.7 and 1.6 kg in groups A and B, respectively. Six babies in group A died during the study, whereas seven babies died in group B.Conclusion: Primary peritoneal drainage may be a reasonable line of treatment in neonates with NEC with good general condition, taking into consideration the possibility of traditional laparotomy if needed.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000503401.13933.87
  • The role of laparoscopy in the management of urachal anomalies in children
    • Authors: Bertozzi; Mirko; Riccioni, Sara; Nardi, Niccolò; Appignani, Antonino
      Abstract: imageObjectives: Management for urachal anomalies (UAs) is controversial. Although traditional treatment of UAs has been surgical excision, recent literature report also a conservative approach. We reviewed our experience to define the role of laparoscopy in the management of UAs in children.Patients and methods: From July 2005 to July 2015, 23 children underwent 24 interventions for the treatment of UAs. In four patients, the technique was a laparoscopic-assisted removal of the anomaly, in two patients a laparoscopic-assisted drainage of an urachal abscess, and a pure laparoscopic technique was started in 17 patients.Results: Laparoscopic-assisted removal of the UAs was achieved in five cases. In two cases a laparoscopic-assisted drainage of an urachal abscess was performed. The remaining patients were treated by pure laparoscopic technique. Operative or postoperative complications did not occur. Follow-up ranged from 6 months to 10 years and 6 months.Conclusion: The pure laparoscopic approach to UAs appears safe and effective in most urachal remnants. Laparoscopic-assisted excision is an alternative approach that is easier to perform in infants. The decision to remove the UAs must be taken after an accurate informed consent of the parents, especially in cases of asymptomatic anomalies.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000513181.72166.fa
  • The paediatric acute scrotum: are we still managing correctly'
    • Authors: Hughes; Michael; Farnell, Emily
      Abstract: Objective: The objective of this study was to investigate current investigation and management practice in a general district hospital in the UK of the paediatric acute scrotum.Summary background: Diagnosis and management of the paediatric acute scrotum remains an elusive and often challenging area of urology. In response to this, the urology team developed local guidelines to aid the management and treatment of this potentially life-changing condition.Patients and methods: We reviewed the notes of all children (younger than 16 years of age) who presented with a diagnosis of acute scrotum over a 2-year period in Harrogate district hospital. We assessed the adherence to local guidelines, specifically the following: immediate urology review (within 1 h) and all patients with symptoms for less than 24 h should have immediate scrotal exploration. We also reviewed the discharge diagnosis.Results: A total of 55 case notes were reviewed, of which 44 were eligible for data analysis; 23 patients were seen within an hour or under from the review request.In total, 21 patients were transferred to the theatre, with 19% having a final diagnosis of testicular torsion, yielding an overall incidence on the basis of eligible patients of 9%.Conclusion: The paediatric acute scrotum is a potentially life-changing diagnosis, and timely review and action of management is important.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000511422.16408.08
  • Infant with a foreign body bronchus: a fishy situation!
    • Authors: Narayanan; Sarath K.; Mohanan, Arun
      Abstract: imageForeign body aspiration (FBA) is a common cause of respiratory compromise in early childhood. Numerous unique foreign bodies in the tracheobronchial tree have been reported in the literature. FBA can result in a spectrum of presentations ranging from incidental to acutely life threatening. Described here is a case of inhalation of a live fish caught from a household aquarium by a 10-month-old infant. The infant presented to us with worsening respiratory distress, and an emergency diagnostic rigid bronchoscopy retrieved the fish and the baby survived. This instance highlights the importance of actively investigating pediatric patients with bronchoscopy when suspicion of FBA is high. This case report of a live fish aspiration in an infant that was successfully removed is a first of its kind.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489151.48045.b4
  • Modified Ravitch procedure: a customized solution for iatrogenic
           unilateral pectus excavatum
    • Authors: Sandlas; Gursev; Tiwari, Charu
      Abstract: imageSkeletal deformities in the form of pectus excavatum or scoliosis are unavoidable sequalae of large diaphragmmatic defects irrespective of the technique of repair used at the time of primary procedure. These sequelae lead to cosmetic and functional issues in the rapidly growing skeleton of a young child. The crux of management is adequate correction of these deformities with minimal residual functional impairment. A customized case-based approach using the modified Ravitch procedure is an excellent technique to repair these pectus defects. We describe such a procedure in a 3-year-old girl.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491010.82675.1c
  • Fibroadenoma of ectopic breast tissue of the axilla in an adolescent girl:
           report of a rare entity
    • Authors: Yilmaz; Engin; Afsarlar, Çagatay E.; Yilmaz, Saynur; Arda, Nilüfer
      Abstract: imageEctopic breast tissue (EBT) is a well-described entity in the English literature. However, fibroadenoma of the ectopic breast is a rare entity. We present a case of a 13-year-old adolescent girl with a subcutaneous mass in the right axilla that was pathologically identical to fibroadenoma seen in the EBT. To our knowledge, this is the second youngest patient reported with axillary EBT, which should be considered as a part of the differential diagnosis for axillary masses.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489153.93787.8c
  • A paratubal cyst associated with flegmonous appendicitis: a case report
           and review of literature
    • Authors: Erikci; Volkan S.; Payza, Demet; Ergin, Malik; Hosgör, Münevver
      Abstract: imageParatubal cysts (PTCs) are rare clinical entities and are believed to originate from the mesothelium or to be a remnant of Mullerian duct and Wolffian duct. These masses have been reported in all age groups, beginning from the premenarchial period up to menopause, and are mostly benign. A 14-year-old girl with flegmonous appendicitis diagnosed and treated during the management of PTC is presented. This report shows that PTC and flegmonous appendicitis can be seen together as distinct entities in children.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489152.86163.23
  • Fetal extraperitoneal rectal perforation: a case report
    • Authors: Garge; Saurabh; Chacko, Anil
      Abstract: imageFetal extraperitoneal rectal perforation is a very rare condition, but prompt diagnosis and appropriate treatment produce overall good outcome. Its etiology and pathophysiology are poorly understood. Only 16 cases have been reported worldwide. We report another case of fetal extraperitoneal rectal perforation managed by us.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489150.40422.c6
  • Pitfalls in the management of infantile renal neoplasia
    • Authors: Jetley; Nishith K.; Al Helal, Abdulla S.; Al-Mazkary, Mufareh H.
      Abstract: imageThis article addresses questions posed by a renal mass in early infancy. Are changes required in the standard approach to a renal mass in this age group? Are diagnostic possibilities transformed enough to warrant a change of approach in a setting like this? What are the ‘benign’ lesions that require consideration? What is the physician’s liability in performing a nephrectomy in a patient with a problem like this? A review of the literature suggests that the vast majority of renal space occupying lesions in children of this age are still Wilms’ tumor. Unless diagnostic refinements reach a higher level, the present protocols should be persisted with.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000481347.51841.90
  • Crossed testicular ectopia: what should be specified'
    • Authors: Boukesra; Tarek; Kotti, Ahmed; Dhaou, Mahdi B.; Meftah, Souhir; Jallouli, Mohamed; Mhiri, Riadh
      Abstract: imageCrossed testicular ectopia, also named transverse testicular ectopia, is a rare but well-known congenital anomaly in which both gonads migrate toward the same hemiscrotum. It is usually associated with other abnormalities such as persistent Müllerian duct syndrome, inguinal hernia, hypospadias, pseudohermaphrodism, and scrotal anomalies. We report two cases of crossed testicular ectopia; a persistent Müllerian duct syndrome was associated in one case. We also performed a literature search for other reports of crossed testicular ectopia.
      PubDate: Sat, 01 Apr 2017 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489148.55669.f6
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