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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   (Followers: 1)
Academic Medicine     Full-text available via subscription   (Followers: 58, 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: 33, SJR: 0.209, h-index: 8)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 12, 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: 30, 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: 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: 54, 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: 62, 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: 28, 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: 150, SJR: 1.523, h-index: 161)
Anesthesiology     Full-text available via subscription   (Followers: 122, 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: 60, 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: 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: 45, 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: 23, 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: 217, SJR: 3.748, h-index: 220)
Critical Care Nursing Quarterly     Full-text available via subscription   (Followers: 12, 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: 50, SJR: 0.724, h-index: 49)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 11, SJR: 0.984, h-index: 64)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 19, 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: 16, 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: 18, 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: 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: 8, 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: 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: 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: 26, 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: 50, SJR: 2.981, h-index: 137)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 20, 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: 17, 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: 44, SJR: 2.118, h-index: 74)
Eye & Contact Lens Science & Clinical Practice     Hybrid Journal   (Followers: 2, 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: 8, SJR: 1.078, h-index: 62)
Health Care Management Review     Full-text available via subscription   (Followers: 10, 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: 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: 24, 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: 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: 20, SJR: 0.468, h-index: 17)
J. for Nurses in Professional Development     Full-text available via subscription   (Followers: 10, 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: 6, 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: 15, 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: 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   (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: 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: 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: 12, 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: 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: 8, 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: 19, SJR: 0.782, h-index: 65)
J. of Nursing Care Quality     Partially Free   (Followers: 11, 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: 48, 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: 7, 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: 60, 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: 25, 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: 23)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 12, 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: 4, 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: 49, SJR: 2.007, h-index: 171)

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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  [285 journals]
  • Associated patent urachus and patent omphalo–mesenteric duct in
           children: review of the literature
    • Authors: Bertozzi; Mirko; Di Cara, Giuseppe; Appignani, Antonino
      Abstract: imageThe objective of this article is to review the literature on a very rare association such as patent urachus and a patent omphalo–mesenteric duct in children. Partial or total failure of the obliteration of urachus gives rise to various anomalies, which can be diagnosed both in childhood and in adulthood. The omphalo–mesenteric duct remnants are the most common anomalies of the gastro-intestinal tract, often asymptomatic. The association of patent urachus and a patent omphalo–mesenteric duct in children is very rare. A computer-assisted (PubMed and Google Scholar) search of the pediatric literature to identify all cases of patent urachus and a patent omphalo–mesenteric duct association was performed. We found only eleven cases of the association of patent urachus and a patent omphalo–mesenteric duct in the pediatric literature. All cases except one were males. When reported, all children affected were full term. The clinical sign reported was umbilical spillage. In all cases was reported a lack of healing of the umbilical stump with different clinical pictures, except two cases. Treatments reported were application of silver nitrate, antibiotic cream, povidone iodine, and application of salves and plasters. Various diagnostic examinations were performed. In none of these patients was the possible association with PU and POMD suspected, but it was evidenced only during the surgical excision. The surgical approach was laparotomy in all cases. The association of patent urachus and a patent omphalo–mesenteric duct in children is very rare approached in all cases by laparotomy. This review underlines the importance of evaluating any persisting umbilical lesions without delay when conventional pharmacological therapy fails.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Magnetic resonance imaging of head and neck vascular anomalies: pearls and
    • Authors: Abdelsattar Mohammad; Shaimaa; Abdelhamid AbouZeid, Amr; Fawzi, Ahmed M.; Dahab, Mohamed M.; Ragab, Iman A.; El-Naggar, Osama
      Abstract: imagePurpose: The aim of this study was to describe typical MRI features of the head and neck vascular anomalies and the possible diagnostic pitfalls.Patients and methods: Patients with extracranial vascular anomalies of the head and neck, who underwent MRI examinations between January 2013 and January 2016, were included in the study. Precontrast and postcontrast T1-WI, T2-WI, with and without fat saturation were acquired. When indicated, a noncontrast MR angiography was performed. Dynamic postcontrast MRI techniques were available in six children.Results: The study included 33 patients (age ranged from 10 to 20 years, mean: 49 months). MRI confirmed the clinical diagnosis in equivocal cases, and provided proper determination of lesion extension and/or associated intracranial anomalies. The study included 10 cases of vascular tumors (hemangioma), whereas the remaining 23 cases had the diagnosis of vascular malformations (one patient with arteriovenous malformation, one with capillary malformation, seven with venous, nine with macrocystic lymphatic, and five with microcystic lymphatic malformations).Conclusion: Vascular anomalies in the head and neck are mostly diagnosed on clinical basis; however, when the history is uncertain or the diagnosis is equivocal, a well-tailored MR examination can be a single valuable diagnostic tool providing structural and functional information.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • The conservative treatment of giant omphalocele by tanning with povidone
           iodine and aqueous 2% eosin solutions
    • Authors: Habou; Oumarou; Adamou, Harissou; Magagi, Ibrahim Amadou; Ali, Omid M.; Magagi, Amadou; Moustapha, Helle; Sabo, Ramatou; Abarchi, Habibou
      Abstract: imageAim: The aim of this work was to report the result of nonoperative management of giant omphalocele by dressing with povidone iodine and aqueous eosin in Niger.Patients and methods: This prospective study was conducted over 5 years (January 2011 to December 2015) in the Departments of Pediatric Surgery in the country. The procedure consisted of applying povidone iodine at the initial phase of the treatment as inpatient followed by aqueous eosine solution application as outpatient, which was continued up to complete epidermization. The clinical aspects, the complications and the mortality of omphalocele were discussed.Results: The study included about 13 patients; the mean age at presentation was 1.7 days (range: 3 h–8 days). The delivery was at home in 38.46% of the cases (five out of 13). The average birth weight was 2810 g. Associated congenital abnormalities were found in 46.15% of cases (six out of 13). The mean initial hospitalization duration was 8 days. The average length of complete epidermization duration was 9±2 weeks. The secondary surgical cure was realized in eight patients. The morbidity rate was 30.77% (four out of 13). The mortality rate was 23.07% (three out of 13).Conclusion: The conservative treatment of giant omphalocele through the application of povidone iodine and aqueous eosine is effective and cost-effective. This procedure should be privileged in our limited resources Health centers where pediatric intensive care unit are lacking.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Biliary duodenostomy: a safe and easier biliary drainage procedure after
           choledochal cyst excision
    • Authors: Radwan; Ahmed B.; Shokry, Shady S.; AbouZeid, Amr A.; Hay, Sameh A.
      Abstract: imageBackground/purpose: The treatment of choice for choledochal cyst (CC) is complete excision followed by biliary–enteric anastomosis. Roux-en-Y biliary jejunostomy has been favored by most surgeons for decades, with satisfying results. The use of biliary duodenostomy (BD) is another simple alternative for biliary drainage after CC excision. Our intermediate-term outcomes of both biliary drainage procedures after CC excision are presented.Methods: We carried out a retrospective analysis of the outcome of CC management in children operated at the Pediatric Surgery Department of Ain-Shams University over 5 years, from January 2010.Results: A total of 23 cases (16 females) were included in this study. The mean age at operation was 4.02±2.52 years. Twenty-one cases had type I and two cases had type III CC. Complete excision of the CC was performed in 22 cases, and partial excision with mucosectomy was performed in one case. Biliary–enteric anastomosis was performed with the duodenum in 18 patients (group I, BD) and with the jejunum in five cases (group II, Roux-en-Y biliary jejunostomy). The mean follow-up period was 53±4.48 months. A patient from group II suffered from ascending cholangitis 6 months postoperatively.Conclusion: BD is a simple technique for biliary drainage after CC excision with no major complications at intermediate-term follow-up.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Enteral reduction and oblique anastomosis: a novel technique in the
           treatment of small bowel atresia
    • Authors: Ali; Abdelbasit E.; Abdalla, Awad R.
      Abstract: imageBackground: Jejunoileal atresias are major causes of neonatal intestinal obstruction, and various surgical techniques were described for their treatment. Resection and/or tapering of the proximal dilated pouch and end-to-end or end-to-back enteral anastomosis are the most commonly used techniques. Either of these techniques, however, has shortcomings such as loss of bowel length, kink obstruction, and anastomotic leak due to anastomotic line mismatch.Objective: The aim of this study was to describe an alternative surgical technique for bowel atresia repair, enteral reduction and oblique anastomosis.Patients and methods: The technique involves reduction of the dilated bowel diameter by removing an elliptical full-thickness part of the anterior wall of the proximal dilated pouch and oblique anastomosis of the resultant window with a longitudinally incised posterior wall of the distal bowel.Results: This technique was used in seven successive neonates, four female and three male, in 1 year. Their ages at operation ranged between 2 and 30 days (median 3 days). Six neonates recovered well. Enteral feeds were tolerated in 7–10 days and the length of hospital stay ranged between 15 and 36 days. One baby, who underwent surgical repair at the age of 30 days, died following severe sepsis and anastomotic leak.Conclusion: Enteral reduction and oblique anastomosis is an easy and safe alternative to current surgical techniques used for the treatment of small intestinal atresia. No bowel resection is required while proximal bowel tapering is achieved.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Variables determining the success of ultrasound-guided hydrostatic
           reduction of intussusception in infants: a tertiary center experience
    • Authors: Khirallah; Mohammad G.; Eldesouki, Nagi I.; Elbatarny, Akram M.; Arafa, Mohammad A.
      Abstract: imageBackground: Intussusception represents one of the most common urgent surgical admissions during early infancy and childhood period. It's a form of intestinal obstruction which is manifested by colicky abdominal pain, red current jelly stool and abdominal mass. Abdominal Ultrasound is the method of choice for diagnosis. Treatment of intussusception ranged from simple non operative reduction either by pneumatic or hydrostatic enema to surgical exploration. There multiple variables that may affect the result of of non operative management.Aim: We tried to study them to know whom patient would pass without surgery.Patients and methods: Two hundred patients diagnosed with intussusceptions included in this study. All of them received ultra sound guided hydrostatic reduction using warm saline. The maximum number of attempts of reduction was three times. We used intrvenous sedation in irritable infants.Results: 2 hundred cases with intussusception were treated in this study. One hundred forty were reduced (group A) and 60 cases (group B) required surgical exploration. The mean body weight in group A was 7.3 Kg while in group B 9.3Kg. seventy five cases from both groups were operated.Conclusion: Several factors affect the result of hydrostatic reduction as total leukocytic count, CRP and duration of symptoms. In addition the size of the mass and the presence or absence of free peritoneal fluid affects the non operative management.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Repair of low anorectal anomalies in female patients: risk factors for
           wound dehiscence
    • Authors: Allam; Ayman M.; Abou Zeid, Amr A.; El Shafei, Ihab; Ghanem, Wael; Albaghdady, Ayman
      Abstract: imageBackground/purpose: Wound dehiscence after rectoperineal/vestibular fistulae repair may have adverse effects on the continence mechanism with delayed functional sequels. We report the incidence of wound complications following the sagittal anorectoplasty in a group of female patients, in addition to studying the effect of some possible risk factors.Patients and methods: This is a prospective cohort study conducted on female patients with rectoperineal or rectovestibular fistula operated during the period from January 2011 to December 2015. Patients were divided into three groups: group A (no dehiscence); group B (minor dehiscence); and group C (major dehiscence). Patients were compared regarding their age at the time of repair, the type of anorectal anomaly, the degree of dilation of the colon, and the prevalence of covering colostomy.Results: The study included 63 female patients. Group A included 34 patients (those with no dehiscence, 52.4%), group B included 17 patients (minor wound dehiscence, 26.98%), and group C included 13 patients (major wound dehiscence, 20.6%). There was no statistically significant difference between the three groups regarding the studied risk factors.Conclusion: With regard to the wound complications following the repair of rectoperineal/vestibular fistulae in the female patients, none of the studied risk factors appear to have a significant effect on the outcome.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Outcome and renal function following salvage surgery for bilateral Wilms
           tumor: a single-institution experience
    • Authors: D’Cunha; Aureen; Susan, Jehangir; Grace, Rebekah; Jacob, Kurian Jujju; John, Jacob Tarun; Joseph, Thomas Reju; John, Mathai; Sampath, Karl
      Abstract: imageObjective: The aim of this study was to determine the surgical outcomes and renal function following salvage surgery for bilateral Wilms tumor (BWT).Summary background data: The challenge for the surgeon treating BWT lies in striking a fine balance between renal preservation and oncological clearance.Methods: This is a retrospective review of medical records in a tertiary care hospital in India. Nine children with BWT who presented between 2005 and 2015 were reviewed and followed up through telephone. Survival rates were calculated using the Kaplan–Meier method. A P value of less than 0.05 was considered statistically significant.Results: Seven (78%) of nine children were boys and two (22%) were syndromic. Six (67%) children presented at less than 1 year of age. Eight (89%) children presented with an abdominal mass. There were no metastases at presentation. All children underwent trucut biopsy and neoadjuvant chemotherapy. Six children underwent surgery: four underwent bilateral nephron sparing surgery (NSS) and two underwent unilateral nephrectomy with contralateral NSS. Tumor recurred in two children. The mean follow-up was 38 months (range: 5–108 months). Creatinine clearance (CrCl) improved postoperatively in all children. Postoperative hypertension was transient and resolved with improvement in CrCl.Conclusion: Children with BWT in the Indian subcontinent may be younger than those in the rest of the world. NSS yields good outcomes even for recurrences. Postoperative hypertension is transient in the majority of patients and correlated with improvement in CrCl. Prognosis is related to operability and syndromic association.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Reliability of hypertrophy of the contralateral testis in prediction of
           the status of impalpable testis
    • Authors: Shalaby; Rafik; Alshamy, Ahmad; Abd-Alrazek, Mohamad; Gouda, Samir; Mahfouz, Mohamad; Shahin, Mohamad; Moussa, Sabri; Elhady, Sayed; Algallad, Hassan
      Abstract: imageBackground: The hypertrophied testis can predict the status of the impalpable contralateral one. The aim of this study was to assess the accuracy of contralateral testicular hypertrophy for predicting the presence or absence of impalpable undescended testis (UDT) in Egyptian boys.Patients and methods: This study was carried out on 204 patients with unilateral impalpable UDT who presented to the Pediatric Surgery Department, Al-Azhar University Hospitals, from July 2014 to April 2016. Only 40 patients with unilateral impalpable UDT and hypertrophy of the contralateral testes were included in this study. They were subjected to routine laboratory investigations, ultrasonography measurement of the volume of the hypertrophied testis, and diagnostic laparoscopy for the impalpable intra-abdominal testis (IAT). Both ultrasonography and laparoscopic findings were reported.Results: Out of 204 patients with unilateral impalpable UDT, only 40 patients fulfilled the inclusion criteria. Their ages ranged from 1 to 5 years, with a mean of 2.3±1.18 years. Testicular volume ranged from 0.94 to 6.33 cm3, with a mean of 3.12±1.41 cm3. Diagnostic laparoscopy indicated 30 patients with vanishing testis, four patients with low IAT, and three patients with high IAT and three patients with testicular vessels and vas passing internal inguinal ring, where inguinal exploration indicated atrophic testes.Conclusion: Hypertrophied testis can predict the absence of other contralateral impalpable testis when its volume is 1.85 cm3.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Neurofibromatosis type 1: a rare cause of parotid swelling in a child
    • Authors: Khan; Rizwan A.; Wahab, Shagufta; Mansoor, Tariq
      Abstract: imageVon Recklinghausen disease, also known as neurofibromatosis type 1, is an autosomal dominant disorder that presents as neurocutaneous syndrome. These patients have increased chances of developing other tumors such as plexiform neurofibromas. Plexiform neurofibromas are a proliferation of Schwann cells in the nerve sheath. Affliction of the parotid gland in a young child is a rare presentation of these tumors. We present the management of one such case.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Can a foreign body migrate against natural body barriers'
    • Authors: Arafat; Amr A.; Taha, Abdel-Hady M.; Elkhouly, Ahmed G.; Elgalad, Abdelmotagaly A.
      Abstract: imagePericardial foreign bodies (FBs) are a rare cause of chest pain in children. They can reach the pericardium through several routes including direct or iatrogenic implantation, transbronchial or transesophageal migration of inhaled or swallowed FBs. We reported a case of a 4-year-old girl presenting with persistent chest pain for 1 month. The child described the pain as ‘stitching’ in nature localized on the left side of the sternum. The child presented with increased pain intensity and a new onset of fever and cough. No history of chocking or swallowing of FB and no signs of trauma or child abuse were noted. Chest radiography revealed a needle in the left side of the chest. Computed tomography scan and echocardiography were used to precisely localize the needle and exclude intracardiac extension. ECG showed elevated ST segment and cardiac enzymes were normal. Removal of the needle was carried out surgically under fluoroscopic guidance. A small portion of the needle was found intrapericardially complicated by localized purulent pericarditis. The child had uneventful recovery and was discharged from the hospital on postoperative day 3.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Neonatal umbilical inflammatory myofibroblastic tumor
    • Authors: Houben; Christoph H.; Knüchel-Clarke, Ruth
      Abstract: imageInflammatory myofibroblastic tumors represent a tumor class of intermediate malignant potential predominantly seen in children and adolescents. Here is the first description of an inflammatory myofibroblastic tumor at the umbilicus of a neonate. In neonates the main sites of presentation are equally distributed between the thoracic and the abdominal region. In a third of the neonates the tumor is identified on an antenatal scan. The preferred treatment option is resection of the tumor. Spontaneous regression has been described.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Cystic lymphangioma of the breast in an infant successfully managed with
           intralesional bleomycin: a case report with relevant review of the
    • Authors: Upadhyaya; Vijai D.; Bhatnagar, Ankur; Kumar, Basant; Kishore, J. Srinivas; Sthapak, Eti
      Abstract: imageCystic hygromas, also known as lymphangiomas, are unusual congenital malformations of the lymphatic system and commonly involve the head and neck region or axilla. Involvement of other sites such as breasts is very rare. The preferred mode of treatment for lymphangioma of the breast in adults or children is surgery. We report a case of breast lymphangioma in a 3-month-old male child, which was managed successfully by intralesional bleomycin.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Double sigmoid atresia with meconium pseudocyst masquerading as a
           mesenteric cyst
    • Authors: Hegde; Shalini; Bawa, Monika; Kumar, Raj; Rao, KLN
      Abstract: imageSigmoid atresia is one of the rarest cause of neonatal intestinal obstruction. We report an antenatally diagnosed mesenteric cyst in a neonate that was subsequently diagnosed as a meconium pseudocyst with double sigmoid atresia. A localized type 4 atresia or a colonic atresia associated with meconium pseudocyst has not been reported in the literature to date.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Intestinal obstruction due to ileal metastasis of Ewing’s sarcoma
    • Authors: Yücesoy; Ali N.; Serefhan, Alpay; Polat, Nedim
      Abstract: imageWe present a case report of intestinal obstruction caused by ileal metastasis of Ewing’s sarcoma. The invasive tumoral segment of the ileum was removed and the bowel continuity was provided with end-to-end anastomosis. Histopathologic examination showed tumoral invasion of the ileal mucosa and ileal wall by small blue round cells of Ewing’s sarcoma.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
  • Ectopic thoracic kidney in a child presenting with recurrent cough: a case
           report and review of literature
    • Authors: Sinha; Amit K.; Vaghela, Maheshkumar M.; Kumar, Bindey; Kumar, Prem; Neha, Neeti
      Abstract: imageEctopic thoracic kidney is a rare clinical entity in pediatric patients. It is usually an incidental finding on evaluation of patients with recurrent cough or mediastinal mass. Its clinical course is benign. We are presenting a case of right ectopic intrathoracic kidney diagnosed incidentally on contrast-enhanced computed tomography chest during evaluation of a child with recurrent cough.
      PubDate: Sat, 01 Jul 2017 00:00:00 GMT-
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