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Publisher: LWW Wolters Kluwer   (Total: 290 journals)

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Showing 1 - 200 of 290 Journals sorted alphabetically
A&A Case Reports     Hybrid Journal   (Followers: 1)
Academic Medicine     Full-text available via subscription   (Followers: 60, SJR: 2.202, h-index: 107)
Accountancy     Partially Free   (Followers: 4)
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: 14, SJR: 1.262, h-index: 59)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 42, SJR: 0.495, h-index: 27)
Advances in Nursing Science     Full-text available via subscription   (Followers: 29, SJR: 0.402, h-index: 43)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 15)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 5, SJR: 0.101, h-index: 6)
AIDS     Hybrid Journal   (Followers: 18, SJR: 3.112, h-index: 188)
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 18, SJR: 1.37, h-index: 75)
Alzheimer's Care Today     Full-text available via subscription   (Followers: 4)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 56, SJR: 0.846, h-index: 64)
American J. of Dermatopathology     Hybrid Journal   (Followers: 14, SJR: 0.632, h-index: 58)
American J. of Forensic Medicine & Pathology     Hybrid Journal   (Followers: 25, SJR: 0.426, h-index: 44)
American J. of Nursing     Full-text available via subscription   (Followers: 70, SJR: 0.286, h-index: 42)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 45, SJR: 0.804, h-index: 76)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 29, SJR: 2.393, h-index: 165)
American J. of Therapeutics     Hybrid Journal   (Followers: 11, SJR: 0.318, h-index: 49)
Anesthesia & Analgesia     Full-text available via subscription   (Followers: 168, SJR: 1.523, h-index: 161)
Anesthesiology     Full-text available via subscription   (Followers: 150, SJR: 2.162, h-index: 181)
Annals of Pediatric Surgery     Full-text available via subscription   (Followers: 8, SJR: 0.148, h-index: 3)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 18, SJR: 0.988, h-index: 68)
Annals of Surgery     Hybrid Journal   (Followers: 69, SJR: 4.503, h-index: 246)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 6, SJR: 0.795, h-index: 78)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 6)
ASAIO J.     Hybrid Journal   (Followers: 2, SJR: 0.836, h-index: 49)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 2)
Asian Pacific J. of Reproduction     Open Access  
Behavioural Pharmacology     Full-text available via subscription   (Followers: 2, SJR: 0.876, h-index: 68)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 46, SJR: 0.496, h-index: 61)
Blood Pressure Monitoring     Hybrid Journal   (Followers: 1, 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: 7, SJR: 1.973, h-index: 60)
Cancer Nursing     Hybrid Journal   (Followers: 30, 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: 11, SJR: 0.417, h-index: 36)
Clinical Dysmorphology     Hybrid Journal   (SJR: 0.294, h-index: 22)
Clinical J. of Pain     Hybrid Journal   (Followers: 13, SJR: 1.111, h-index: 101)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 32, SJR: 0.933, h-index: 80)
Clinical Neuropharmacology     Hybrid Journal   (Followers: 2, SJR: 0.776, h-index: 66)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 2, SJR: 0.507, h-index: 45)
Clinical Nurse Specialist     Full-text available via subscription   (Followers: 26, 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: 24, SJR: 0.836, h-index: 59)
Clinical Pulmonary Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.178, h-index: 13)
Clinical Spine Surgery     Hybrid Journal   (Followers: 2)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 9, SJR: 0.592, h-index: 54)
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 2)
Contemporary Neurosurgery     Full-text available via subscription   (Followers: 3)
Contemporary Spine Surgery     Full-text available via subscription   (Followers: 4)
CONTINUUM : Lifelong Learning in Neurology     Full-text available via subscription   (Followers: 1, SJR: 0.489, h-index: 15)
Cornea     Hybrid Journal   (Followers: 7, SJR: 1.273, h-index: 96)
Coronary Artery Disease     Hybrid Journal   (Followers: 2, SJR: 0.712, h-index: 53)
Critical Care Medicine     Full-text available via subscription   (Followers: 250, 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: 9, SJR: 1.219, h-index: 66)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 53, SJR: 0.724, h-index: 49)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 13, SJR: 0.984, h-index: 64)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 21, SJR: 1.698, h-index: 81)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 61, SJR: 1.182, h-index: 68)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 27)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 18, SJR: 1.331, h-index: 47)
Current Opinion in Gastroenterology     Hybrid Journal   (Followers: 12, SJR: 1.57, h-index: 62)
Current Opinion in Hematology     Hybrid Journal   (Followers: 18, SJR: 1.878, h-index: 81)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 10, SJR: 2.613, h-index: 41)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 19, 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: 9, SJR: 1.632, h-index: 75)
Current Opinion in Neurology     Hybrid Journal   (Followers: 21, SJR: 2.18, h-index: 95)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 13, SJR: 0.905, h-index: 59)
Current Opinion in Oncology     Hybrid Journal   (Followers: 25, SJR: 1.89, h-index: 77)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 18, SJR: 1.827, h-index: 69)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 9, SJR: 1.088, h-index: 34)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 10, SJR: 0.885, h-index: 49)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 39, SJR: 1.076, h-index: 64)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 48, SJR: 1.651, h-index: 65)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 9, SJR: 1.397, h-index: 58)
Current Opinion in Rheumatology     Hybrid Journal   (Followers: 9, SJR: 1.718, h-index: 90)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 20, 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: 12, 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: 6, SJR: 0.265, h-index: 22)
Diseases of the Colon & Rectum     Full-text available via subscription   (Followers: 30, 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: 8)
Epidemiology     Hybrid Journal   (Followers: 51, SJR: 2.981, h-index: 137)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 23, 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: 19, SJR: 0.608, h-index: 34)
European J. of Gastroenterology & Hepatology     Hybrid Journal   (Followers: 19, SJR: 0.867, h-index: 86)
Evidence-Based Gastroenterology     Full-text available via subscription   (Followers: 5)
Evidence-Based Ophthalmology     Full-text available via subscription   (Followers: 10)
Exercise and Sport Sciences Reviews     Full-text available via subscription   (Followers: 48, SJR: 2.118, h-index: 74)
Eye & Contact Lens Science & Clinical Practice     Hybrid Journal   (Followers: 4, SJR: 0.58, h-index: 43)
Family & Community Health     Partially Free   (Followers: 12, SJR: 0.374, h-index: 33)
Female Pelvic Medicine & Reconstructive Surgery     Hybrid Journal   (Followers: 1, SJR: 0.71, h-index: 13)
Gastroenterology Nursing     Hybrid Journal   (Followers: 9, SJR: 0.183, h-index: 23)
Harvard Review of Psychiatry     Hybrid Journal   (Followers: 11, SJR: 1.078, h-index: 62)
Health Care Management Review     Full-text available via subscription   (Followers: 12, SJR: 0.806, h-index: 39)
Health Physics     Full-text available via subscription   (Followers: 7, SJR: 0.683, h-index: 55)
Hearing J.     Full-text available via subscription   (Followers: 3, SJR: 0.105, h-index: 16)
Holistic Nursing Practice     Full-text available via subscription   (Followers: 7, 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: 6, 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: 11, SJR: 0.138, h-index: 18)
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery     Hybrid Journal   (Followers: 2, 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: 7, SJR: 0.723, h-index: 64)
Intl. J. of Rehabilitation Research     Hybrid Journal   (Followers: 18, SJR: 0.569, h-index: 39)
Intl. Ophthalmology Clinics     Hybrid Journal   (Followers: 3, SJR: 0.381, h-index: 33)
Investigative Radiology     Hybrid Journal   (Followers: 8, SJR: 2.862, h-index: 89)
J. for Healthcare Quality     Hybrid Journal   (Followers: 21, 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: 6, SJR: 0.829, h-index: 25)
J. of Addictions Nursing     Full-text available via subscription   (Followers: 9, SJR: 0.215, h-index: 11)
J. of Ambulatory Care Management, The     Hybrid Journal   (Followers: 4, SJR: 0.548, h-index: 30)
J. of Bronchology & Interventional Pulmonology     Full-text available via subscription   (Followers: 3, SJR: 0.337, h-index: 23)
J. of Cardiopulmonary Rehabilitation and Prevention     Full-text available via subscription   (Followers: 7, SJR: 0.88, h-index: 54)
J. of Cardiovascular Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.309, h-index: 35)
J. of Cardiovascular Nursing     Hybrid Journal   (Followers: 16, SJR: 0.69, h-index: 40)
J. of Cardiovascular Pharmacology     Hybrid Journal   (Followers: 7, SJR: 0.962, h-index: 82)
J. of Christian Nursing     Partially Free   (Followers: 3, SJR: 0.113, h-index: 5)
J. of Clinical Engineering     Full-text available via subscription   (SJR: 0.215, h-index: 9)
J. of Clinical Gastroenterology     Hybrid Journal   (Followers: 12, SJR: 1.274, h-index: 87)
J. of Clinical Neuromuscular Disease     Hybrid Journal   (SJR: 0.39, h-index: 18)
J. of Clinical Neurophysiology     Hybrid Journal   (Followers: 3, SJR: 0.578, h-index: 82)
J. of Clinical Psychopharmacology     Hybrid Journal   (Followers: 26, SJR: 1.091, h-index: 106)
J. of Computer Assisted Tomography     Hybrid Journal   (Followers: 1, SJR: 0.848, h-index: 80)
J. of Craniofacial Surgery     Hybrid Journal   (Followers: 4, SJR: 0.443, h-index: 56)
J. of Developmental & Behavioral Pediatrics     Hybrid Journal   (Followers: 11, SJR: 1.055, h-index: 81)
J. of ECT     Hybrid Journal   (Followers: 13, SJR: 0.784, h-index: 46)
J. of Geriatric Physical Therapy     Full-text available via subscription   (Followers: 10, SJR: 0.549, h-index: 27)
J. of Glaucoma     Hybrid Journal   (Followers: 2, SJR: 1.477, h-index: 69)
J. of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 12, SJR: 1.205, h-index: 75)
J. of Hospice & Palliative Nursing     Full-text available via subscription   (Followers: 23, SJR: 0.279, h-index: 14)
J. of Hypertension     Hybrid Journal   (Followers: 13, SJR: 2.193, h-index: 146)
J. of Immunotherapy     Hybrid Journal   (Followers: 6, SJR: 2.165, h-index: 76)
J. of Infusion Nursing     Full-text available via subscription   (Followers: 6, SJR: 0.347, h-index: 25)
J. of Lower Genital Tract Disease     Hybrid Journal   (SJR: 1.08, h-index: 31)
J. of Nervous & Mental Disease     Hybrid Journal   (Followers: 7, SJR: 0.929, h-index: 98)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 7, SJR: 0.57, h-index: 41)
J. of Neurologic Physical Therapy     Full-text available via subscription   (Followers: 8, SJR: 1.189, h-index: 31)
J. of Neuroscience Nursing     Hybrid Journal   (Followers: 7, SJR: 0.399, h-index: 31)
J. of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 7, SJR: 0.913, h-index: 49)
J. of Nursing Administration     Full-text available via subscription   (Followers: 25, SJR: 0.782, h-index: 65)
J. of Nursing Care Quality     Partially Free   (Followers: 15, SJR: 0.643, h-index: 35)
J. of Nursing Research     Full-text available via subscription   (Followers: 19, SJR: 0.388, h-index: 22)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 52, SJR: 0.894, h-index: 84)
J. of Orthopaedic Trauma     Hybrid Journal   (Followers: 16, SJR: 1.142, h-index: 89)
J. of Patient Safety     Hybrid Journal   (Followers: 12, 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: 6, 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: 13, 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: 4, SJR: 0.798, h-index: 73)
J. of Strength and Conditioning Research, The     Full-text available via subscription   (Followers: 66, SJR: 1.228, h-index: 84)
J. of the Dermatology Nurses' Association     Partially Free   (Followers: 2, SJR: 0.116, h-index: 3)
J. of The Egyptian Public Health Association     Partially Free   (Followers: 1)
J. of the Egyptian Women’s Dermatologic Society     Partially Free  
J. of Thoracic Imaging     Hybrid Journal   (Followers: 4, SJR: 0.751, h-index: 44)
J. of Trauma and Acute Care Surgery, The     Full-text available via subscription   (Followers: 27, SJR: 1.557, h-index: 144)
J. of Trauma Nursing     Partially Free   (Followers: 12, SJR: 0.205, h-index: 12)
J. of Trauma, The     Full-text available via subscription   (Followers: 24)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 14, SJR: 0.712, h-index: 34)
JAIDS J. of Acquired Immune Deficiency Syndromes     Hybrid Journal   (Followers: 3, SJR: 2.434, h-index: 127)
JBJS Open Access     Open Access   (Followers: 3)
JCR J. of Clinical Rheumatology     Hybrid Journal   (Followers: 6, SJR: 0.634, h-index: 39)
JONA s Healthcare Law Ethics and Regulation     Full-text available via subscription   (Followers: 6)
Labor Law J.     Full-text available via subscription   (Followers: 4)
Lippincott’s Bone and Joint Newsletter     Full-text available via subscription   (Followers: 2)
MCN The American J. of Maternal/Child Nursing     Full-text available via subscription   (Followers: 4, SJR: 0.272, h-index: 30)
Medical Care     Hybrid Journal   (Followers: 13, SJR: 2.004, h-index: 146)
Medical Innovation & Business     Full-text available via subscription   (Followers: 2)

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Journal Cover Annals of Pediatric Surgery
  [SJR: 0.148]   [H-I: 3]   [8 followers]  Follow
   Full-text available via subscription Subscription journal
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by LWW Wolters Kluwer Homepage  [290 journals]
  • Challenges of congenital malformations: an African perspective
    • Authors: Emordi; Victor C.; Osifo, David O.
      Abstract: imageBackground Congenital malformations are defects of morphogenesis of organs or body regions identifiable during the intrauterine life or after birth. The etiological factors proposed have varied in history based on prevailing understanding, culture, and religion. Worldwide historically, the role of the supernatural had been in the forefront of etiological considerations but has changed with advances in embryology and teratology. It has, however, remained a part of many societies and cultures especially in Africa.Purpose The aim of this review article is to highlight the psychosocial and economic impact, as well as the ethical and management challenges, posed by congenital malformations in the African setting.Materials and methods A literature search was done using PubMed, African Journals Online, HINARI, and Google Scholar, regarding issues and challenges faced by parents who have children with congenital malformations, the affected children, and the healthcare workers who manage them. Focus was on the peculiarities of the African society.Result Superstitious beliefs about congenital malformations bred negative attitudes toward these children and their parents. Chronic illness, long-term disabilities, and overall poor quality of life were associated with congenital malformations. These problems in a background of negative sociocultural beliefs created enormous psychosocial challenges for the parents and children. This was further complicated by economic challenges posed by the absence of health support systems in most African settings. Furthermore, the healthcare teams caring for these children were faced with challenges of difficult ethical and medicolegal considerations, as well as paucity of appropriately skilled manpower and facilities.Conclusion The role of the supernatural in the etiology of congenital malformations still has a stronghold in the many African settings and poses an enormous psychosocial challenge for the affected. It is hoped that this review can influence policy formulations to support affected parents and improve outcomes of affected children.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Penetrating abdominal injuries in children: a study of 33 cases
    • Authors: Wabada; Samuel; Abubakar, Auwal M.; Chinda, John Y.; Adamu, Sani; Bwala, Kefas J.
      Abstract: imageBackground Trauma is gradually becoming a major cause of disability and it can be of any form, physical or emotional. For the surgeon the physical form is of major interest, especially its causes and incidence, which can be influenced by environmental or social factors.Aim The aim of this work was to study the incidence, etiology, principles of management and outcome of children with penetrating abdominal injuries.Materials and methods This was a 2-year prospective study of 33 children aged 0–15 years with penetrating abdominal injuries at the University of Maiduguri Teaching Hospital in northeast Nigeria. Information obtained included the following: the patient’s biodata, mechanism of injury, time of presentation to the Accident and Emergency Department after the injury, haemodynamic status at presentation, presence or absence of abdominal organ evisceration, presence or absence of associated injuries, the timing of surgery, intraoperative findings, the type of surgical procedure and outcome.Results Thirty-three (31.4%) children [of whom 24 (i.e. 72.7%) were from the rural areas] of 105 children with trauma-related injuries had penetrating abdominal injuries. The male : female ratio was 3 : 1, and the mean age±SD was 2.30±0.81 years. There were 15 (45.4%) children with gunshot wounds, 11 (33.3%) with bomb blast wounds, three (9.1%) with impalement injuries and two (6.1%) with arrow injuries. Fourteen (42.4%) patients had abdominal organ evisceration; of them, nine were as a result of gunshot injuries.Routine exploratory laparotomy was carried out in all 33 patients. Seven (21.2%) were operated on with simultaneous resuscitation in the immediate laparotomy group, and 26 (78.8%) underwent delayed laparotomy. There was a negative laparotomy in four (12.1%) patients, two of whom had only omental evisceration with no other accompanying visceral injuries, and two without evisceration. Three (9.1%) patients died after developing enterocutaneous fistula, compartment syndrome and sepsis.Conclusion There were more cases of penetrating abdominal injuries among boys and children from the rural areas than in those from urban areas.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Clinical findings versus imaging studies in the diagnosis of infantile
           hypertrophic pyloric stenosis
    • Authors: Jaafar; Sahned; Saeed, Dereen M.
      Abstract: imageBackground Infantile hypertrophic pyloric stenosis is the most common surgical cause of vomiting in early infancy and can be diagnosed clinically or by imaging studies.Objectives The aim of this study was to assess the accuracy of clinical examination compared with ultrasound and upper gastrointestinal contrast imaging in the diagnosis of infantile hypertrophic pyloric stenosis.Patients and methods A prospective analysis was carried out of 60 patients referred to the Pediatric Surgical Department with a proven diagnosis of infantile hypertrophic pyloric stenosis on surgical exploration in the period from January 2010 to January 2014. All patients underwent clinical, radiological, and sonographic evaluations.Results The male to female ratio was 3.28 : 1. The mean age at onset was 29.5 days. The mean age at presentation was 48 days. Projectile vomiting was present in all infants (100%). A pyloric mass was palpable in 31 (51.66%) infants, visible peristaltic waves were noted in 24 (40%) infants, and 54 (90%) patients had gastric aspirate of more than 10 ml. Ultrasound examination was confirmatory in all patients (100%). Barium study was positive in 55 (91.66%) cases.Conclusion A palpable pyloric mass with a suggestive history is a sufficient indication for proceeding to surgical treatment without confirming diagnostic imaging studies. However, when physical findings alone are inconclusive, an abdominal ultrasound examination should be performed because of their high accuracy in identifying the underlying problems.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Laparoscopic management of pediatric and adolescent patients with
           intra-abdominal complications of ventriculoperitoneal shunt
    • Authors: Almetaher; Hisham A.; El-Sawaf, Mohamed I.; Elattar, Ashraf; Elhalaby, Essam A.
      Abstract: imageBackground/purpose Ventriculoperitoneal (VP) shunt is the most common operative procedure performed in the treatment of hydrocephalus. The aim of this procedure is to drain CSF from the ventricles to the peritoneal cavity, thus to decrease the intracranial pressure. Numerous complications as a result of this technique are reported in the literature and are most commonly located around the peritoneal end of the shunt tube. The standard approach for management is laparotomy and correction of the complication. This approach, although solves the problem, causes the formation of adhesions, which are also not devoid of consequences. The aim of this study is to present our experience and outline the role of laparoscopy in the management of intraabdominal complications of VP shunt in pediatric and adolescent patients.Patients and Methods Over a period of 4 years, 14 patients were managed and recruited in this study. All patients were presented with recurrent abdominal signs and symptoms or elevated intracranial pressure. All patients were managed laparoscopically according to the final diagnosis.Results Fourteen patients (9 men and 5 women) with abdominal complications of VP shunt catheter were managed. Their ages at operation were ranged from 10 months to 15 years. All patients were investigated, diagnosed and managed laporoscopically. The median operative time of the laparoscopic procedure varied according to the diagnosis. It was 120 minutes in pseudocysts, 45 minutes in recurrent congenital inguinal hernias, 100 minutes in adhesive intestinal obstruction and 35 minutes in subcutaneous cyst and 30 minutes in umbilical fistula. Follow up period extended for 24 months after the procedure and all patients had complete resolution of their presenting abdominal or neurological symptoms. The length of the postoperative hospital stay ranged from one day in recurrent congenital hernias up to 4 days in the other procedures. There were no intra- or postoperative complications related to the laparoscopic technique.Conclusion Laparoscopic is a very useful diagnostic and therapeutic tool in dealing with intra-abdominal complications of VP shunt with high safety and an excellent outcome.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Symptomatic mesodiverticular bands in children
    • Authors: Bertozzi; Mirko; Yildiz, Abdullah; Appignani, Antonino
      Abstract: imageObjective The aim of this study was to review the English literature about a rare condition such as symptomatic mesodiverticular bands (MDBs) in children.Background The MDB is an embryologic remnant of the vitelline circulation, which carries the arterial supply to Meckel’s diverticulum. In the event of an error of involution, an arterial band persists and extends from the mesentery to the apex of the antimesenteric diverticulum. This can create a snare-like opening through which bowel loops may herniate and become obstructed. This type of internal hernia is a very rare and often overlooked cause of small bowel obstruction.Materials and methods A computer-assisted (PubMed) search of the literature to identify all cases of symptomatic MDB reported in English with patients’ age ranging from 0 to 14 years was performed.Results Eight cases of symptomatic MBD in pediatric age (0–14 years) were found in the literature in the last 50 years. Male : female ratio was 3 : 1. The age of onset ranged from 10 days to 12 years. All cases reported an intestinal occlusion as clinical picture. Internal hernia was the cause of the obstruction in six cases, whereas in two patients the occlusion was due to a direct compression. All patients were approached with emergent laparotomy except one case of laparoscopic approach.Conclusion MDB causing internal hernia is a very rare event but it should be kept in mind concerning patients with the presentation of small bowel obstruction when early surgery is important to prevent strangulation, gangrene of the bowel, and to avoid dramatic events.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Decision-making in pediatric persistent Mullerian duct syndrome
    • Authors: Al-Hadidi; Ameer; Nassar, Ismael; Amro, Wael; Shaltaf, Ahmad; Novotny, Nathan
      Abstract: imageWe are reporting a case of an 18-month old male who presented with bilateral cryptorchidism. The patient underwent an explorative laparoscopy in which two gonads were identified in close proximity to the uterus and fallopian tubes. Biopsy of the gonads confirmed testicular tissue. Genetic analysis demonstrated a 46, XY male. Male external genitalia were appropriate for age with no evidence of female structures. Persistent Mullerian duct syndrome is extremely rare, with approximately 260 cases reported in the literature. Best practice for the extent of surgical management is still evolving as we gather data on long-term outcomes.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Comparision of uroflow parameters before and after hypospadias surgery
    • Authors: Oztorun; Can I.; Tiryaki, H. Tugrul
      Abstract: imageAim Uroflow investigation is used to identify whether stenosis has developed in the constituted neourethra after hypospadias repair. It is not clear whether a functional partial stenosis in the urethra in hypospadias cases is related to surgery or is present before the surgery. We aimed to investigate whether the obstructive pattern found in the urethra was related to the surgery or was present previously by performing a uroflow investigation before and after surgery in children operated for hypospadias and also in children with normal urethra as a control group in this study.Materials and methods A total of 47 pediatric cases operated on and followed up with a diagnosis of hypospadias at the Ankara Child Health and Diseases, Hematology Oncology Training and Research Hospital’s Pediatric Surgery Clinic between January 2010 and June 2013 and a control group of 32 healthy children without symptoms of hypospadias or other urinary system problems were included in the study. Uroflowmetric investigations (maximum urine flow rate, mean urine flow rate, urination amount, urination duration, duration of reaching maximum speed) of the cases before and after surgery and uroflowmetric investigation of the control group together with the residual urine amount as examined by ultrasonography were compared. We evaluated 47 pediatric hypospadias cases in terms of age at surgery, meatus localization, type of surgery, and number of surgeries.Results The mean age was 6.1 years for the patients operated with a diagnosis of hypospadias and 7.78 years for the control group. The most common uroflow flow curve in the preoperative study group and the control group was bell-type flow (57.4 and 43.8%). Bell-type flow was again most common postoperatively, but there was a significant decrease in plateau-type flow. Comparison of the uroflowmetry measurements of the hypospadias and control groups showed that the preoperative flow rates were low and some cases had residual urine in the bladder in the first group. When the postoperative measurements were used for the comparison, a significant difference was observed between the hypospadias and control groups in the flow rate and residual urine amount, whereas there was no difference compared with the preoperative evaluation. No significant relationship was found between the type of surgery used and uroflowmeter evaluations in our study.Conclusion We found that the urination dynamics and partial urethral obstruction of hypospadias cases were present from the beginning and did not improve with surgery.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • The Penile Perception Score after distal hypospadias repair with
           tubularized incised plate and Mathieu
    • Authors: Al-Debeiky; Abdullah; El-Tatawy, Hassan; Aboufarha, Mohamed; Gameel, Tarek; El-Sakka, Ahmed; Taha, Mohamed
      Abstract: imageObjective The aim of this study was to evaluate the Penile Perception Score (PPS) after repair of distal penile hypospadias using tabularized incised plate (TIP) and Mathieu procedures.Methods A randomized controlled study was conducted at urology department from October 2013 to May 2014. It included 60 children who were divided into three groups: group A included 20 patients with distal hypospadias corrected using TIP; group B included 20 patients with distal hypospadias corrected using Mathieu; and group C included 20 children with normal male genitalia who were circumcised and considered as a control group.Results There were no statistically significant differences between group A and group B in urologists’ and parents’ average sum of PPS evaluation, but urologists’ satisfaction was more than parents’ satisfaction.The PPS for TIP was 8.43 and 7.80 for urologists and parents, respectively. The difference was significant. The PPS for Mathieu were 8.04 and 7.89 for urologists and parents, respectively, with no significance.There were no statistically significant differences between group A and group B in the postoperative evaluation by urologists and by parents in meatus, glans, shaft skin, and general appearance.There were complications in 10% of cases from group A in the form of fistula, in 30% of cases from group B in the form of fistula in 25% and meatal stenosis in 5%, and no complication in group C.Conclusion TIP showed better PPS score compared with Mathieu in hypospadias repair. However, the results of this study were not statistically significant. PPS was a good scale to evaluate hypospadias repair after surgery.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • An atypical adenomatoid odontogenic tumour in the mandible: a report of a
           paediatric case
    • Authors: Devakalavar; Kiran N.; Bali, Amit; Singh Chawla, Jatinder P.; Pandher, Pavneet K.
      Abstract: imageAn adenomatoid odontogenic tumour (AOT) is a rare odontogenic tumour that is often misdiagnosed as an odontogenic cyst. To acquire additional information about AOT, all reports regarding AOT that had been cited in ‘Pub Med’ since 1990 onwards were reviewed. AOT accounts for about 1–9% of all odontogenic tumours. It is predominantly found in young and female patients, is located more often in the maxilla, and in most cases is associated with an unerupted permanent tooth. The differential diagnosis between AOT and other odontogenic tumours such as ameloblastoma should be well made to avoid extensive ablative surgery. However, AOT frequently resembles other odontogenic lesions such as dentigerous cysts or ameloblastoma. Immunohistochemically, AOT is characterized by positive reactions with certain cytokeratins. For illustration a rare case of an AOT in the mandible is presented that had atypical findings such as buccolingual cortical perforation and resorption with displacement of adjoining teeth.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Nonconventional mesocaval prosthetic shunt interposition in refractory
           case with portal hypertension in a 10-kg female infant
    • Authors: Salman; Ghazwani; Delarue, Arnauld; Roquelaure, Bertrand
      Abstract: imageSurgical treatment of portal hypertension in infants is challenging because of the high risk of shunt thrombosis. A 10-kg female infant underwent six failed procedures before being successfully treated by interposition of a 10-mm-diameter prosthetic graft between two 3-mm-diameter splanchnic veins and the inferior vena cava. Follow-up at 10 years demonstrates shunt patency and normal development without rebleeding. An aggressive surgical strategy is justified as long as even nonconventional techniques are available to prevent life-threatening complications of portal hypertension. Prosthetic grafts can be used when no autologous vein graft is available. Decellularized allografts with reduced immunogenicity may also be effective alternative materials.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Ileal blowout due to ileal atresia in a donor with twin-to-twin
           transfusion after fetoscopic laser surgery
    • Authors: Piek; Marceline W.; Oepkes, Dick; Lopriore, Enrico; Hulsker, Caroline C.
      Abstract: Twin-to-twin transfusion syndrome (TTTS) occurs in 10% of monochorionic twin pregnancies, and can lead to a variety of complications due to imbalanced blood flow across placental vascular communications. In this report, we describe a case of intestinal injury in TTTS after fetoscopic laser ablation of the communicating vessels. Intestinal ischemic diseases have been reported in the recipient fetus after fetoscopic laser treatment in TTTS. In this report, we describe a unique case of ileal atresia in the donor twin.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
  • Common tumour, uncommon presentation: massive lipoma in the
    • Authors: Govindarajan; Krishna Kumar; Sreepathy, Shiju K.; Badhe, Bhawana; Ananthakrishnan, Ramesh
      Abstract: imageRetroperitoneal masses are notoriously malignant. Although they are seen commonly in adults, they have been known to occur in children as well. A benign mass in the retroperitoneal location in children is uncommon. Here we describe the presentation and management of a rare benign retroperitoneal mass in a 12-year-old boy.
      PubDate: Mon, 01 Jan 2018 00:00:00 GMT-
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