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Publisher: LWW Wolters Kluwer   (Total: 281 journals)

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Showing 1 - 200 of 281 Journals sorted alphabetically
Academic Medicine     Full-text available via subscription   (Followers: 50, SJR: 1.936, h-index: 91)
Accountancy     Partially Free   (Followers: 1)
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 6, SJR: 0.135, h-index: 7)
Addictive Disorders & Their Treatment     Hybrid Journal   (Followers: 4, SJR: 0.27, h-index: 11)
Advanced Emergency Nursing J.     Full-text available via subscription   (Followers: 27, SJR: 0.279, h-index: 6)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 6, SJR: 1.435, h-index: 51)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 32, SJR: 0.565, h-index: 23)
Advances in Nursing Science     Full-text available via subscription   (Followers: 22, SJR: 0.528, h-index: 38)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 9)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 2, SJR: 0.12, h-index: 6)
AIDS     Hybrid Journal   (Followers: 13, SJR: 3.701, h-index: 173)
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 14)
Alzheimer's Care Today     Full-text available via subscription   (Followers: 2, SJR: 0.176, h-index: 6)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 46, SJR: 0.951, h-index: 56)
American J. of Dermatopathology     Hybrid Journal   (Followers: 11, SJR: 0.689, h-index: 50)
American J. of Forensic Medicine & Pathology     Hybrid Journal   (Followers: 17)
American J. of Nursing     Full-text available via subscription   (Followers: 36, SJR: 0.321, h-index: 33)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 37)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 21, SJR: 2.828, h-index: 146)
American J. of Therapeutics     Hybrid Journal   (Followers: 7, SJR: 0.491, h-index: 43)
Anesthesia & Analgesia     Full-text available via subscription   (Followers: 110, SJR: 1.737, h-index: 142)
Anesthesiology     Full-text available via subscription   (Followers: 97, SJR: 2.517, h-index: 158)
Annals of Pediatric Surgery     Full-text available via subscription   (Followers: 4, SJR: 0.163, h-index: 2)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 14, SJR: 0.961, h-index: 60)
Annals of Surgery     Hybrid Journal   (Followers: 45, SJR: 4.261, h-index: 216)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 9, SJR: 0.82, h-index: 73)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 4)
ASA Refresher Courses in Anesthesiology     Full-text available via subscription   (Followers: 12)
ASAIO J.     Hybrid Journal   (Followers: 1, SJR: 0.648, h-index: 44)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 2)
Behavioural Pharmacology     Full-text available via subscription   (Followers: 2, SJR: 1.125, h-index: 60)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 45)
Blood Pressure Monitoring     Hybrid Journal   (SJR: 0.912, h-index: 46)
Burns & Trauma     Open Access   (Followers: 7)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.238, h-index: 12)
Cancer J.     Full-text available via subscription   (Followers: 4, SJR: 2.079, h-index: 52)
Cancer Nursing     Hybrid Journal   (Followers: 22, SJR: 1.047, h-index: 54)
Cardiology in Review     Hybrid Journal   (Followers: 5, SJR: 1.2, h-index: 37)
Cardiovascular Endocrinology     Hybrid Journal  
CIN Computers Informatics Nursing     Full-text available via subscription   (Followers: 10)
Clinical Dysmorphology     Hybrid Journal   (SJR: 0.287, h-index: 16)
Clinical J. of Pain     Hybrid Journal   (Followers: 8, SJR: 1.142, h-index: 89)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 24, SJR: 0.901, h-index: 67)
Clinical Neuropharmacology     Hybrid Journal   (Followers: 2, SJR: 0.787, h-index: 59)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 2, SJR: 0.428, h-index: 42)
Clinical Nurse Specialist     Full-text available via subscription   (Followers: 18, SJR: 0.312, h-index: 22)
Clinical Nutrition Insight     Full-text available via subscription   (Followers: 13)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 19)
Clinical Pulmonary Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.133, h-index: 12)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 6, SJR: 0.607, h-index: 47)
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 2)
Contemporary Neurosurgery     Full-text available via subscription   (Followers: 2)
Contemporary Spine Surgery     Full-text available via subscription   (Followers: 3)
CONTINUUM : Lifelong Learning in Neurology     Full-text available via subscription   (Followers: 1, SJR: 0.257, h-index: 7)
Cornea     Hybrid Journal   (Followers: 4, SJR: 1.514, h-index: 86)
Coronary Artery Disease     Hybrid Journal   (Followers: 1, SJR: 0.604, h-index: 49)
Critical Care Medicine     Full-text available via subscription   (Followers: 156, SJR: 3.361, h-index: 196)
Critical Care Nursing Quarterly     Full-text available via subscription   (Followers: 9, SJR: 0.362, h-index: 22)
Critical Pathways in Cardiology     Hybrid Journal   (Followers: 2, SJR: 0.706, h-index: 15)
Current Opinion in Allergy and Clinical Immunology     Hybrid Journal   (Followers: 9, SJR: 1.209, h-index: 57)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 48, SJR: 1.044, h-index: 39)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 8, SJR: 1.266, h-index: 57)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 16)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 49, SJR: 1.298, h-index: 59)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 20)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 11, SJR: 1.526, h-index: 37)
Current Opinion in Gastroenterology     Hybrid Journal   (Followers: 10, SJR: 1.894, h-index: 53)
Current Opinion in Hematology     Hybrid Journal   (Followers: 15, SJR: 1.829, h-index: 74)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 6, SJR: 2.221, h-index: 30)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 15, SJR: 2.173, h-index: 69)
Current Opinion in Lipidology     Hybrid Journal   (Followers: 5, SJR: 2.585, h-index: 95)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 13)
Current Opinion in Neurology     Hybrid Journal   (Followers: 12, SJR: 2.423, h-index: 84)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 14)
Current Opinion in Oncology     Hybrid Journal   (Followers: 21, SJR: 1.784, h-index: 70)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 14, SJR: 1.557, h-index: 58)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 7, SJR: 1.007, h-index: 26)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 8, SJR: 0.862, h-index: 41)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 33, SJR: 1.109, h-index: 56)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 38, SJR: 1.451, h-index: 53)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 7, SJR: 1.281, h-index: 52)
Current Opinion in Rheumatology     Hybrid Journal   (Followers: 7, SJR: 1.919, h-index: 79)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 12, SJR: 0.714, h-index: 20)
Current Opinion in Urology     Hybrid Journal   (Followers: 6, SJR: 0.957, h-index: 42)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 7, SJR: 0.201, h-index: 15)
Current Sports Medicine Reports     Full-text available via subscription   (Followers: 15, SJR: 0.543, h-index: 25)
Dermatitis     Full-text available via subscription   (SJR: 0.384, h-index: 38)
Diagnostic Molecular Pathology     Full-text available via subscription   (Followers: 4, SJR: 1.055, h-index: 42)
Dimensions of Critical Care Nursing     Full-text available via subscription   (Followers: 5, SJR: 0.286, h-index: 18)
Diseases of the Colon & Rectum     Full-text available via subscription   (Followers: 21, SJR: 1.948, h-index: 120)
Ear & Hearing     Hybrid Journal   (Followers: 7)
Egyptian J. of Histology     Partially Free   (SJR: 0.107, h-index: 1)
Egyptian J. of Oral and Maxillofacial Surgery     Partially Free  
Egyptian J. of Pathology     Partially Free   (Followers: 1)
Egyptian Liver J.     Partially Free   (Followers: 2, SJR: 0.101, h-index: 1)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Epidemiology     Hybrid Journal   (Followers: 47, SJR: 2.697, h-index: 118)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 15, SJR: 1.138, h-index: 50)
European J. of Cancer Prevention     Full-text available via subscription   (Followers: 1, SJR: 1.046, h-index: 59)
European J. of Emergency Medicine     Hybrid Journal   (Followers: 13, SJR: 0.529, h-index: 29)
European J. of Gastroenterology & Hepatology     Hybrid Journal   (Followers: 17)
Evidence-Based Gastroenterology     Full-text available via subscription   (Followers: 5)
Evidence-Based Ophthalmology     Full-text available via subscription   (Followers: 8, SJR: 0.116, h-index: 3)
Exercise and Sport Sciences Reviews     Full-text available via subscription   (Followers: 27, SJR: 2.287, h-index: 63)
Eye & Contact Lens Science & Clinical Practice     Hybrid Journal   (Followers: 1)
Family & Community Health     Partially Free   (Followers: 12, SJR: 0.564, h-index: 28)
Female Pelvic Medicine & Reconstructive Surgery     Hybrid Journal  
Gastroenterology Nursing     Hybrid Journal   (Followers: 10, SJR: 0.266, h-index: 20)
Harvard Review of Psychiatry     Hybrid Journal   (Followers: 6, SJR: 1.371, h-index: 54)
Health Care Management Review     Full-text available via subscription   (Followers: 5, SJR: 0.852, h-index: 34)
Health Physics     Full-text available via subscription   (Followers: 6, SJR: 0.485, h-index: 50)
Hearing J.     Full-text available via subscription   (Followers: 1, SJR: 0.178, h-index: 14)
Holistic Nursing Practice     Full-text available via subscription   (Followers: 2, SJR: 0.246, h-index: 24)
Home Healthcare Now     Hybrid Journal   (Followers: 3, SJR: 0.288, h-index: 17)
Human Andrology     Partially Free   (Followers: 2)
Implant Dentistry     Full-text available via subscription   (Followers: 6, SJR: 0.441, h-index: 37)
Infants and Young Children     Full-text available via subscription   (Followers: 3, SJR: 0.573, h-index: 27)
Infectious Disease in Clinical Practice     Hybrid Journal   (Followers: 9, SJR: 0.13, h-index: 17)
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery     Hybrid Journal   (Followers: 1, SJR: 0.6, h-index: 9)
Intervention     Full-text available via subscription   (Followers: 1)
Intl. Anesthesiology Clinics     Hybrid Journal   (Followers: 10, SJR: 0.33, h-index: 22)
Intl. Clinical Psychopharmacology     Hybrid Journal   (Followers: 2, SJR: 1.193, h-index: 73)
Intl. J. of Evidence-Based Healthcare     Hybrid Journal   (Followers: 7, SJR: 0.375, h-index: 8)
Intl. J. of Gynecological Cancer     Hybrid Journal   (Followers: 27, SJR: 0.797, h-index: 56)
Intl. J. of Gynecological Pathology     Hybrid Journal   (Followers: 5, SJR: 0.705, h-index: 57)
Intl. J. of Rehabilitation Research     Hybrid Journal   (Followers: 15, SJR: 0.496, h-index: 33)
Intl. Ophthalmology Clinics     Hybrid Journal   (Followers: 2, SJR: 0.487, h-index: 29)
Investigative Radiology     Hybrid Journal   (Followers: 4, SJR: 3.164, h-index: 78)
J. for Healthcare Quality     Hybrid Journal   (Followers: 15, SJR: 0.426, h-index: 14)
J. for Nurses in Professional Development     Full-text available via subscription   (Followers: 3)
J. of Addiction Medicine     Hybrid Journal   (Followers: 3, SJR: 0.792, h-index: 18)
J. of Addictions Nursing     Full-text available via subscription   (Followers: 8, SJR: 0.178, h-index: 9)
J. of Ambulatory Care Management, The     Hybrid Journal   (Followers: 2, SJR: 1.016, h-index: 25)
J. of Bronchology & Interventional Pulmonology     Full-text available via subscription   (Followers: 1, SJR: 0.298, h-index: 21)
J. of Burn Care & Research     Full-text available via subscription   (Followers: 4, SJR: 0.833, h-index: 50)
J. of Cardiopulmonary Rehabilitation and Prevention     Full-text available via subscription   (Followers: 2, SJR: 1.015, h-index: 49)
J. of Cardiovascular Medicine     Full-text available via subscription   (Followers: 1, SJR: 0.428, h-index: 32)
J. of Cardiovascular Nursing     Hybrid Journal   (Followers: 5, SJR: 0.821, h-index: 36)
J. of Cardiovascular Pharmacology     Hybrid Journal   (Followers: 6, SJR: 1.013, h-index: 76)
J. of Christian Nursing     Partially Free   (Followers: 1, SJR: 0.127, h-index: 4)
J. of Clinical Engineering     Full-text available via subscription   (SJR: 0.247, h-index: 7)
J. of Clinical Gastroenterology     Hybrid Journal   (Followers: 12, SJR: 1.673, h-index: 75)
J. of Clinical Neuromuscular Disease     Hybrid Journal   (SJR: 0.325, h-index: 14)
J. of Clinical Neurophysiology     Hybrid Journal   (Followers: 3, SJR: 0.714, h-index: 75)
J. of Clinical Psychopharmacology     Hybrid Journal   (Followers: 16, SJR: 1.418, h-index: 98)
J. of Computer Assisted Tomography     Hybrid Journal   (Followers: 1, SJR: 0.865, h-index: 73)
J. of Craniofacial Surgery     Hybrid Journal   (Followers: 1, SJR: 0.451, h-index: 47)
J. of Developmental & Behavioral Pediatrics     Hybrid Journal   (Followers: 6, SJR: 1.02, h-index: 68)
J. of ECT     Hybrid Journal   (Followers: 9, SJR: 0.779, h-index: 39)
J. of Geriatric Physical Therapy     Full-text available via subscription   (Followers: 9, SJR: 0.61, h-index: 19)
J. of Glaucoma     Hybrid Journal   (Followers: 1, SJR: 1.601, h-index: 60)
J. of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 9, SJR: 1.427, h-index: 62)
J. of Hospice & Palliative Nursing     Full-text available via subscription   (Followers: 18)
J. of Hypertension     Hybrid Journal   (Followers: 11, SJR: 1.81, h-index: 129)
J. of Immunotherapy     Hybrid Journal   (Followers: 4, SJR: 1.704, h-index: 65)
J. of Infusion Nursing     Full-text available via subscription   (Followers: 5, SJR: 0.321, h-index: 21)
J. of Lower Genital Tract Disease     Hybrid Journal   (SJR: 0.585, h-index: 27)
J. of Nervous & Mental Disease     Hybrid Journal   (Followers: 5)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 5, SJR: 0.499, h-index: 35)
J. of Neurologic Physical Therapy     Full-text available via subscription   (Followers: 6, SJR: 1.204, h-index: 24)
J. of Neuroscience Nursing     Hybrid Journal   (Followers: 2, SJR: 0.432, h-index: 27)
J. of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 4, SJR: 0.714, h-index: 42)
J. of Nursing Administration     Full-text available via subscription   (Followers: 7, SJR: 0.939, h-index: 57)
J. of Nursing Care Quality     Partially Free   (Followers: 9, SJR: 0.654, h-index: 31)
J. of Nursing Research     Full-text available via subscription   (Followers: 13, SJR: 0.314, h-index: 19)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 15, SJR: 0.857, h-index: 73)
J. of Orthopaedic Trauma     Hybrid Journal   (Followers: 12, SJR: 1.52, h-index: 76)
J. of Patient Safety     Hybrid Journal   (Followers: 6, SJR: 0.695, h-index: 15)
J. of Pediatric Gastroenterology & Nutrition     Hybrid Journal   (Followers: 43)
J. of Pediatric Hematology/Oncology     Hybrid Journal   (Followers: 3, SJR: 0.453, h-index: 56)
J. of Pediatric Orthopaedics     Hybrid Journal   (Followers: 17, SJR: 1.434, h-index: 61)
J. of Pediatric Orthopaedics B     Hybrid Journal   (Followers: 7, SJR: 0.663, h-index: 37)
J. of Pelvic Medicine and Surgery     Full-text available via subscription  
J. of Perinatal & Neonatal Nursing, The     Hybrid Journal   (Followers: 4)
J. of Prosthetics and Orthotics     Full-text available via subscription   (Followers: 7, SJR: 0.499, h-index: 21)
J. of Psychiatric Practice     Hybrid Journal   (Followers: 3, SJR: 0.634, h-index: 36)
J. of Public Health Management and Practice     Hybrid Journal   (Followers: 5, SJR: 0.66, h-index: 32)
J. of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2, SJR: 1.377, h-index: 64)
J. of Strength and Conditioning Research, The     Full-text available via subscription   (Followers: 38, SJR: 1.35, h-index: 69)
J. of the Dermatology Nurses' Association     Partially Free   (Followers: 2, SJR: 0.126, h-index: 1)
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: 3, SJR: 0.605, h-index: 39)
J. of Trauma and Acute Care Surgery, The     Full-text available via subscription   (Followers: 17, SJR: 1.371, h-index: 126)
J. of Trauma Nursing     Partially Free   (Followers: 4, SJR: 0.215, h-index: 9)
J. of Trauma, The     Full-text available via subscription   (Followers: 21)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 9)
JAIDS J. of Acquired Immune Deficiency Syndromes     Hybrid Journal   (Followers: 3)
JCR J. of Clinical Rheumatology     Hybrid Journal   (Followers: 2)
JONA s Healthcare Law Ethics and Regulation     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: 3)
Medical Care     Hybrid Journal   (Followers: 13, SJR: 2.548, h-index: 127)
Medical Innovation & Business     Full-text available via subscription   (Followers: 2)
Medical Research J.     Partially Free   (Followers: 2)
Medicine     Open Access   (Followers: 14, SJR: 2.099, h-index: 102)
Medicine & Science in Sports & Exercise     Hybrid Journal   (Followers: 45, SJR: 2.253, h-index: 151)
Melanoma Research     Hybrid Journal   (Followers: 1, SJR: 1.152, h-index: 55)

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Journal Cover Annals of Pediatric Surgery
  [SJR: 0.163]   [H-I: 2]   [4 followers]  Follow
   Full-text available via subscription Subscription journal
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by LWW Wolters Kluwer Homepage  [281 journals]
  • Subcutaneous endoscopically assisted ligation using miniport for the
           treatment of girls with inguinal hernia
    • Authors: Hinoki; Akinari; Rie, Ikeda; Kitagawa, Daiki; Koiwai, Kazuki; Tanimizu, Takemaru; Hase, Kazuo; Takahashi, Shigeki
      Abstract: image Background: This report describes the first miniport method using subcutaneous endoscopically assisted ligation (SEAL) for the treatment of girls with inguinal hernia. To validate its safety and efficacy, the authors evaluated their early experiences. Methods: Between April 2014 and December 2014, 19 SEALs using miniport were performed on 14 patients at the Fukaya Red-Cross Hospital, Saitama, Japan. Their mean age was 6 years (range, 11–128 months). This technique was performed using two ports (a 5 mm port placed using the open technique and an additional 2 mm miniport). A 5 mm laparoscope was inserted via the umbilicus. The miniport was introduced percutaneously in the inguinal region under laparoscopic guidance and manipulated around the medial or lateral hemicircumference of the internal ring extraperitoneally to place a purse-string around the internal ring. The hernia sac and patent processus vaginalis were closed at the level of the internal inguinal ring extraperitoneally with circuit suturing using the 2 mm miniport. Only the umbilical fascia was closed with an absorbable suture. No skin sutures were applied. We collected data regarding operative time, complications, and recurrence. Results: The mean operative time was 20±6 min (unilateral, n=9) or 42±8 min (bilateral, n=5). The mean follow-up period was 12.8±2.5 (range, 9–19) months. No intraoperative complications associated with the procedure occurred and no hernial recurrences have been identified so far. Conclusion: SEAL using miniport proved to be a successful operative procedure compared with other laparoscopic percutaneous extraperitoneal closure procedures and produced excellent cosmetic results. SEAL using miniport for the treatment of girls with inguinal hernias appears to be safe, effective, and reliable.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000473472.66487.e6
  • Fetus in fetu in the scrotal sac of newborn
    • Authors: Khope; Sanjay; Phaldesai, Neena; Borkar, Jayesh; Sane, Sudha Y.
      Abstract: image Fetus in fetu (FIF) in the scrotal sac is often overlooked in the differential diagnosis of other scrotal swellings in infants and children. Unlike teratoma, FIF is a benign disorder. Scrotal FIF is extraordinarily rare and has been reported only twice in the international literature. We describe the case of a 15-day-old neonate who presented with scrotal swelling since birth. Radiography and ultrasound revealed a FIF. On surgical removal and pathological evaluation, the anencephalic fetus had limb buds, male external genitals, and vertebral column, supporting the diagnosis of FIF. FIF in the scrotum is a very rare entity. It should be differentiated from other scrotal swellings such as teratoma because of the malignant potential of the latter. Preoperative diagnosis is based on radiologic findings. The treatment is complete excision.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000481340.83228.54
  • Single-incision thoracoscopic surgery for spontaneous pneumothorax in a
           14-year-old girl
    • Authors: Koiwai; Kazuki; Tanimizu, Takemaru; Hinoki, Akinari; Satake, Ryosuke; Kitagawa, Daiki; Komuro, Hiroaki; Hase, Kazuo; Yamamoto, Junji
      Abstract: image Single-incision thoracoscopic surgery has become popular because of its potential to further extend the benefits of thoracoscopic surgery, such as less pain, a faster recovery time, and improved cosmesis, but the limited visualization due to crowding of instruments requires a certain amount of skill, especially in children. We herein describe a single-access video-assisted thoracoscopic surgery for a pediatric spontaneous pneumothorax. This procedure was useful, led to less postoperative pain and a better cosmetic appearance, and resulted in satisfactory results.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000476011.68016.bc
  • Ergonomic varicocele ligation: laparoscopic intracorporeal knot-tying
    • Authors: Ozcakir; Esra; Kaya, Mete
      Abstract: image Introduction/aim: Many surgical and radiological techniques have been introduced for treating varicoceles. The goal of surgical treatment of varicocele is to occlude the refluxing venous drainage to the testis while maintaining the normal testicular function. The aim of this study was to present our initial experience in laparoscopic varicocele treatment using intracorporeal knot-tying with available laparoscopic instruments. Materials and methods: A retrospective file review of the patients who were treated with laparoscopic intracorporeal knot-tying between May 2010 and July 2014 was carried out. The patients were evaluated as regards age, symptoms, and clinical grade of varicocele. All patients were diagnosed through physical examination and color Doppler ultrasound, which measured the diameter of spermatic veins and retrograde flow in spermatic veins after the Valsalva maneuver. Results: The mean operative time was 35±8 min. There was no intraoperative complication, and all patients had uneventful postoperative courses. Patients were discharged from hospital on the same day after surgery. No recurrent varicocele, testicular atrophy, postoperative hydrocele, or ematoma were observed. Conclusion: Our preliminary results indicate that laparoscopic varicocele ligation carried out with intracorporeal knot-tying is safe and effective and produces cosmetically better results. Therefore, it is a suitable procedure in both pediatric and adolescent patients.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000481350.44218.c7
  • Factors for failure of nonoperative management of blunt hepatosplenic
           trauma in children
    • Authors: Fakhry; Tamer; Sabry, Ahmed; Shawky, Mohamed
      Abstract: image Background: Trauma is major cause of morbidity and mortality in children with blunt abdominal trauma; the most commonly injured organs are the liver and the spleen. A high rate of operative complications caused a shift from operative to nonoperative management (NOM) in patients suffering from hemodynamically stable blunt abdominal trauma. The aim is to evaluate factors for failure of NOM for blunt abdominal trauma that caused injuries of the liver and the spleen in children. Patients and methods: This study included 142 patients with blunt abdominal trauma with either hepatic or splenic injuries that were hemodynamically stable and treated initially by NOM. Patients had undergone a contrast computed tomography (CT) scan for grading injuries, contrast blush, and hemoperitoneum. Results: There were 17 patients with high-grade hepatic or splenic injury. Six of these 17 patients and two patients with low-grade injuries failed NOM. Moderate and large volumes of hemoperitoneum have been reported in 42 and nine patients, respectively, with failure rates of 7.1 and 44.4%. Fourteen patients had CT blush on CT scan; five of them failed NOM (failure rate of 35.7%). Two other patients needed laparotomy for intestinal injuries. Thus, the overall success rate of NOM was 93% (132 patients); 10 (7%) patients failed NOM. Conclusion: High-grade injuries, large hemoperitoneum, and contrast blush on the CT scan increase the risk of failure of NOM in patients with blunt hepatosplenic injuries. Nevertheless, most of these patients can be successfully managed with NOM. However, other than hemodynamic instability, the other factors mentioned above deserve further evaluation to determine their ability to aid in the decision between operative and NOM for blunt hepatosplenic injuries in children.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000482655.98375.6c
  • Case series of unusual causes intestinal obstruction in infants and
    • Authors: Almetaher; Hisham A.
      Abstract: image Introduction: Many of the causes of intestinal obstruction arise from congenital anomalies that can present at any time from infancy to adulthood. Other frequent causes of intestinal obstruction in pediatric population results from complicated external hernias, intussusceptions, volvulus, or bands of adhesions. Patients and methods: We report seven unusual cases presented with symptoms and signs of acute intestinal obstruction in infants and children, which necessitated surgical intervention. Radiological investigation showed signs of intestinal obstruction. Results: On exploration, rare causes of intestinal obstruction were found. In the first patient, congenital mesenteric defect was the cause of obstruction. The second patient had unusual entrapment of a loop of bowel in the ileocecal recess. In the third patient, non-Hodgkin’s lymphoma was the leading point for intussesception. In the fourth patient, a large multiloculated chylolymphatic cyst was found. In the fifth, sixth, and seventh patients, a rare presentation of remnants of ophalomesentric duct was identified. In the eighth patient, a large polyp of Peutz–Jeghers syndrome was found to obstruct the lumen of the jejunum, and it was the nidus for jejunojejunal intussesception. All of the previously mentioned causes of obstruction are rarely observed in children. Conclusion: Management of these conditions requires a high degree of suspicion, careful assessment, and awareness while the appropriate treatment needs to be tailored to the individual situation.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000482112.06959.cb
  • A single-institution experience with hydrostatic reduction for childhood
           intussusception: a preliminary report
    • Authors: Elebute; Olumide A.; Ademuyiwa, Adesoji O.; Idiodi-Thomas, Hestia O.A.; Alakaloko, Felix M.; Seyi-Olajide, Justina O.; Bode, Christopher O.
      Abstract: Background/purpose: Hydrostatic reduction for intussusception has the benefit of achieving reduction without the need for general anaesthesia or surgery and the possible attendant complications. This has made it the most popular interventional modality in many centres today. Hydrostatic reduction was added to our armamentarium in the treatment of childhood intussusception recently and this report represents our initial experience. Methods: This study is a prospective review of all cases of intussusception that presented at the Emergency Department at the Lagos University Teaching Hospital between February 2012 and May 2014. Eligibility for hydrostatic reduction was based on internationally recognized criteria, which included absence of peritonitis and shock. Data were analyzed using the statistical package for social sciences (version 20). The χ2-test was used to compare categorical variables, and a P value of 0.05 was considered significant. Results: A total of 66 patients were seen within the study period. Thirty-eight were male (57.6%) and 28 were female (42.4%). The age range was 3–84 months and the mean age was 12.0±30.8 months. Twenty-six patients (39.4%) underwent hydrostatic reduction, of which 11 (42.3%) were successful. There was a correlation between the duration of symptoms and successful hydrostatic reduction (P
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000481339.75605.6b
  • Surgical treatment of necrotizing enterocolitis: single-centre experience
           from Saudi Arabia
    • Authors: Ramaswamy; Rajendran; Hegab, Samir M.; Mugheri, Amanulla; Mukattash, Ghazi
      Abstract: image Aim: The aim of this study was to investigate our indications of laparotomy, surgical procedures and their results, and to compare our results with those of others. In necrotizing enterocolitis (NEC), indications of surgery, surgical strategy and results vary. Materials and methods: This study was conducted at the regional tertiary care referral centre. The study design was a retrospective one. Case records of 24 patients with advanced NEC who underwent laparotomy over a 7-year period were analysed. Demographic data, clinical features, laboratory and skiagram findings, indication for surgery, operative findings, procedures performed, immediate surgery-related complications and postoperative survival were studied. Results: The mean age was 20.29 days (range=3–82 days). The mean birth weight was 1810.5 g (range=660–3000 g). Seventy-five percent of babies were premature. Indications of surgery were as follows: pneumoperitoneum (16), failure to improve with adequate medical treatment (three), abdominal tenderness and rigidity (two), abdominal wall oedema and erythema (two), and acute intestinal obstruction (one). Peritoneal drainage was carried out in five patients, of whom two (40%) survived after laparotomy. Thirteen (54.17%) patients had focal, nine (37.5%) multifocal and two (8.33%) had panintestinal NEC. Six patients underwent resection anastomosis (RA) and 16 underwent enterostomy. Surgery-related complications occurred in six patients. The overall mortality was eight (33.33%). Two (33.33%) of the six RA patients, four (25%) of 16 stoma patients and two (100%) with corporation panintestinal disease died. Conclusion: The most common indication for laparotomy in NEC was pneumoperitoneum. We performed laparotomy in drain-managed patients when stable; 40% of such patients survived. We preferred gangrene resection and enterostomy to RA. Mortality and morbidity in the RA group were higher than that in the stoma group; dead RA patients had multifocal disease. Survival rate of laparotomy-NEC patients (66.66%) was comparable to that of other centres.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/
  • A day in the life of a paediatric surgeon: a PAPSA research study
    • Authors: Bradshaw; Catherine J.; Lakhoo, Kokila; on behalf of the PAPSA Group
      Abstract: image Objectives: This study aimed to create a snapshot picture of the global workload of paediatric surgeons and identify differences between countries. Methods: Surgeons from 13 paediatric surgical units in different countries across the world were asked to record the number and type of admissions to the paediatric surgery service over a 24-h period from 8 a.m. on 23 May 2012. Results: Data were recorded for 13 units from 13 countries: 11 low and middle income countries (LMICs) and two high-income countries (HICs). Dar es Salaam, Tanzania, had the greatest number of admissions. Two units in HICs had the lowest number of admissions, other than the Nigerian unit, which only had three admissions due to a hospital strike on the day surveyed. The percentage of emergency admissions ranged from 38 to 83%. Those units with the highest number of total admissions tended to also have the highest proportion of emergencies. Trauma was the most frequently reported admission reason, accounting for 18% of admissions. However, there were no cases of trauma in HIC units. Conclusion: The spectrum of paediatric surgery differs between countries, in particular between LMICs and HICs. Units in LMICs tend to have a greater number of admissions, including a wider variety of conditions and a higher proportion of emergency work. Paediatric surgery in LMICs faces many challenges. This highlights the importance of training specialist paediatric surgeons in these countries. Further data are still needed to fully outline the burden of disease in paediatric surgery, especially in LMICs.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000482657.19506.30
  • Management of congenital esophageal stenosis associated with esophageal
           atresia and its impact on postoperative esophageal stricture
    • Authors: Ibrahim; Ashraf H.M.; Bazeed, Mohamed F.; Jamil, Salim; Hader, Hamad A.; Abdel Raheem, Ibrahim M.; Ashraf, Ibrahim
      Abstract: image Aim: The aim of this work was to study the incidence, management of congenital esophageal stenosis (CES) associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF), and its impact on esophageal stricture (ES) after primary repair. Patients and methods: From January 2006 to December 2014, 41 sequential cases of EA with distal TEF were retrospectively studied. Cases with significant ES after primary repair were included in the study. Associated CES was diagnosed in the neonatal period by taking histopathologic samples from the tips of the esophageal pouches, failure to pass a size-6 nasogastric tube distally during primary repair, and by initial esophagogram. Results: Significant ES developed in 19 patients (46.3%); of them, six had CES (32%). Three patients had tracheobronchial remnants at the anastomotic site. Two of them had refractory strictures requiring resections and one had mainly major esophageal dysmotility. Patients 4 and 5 had CES distal to the anastomotic site on initial esophagogram. Patient 4 responded well to dilatations, whereas the other one had refractory stricture. Patient 6 had distal CES due to fibromuscular stenosis diagnosed by failure to pass a size-6 nasogastric tube distally. The patient responded well to dilatation, myectomy, and Thal’s fundoplication. Conclusion: One-third of the patients with significant stricture had CES; half of them were refractory to dilatation. Failure to have histology specimens and a high index of suspicion will make the incidence of this association a rarity. Diagnosis and management of CES with EA/TEF in the neonatal period is possible. Esophageal dilatation is the initial management for all cases with a low threshold for gastric fundoplication and gastrostomy. Resection is reserved for refractory stenosis.
      PubDate: Fri, 01 Apr 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000482656.06000.84
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