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Publisher: Wolters Kluwer - Lippincott Williams and Wilkins   (Total: 282 journals)

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Showing 1 - 200 of 282 Journals sorted alphabetically
Academic Medicine     Full-text available via subscription   (Followers: 49, SJR: 1.936, h-index: 91)
Accountancy     Partially Free   (Followers: 1)
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 5, 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: 23, SJR: 0.279, h-index: 6)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 7, SJR: 1.435, h-index: 51)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 30, SJR: 0.565, h-index: 23)
Advances in Nursing Science     Full-text available via subscription   (Followers: 21, 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: 10)
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: 45, 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: 18)
American J. of Nursing     Full-text available via subscription   (Followers: 34, SJR: 0.321, h-index: 33)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 36)
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: 104, SJR: 1.737, h-index: 142)
Anesthesiology     Full-text available via subscription   (Followers: 89, 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: 12, SJR: 0.961, h-index: 60)
Annals of Surgery     Hybrid Journal   (Followers: 46, 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: 2)
ASA Refresher Courses in Anesthesiology     Full-text available via subscription   (Followers: 13)
ASAIO J.     Hybrid Journal   (Followers: 1, SJR: 0.648, h-index: 44)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 1)
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: 37)
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: 21, 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: 23, 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: 17, 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: 5, 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: 150, 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: 8, SJR: 1.209, h-index: 57)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 47, 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: 9, 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: 7, 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: 11)
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: 9, 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: 6, 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: 6, 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: 22, 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: 46, 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: 12, 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: 7, SJR: 0.116, h-index: 3)
Exercise and Sport Sciences Reviews     Full-text available via subscription   (Followers: 20, 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: 5, 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: 8, 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: 26, SJR: 0.797, h-index: 56)
Intl. J. of Gynecological Pathology     Hybrid Journal   (Followers: 6, 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: 3, 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: 7, 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: 8, SJR: 1.427, h-index: 62)
J. of Hospice & Palliative Nursing     Full-text available via subscription   (Followers: 18)
J. of Hypertension     Hybrid Journal   (Followers: 10, SJR: 1.81, h-index: 129)
J. of Immunotherapy     Hybrid Journal   (Followers: 3, 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: 4)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 4, SJR: 0.499, h-index: 35)
J. of Neurologic Physical Therapy     Full-text available via subscription   (Followers: 5, 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: 16, 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: 2, 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: 17, 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: 16, 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: 20)
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: 1)
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: 4)
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: 13, SJR: 2.099, h-index: 102)
Medicine & Science in Sports & Exercise     Hybrid Journal   (Followers: 41, 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 Wolters Kluwer - Lippincott Williams and Wilkins Homepage  [282 journals]
  • Laparoscopically assisted anorectal pull-through for rectovestibular
           fistula
    • Authors: Alkhatrawi; Taha; Elsherbini, Radi; Alturkistani, Waheed
      Abstract: image Purpose: Laparoscopically assisted anorectal pull-through (LAARP) has been described as an alternative to posterior sagittal anorectoplasty for the surgical treatment of rectourethral fistula in boys. The aim of the present study was to evaluate the feasibility, safety, efficacy, and advantages of LAARP in the repair of rectovestibular fistula (RVF) in girls. Patients and methods: From January 2010 to January 2015, we conducted a prospective collection of data of our patients with RVF who were treated with LAARP, regarding demographics, VACTERL (vertebral, anal, cardiac, tracheoesophageal, renal, limb malformations) screening, perioperative measurements, complications, and outcome. Anorectal function of these patients was evaluated using Kelly’s clinical score. Results: Sixteen girls with RVF underwent LAARP at our hospital. For all these girls, umbilical colostomy had been performed at the time of their birth. The mean age at LAARP operation was 3 months (range=2–5 months). Mean operative time was 99 min. Mean hospital stay was 3.2 days. There were no intraoperative complications. All the patients had their colostomy reversed. No patient had a stricture at the anorectal anastomosis. The mean follow-up time was 35.7 months (range=6–60 months). The cosmetic appearance was satisfactory. Seven patients, who were older than 3 years, achieved continence and had regular bowel movements with good Kelly’s clinical score of 6. For the remaining nine patients, the longest follow-up was 3 years, and therefore continence could not be evaluated. Conclusion: LAARP for the repair of RVF in girls is feasible, safe, and efficient. Long-term follow-up, which would remain unavailable for several years, is necessary.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000476081.35040.a9
       
  • Port exteriorization appendectomy in children: an alternative to the
           conventional laparoscopic technique'
    • Authors: Chouikh; Taieb; Mrad, Chaima; Charieg, Awatef; Saada, Sofien; Jlidi, Said; Benkhalifa, Sonia; Ghorbel, Sofien
      Abstract: image Introduction: Laparoscopic appendectomy is usually performed using an intracorporeal approach. The conventional procedure uses three ports. The port exteriorization appendectomy uses two trocars to perform the entire procedure and can be considered an efficient alternative to the conventional approach, especially in case of nonavailability of adequate material. We report our experience using port exteriorization appendectomy with the aim of evaluating this technique and determining its feasibility for all grades of appendicitis. Patients and methods: Between May 2013 and January 2014, 193 appendectomies were performed in our department; in 50 cases (26%), a port exteriorization appendectomy was performed. Technical challenges, complications, and postoperative recovery were determined and analyzed. Conclusion: Port exteriorization appendectomy can be considered a safe and economical approach to perform pediatric appendectomy when conditions are favorable. It allows minimizing minimally invasive surgery even further, enabling a low level of invasiveness and resulting in postoperative pain.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471676.69949.60
       
  • Prognostic capabilities and agreement of three different scores in
           diagnosing appendicitis in children from a developing setting
    • Abstract: image Objective: The aim of this study was to assess the prognostic capabilities of the Pediatric Appendicitis Score (PAS), the Alvarado score, and the modified Alvarado score in diagnosing appendicitis in children in a developing country setting (Cartagena, Colombia). Methods: A retrospective cohort study was designed and carried out in Hospital Infantil Napoleón Franco Pareja (HINFP), a reference pediatric center in Cartagena, Colombia. Children under 18 years of age, of any sex, admitted during 2013 were included in the present study. The sensitivity and specificity of each score value in diagnosing appendicitis were estimated through the area under the receiver operative characteristics curve (AUC). Results: A total 187 patients were admitted in HINFP with abdominal pain presumptive of appendicitis. The median age of the cohort sample was 11.58 years (interquartile range, 8.33–13.61); AUC was not statistically different in the three scores assessed (P=0.549). PAS had an AUC of 0.628 [95% confidence interval (CI), 0.495–0.763]; Alvarado score had an AUC of 0.642 (95% CI, 0.514–0.770); and modified Alvarado score had an AUC of 0.611 (95% CI, 0.471–0.751). Conclusion: Our study shows a relatively poor overall performance of the scores in diagnosing appendicitis in a developing income setting. The applicability and prognostic usefulness of the PAS, the Alvarado score, and the modified Alvarado score in developing countries should be based on the stratification of appendicitis risk in the pediatric population.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000476033.40918.0f
       
  • Pyloromyotomy for infantile hypertrophic pyloric stenosis using a
           modification of the Tan and Bianchi circumumbilical approach
    • Authors: Nofal; Ahmed H.; Almetaher, Hisham A.; Ebeid, Abdelmotaleb E.
      Abstract: image Background/purpose: Different approaches have been advocated for pyloromyotomy. Since the introduction of umbilical pyloromyotomy, a number of studies have shown that it is as safe as the traditional right upper quadrant approach with superior cosmetic results. The aim of this study was to assess the feasibility and the safety of pyloromyotomy for infantile hyprtrophic pyloric stenosis using a modification of the Tan–Bianchi approach. Patients and methods: Over a period of 2 years, 20 infants with infantile hypertrophic pyloric stenosis have been clinically evaluated. The umbilical approach was modified so that a transverse muscle cutting incision rather than a longitudinal midline linea alba incision was performed. Results: The total number of cases included in this study was 20 [16 male (80%) and four female (20%) patients]. Their ages ranged from 23 to 60 days (average 42.6±13.54 days), and their weights ranged from 2700 to 4000 g (mean 3605±437.4 g). Pyloromyotomy was performed safely with negligible blood loss. Four cases of serosal tear occurred, with an incidence of 20%. None of our cases showed significant complications. The mean operating time was 52.5±5.073 min. The postoperative hospital stay ranged from 24 to 72 h. The postoperative course was uneventful in all patients, and, on follow-up, the circumumbilical incision left an almost undetectable scar. Conclusion: Pyloromyotomy for infantile hypertrophic pyloric stenosis using the modified Tan and Bianchi technique is feasible and safe, having an accepted operative time, early initiation of postoperative feeding, and short hospital stay. This modification combines the advantage of circumumbilical incision with its better cosmetic results and right transverse upper abdominal approach with its easy and feasible access to the pyloric mass.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000472825.56322.24
       
  • Recurrent poststernotomy mediastinitis due to histoplasmosis: the critical
           role of histopathology in surgical site infections
    • Authors: Di Pentima; M. Cecilia
      Abstract: image This report describes the first case of surgical site infection due to Histoplasma capsulatum. A 4 year-old presented with recurrent thoracotomy surgical site infection (SSI) requiring multiple debridements until the correct diagnosis was performed. This case illustrates the critical role of histopathology in early recognition of unusual pathogens causing SSIs.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000476035.77902.82
       
  • Anterior abdominal wall ectopic testes: a report of two cases
    • Authors: Haseeb; Ahmed A.; Okasha, Shady; Elbarawy, Atef
      Abstract: image Undescended testis (UDT) is a common anomaly of the male reproductive system affecting about 2% to 4% of male infants more commonly preterms. If the testis remains in the line of normal descent, it is classified as an UDT. If it is not in the line of normal descent, it is termed an ectopic testis. Common sites of ectopic testes are perineal, transverse ectopia, pubopenile and femoral. To the best of our knowledge only two cases of anterior abdominal wall ectopic testis have been reported in the literature. We present here two cases of anterior abdominal wall testis, one of which was associated with indirect inguinal hernia.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471672.03400.7c
       
  • The value of computed tomography-urography in predicting the postoperative
           outcome of antenatally diagnosed pelviureteric junction obstruction
    • Authors: Abdulla; Mohamed R.; Naga, Mohamed I.; Alnosair, Ashraf A.; Al-Salem, Ahmed H.
      Abstract: image Background: The natural course of pelviureteric junction (PUJ) obstruction is variable. Of those who require surgical intervention, there is no definite reliable preoperative predictor of the likely postoperative outcome. We evaluated the value of preoperative computed tomography (CT)-urography in predicting the postoperative outcome. Patients and methods: Ten newborns with antenatally diagnosed PUJ obstruction were evaluated after delivery with an abdominal ultrasound, and those with a renal pelvis measuring more than 3 cm in diameter were subjected to preoperative CT-urography. The kidney size, renal pelvis size, and renal parenchyma thickness were measured and documented. All underwent open surgical Anderson-Hynes dismembered pyeloplasty. The outcome was correlated to the preoperative renal parenchymal thickness as measured by means of preoperative CT-urography. Results: Ten newborns (seven male and three female) with PUJ obstruction were operated on. Their ages at surgery ranged from 8 days to 4 months (mean=1.75 months). Eight had PUJ obstruction on the right side and two had PUJ obstruction on the left side. The mean renal pelvis size on the affected side was 4.9 cm (3.6–6.3 cm). The mean renal parenchymal thickness was 0.57 cm (0.25–1.3 cm). Four patients had a renal parenchymal thickness less than 0.5 cm, and these patients showed poor results on follow-up isotope scan compared with those who had a renal parenchymal thickness of more than 0.5 cm [mean=14.9% (12–19.6%)] compared with a mean of 44.2% (33–54%). Conclusion: This is a preliminary report and the number of patients in our study is small to make definite conclusions, and further studies in this regard are important. We believe that renal parenchymal thickness as measured by means of preoperative CT-urography is an important predictor of the final outcome in patients with antenatally diagnosed hydronephrosis. Those who had a renal parenchymal thickness of 0.5 cm or less showed poor results on follow-up isotope scan compared with those who had a renal parenchymal thickness of more than 0.5 cm.
      PubDate: Fri, 01 Jan 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000476012.32613.8a
       
 
 
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