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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: 2)
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 7, 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: 21, SJR: 0.528, h-index: 38)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 10)
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: 13)
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: 18)
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: 119, SJR: 1.737, h-index: 142)
Anesthesiology     Full-text available via subscription   (Followers: 104, 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: 13, SJR: 0.961, h-index: 60)
Annals of Surgery     Hybrid Journal   (Followers: 44, 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: 42)
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: 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: 3, 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: 158, 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: 50, SJR: 1.298, h-index: 59)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 19)
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: 6, SJR: 2.585, h-index: 95)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 12)
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: 6, 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: 34, 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: 8, 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: 16, 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: 31, 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: 3, 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: 8, 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: 10, 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: 7, SJR: 1.204, h-index: 24)
J. of Neuroscience Nursing     Hybrid Journal   (Followers: 3, 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: 14, SJR: 0.314, h-index: 19)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 19, 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: 7, 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: 5)
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: 46, 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: 15, SJR: 2.099, h-index: 102)
Medicine & Science in Sports & Exercise     Hybrid Journal   (Followers: 44, 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]
  • Biliary atresia with hyaline cartilage at the porta hepatis: a novel
           finding of undetermined significance: a case report
    • Authors: Gupta; Rakesh Kumar; Batra, Vineeta V.; Sengar, Mamta; Sakhuja, Puja; Rooge, Sheetal N.
      Abstract: image Biliary atresia is an important cause of liver disease and morbidity in infants with unknown etiology. To date, only five cases of biliary atresia with hyaline cartilage at the porta hepatis have been described. We present the case of a 65-day-old male child, with further insight and detailed discussion of this heterotopia of undetermined significance.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • A rare case of urethral triplication in association with tethered cord and
           vertebral anomalies
    • Authors: Kurian; Jujju J.; Homi, Susan Jehangir; Karl, Immanuel S.
      Abstract: image In this manuscript, we describe the case of a 5-year-old boy with Y triplication of the urethra in association with fatty filum terminale, tethered cord and vertebral anomalies. Unlike a Y duplication in which the penile meatus is hypoplastic, a Y triplication can have a penile meatus of adequate calibre, which can be used as a functional conduit. Most patients with urethral triplication have been found to have associated malformations. To our knowledge, this is the first reported case of urethral triplication seen in association with fatty filum terminale, tethered cord and vertebral anomalies.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Enterocutaneous fistula and internal hernia: unusual complications of
           peritoneal catheter migration into the ileum in a patient with
           ventriculoperitoneal shunt
    • Authors: Udoh; David O.; Obeta, Emmanuel C.; Osagie, Theophilus O.
      Abstract: image The aim of the present study was to report the treatment of an unusual association of ventriculoperitoneal shunt (VPS). Although a commonly performed paediatric neurosurgical procedure, a VPS is associated with several complications. There are reports on gut perforation by the peritoneal catheter, but an enterocutaneous fistula is very rare. Only two have been previously reported in literature. We report, here, the first case seen in Nigeria involving a 3-year old boy, at our teaching hospital setting, with a history of a fall 18 months after VPS; this was followed by purulent, and, later, faeculent discharge from the right subcoastal region and abdominal wound. He underwent detailed neurological examination. Preoperative evaluation with a fistulogram (as a barium meal and follow-through because the superficial opening was not clearly visible to allow direct injection of contrast) showed a connection between the intestine and the skin over the shunt tunnel. He underwent a laparotomy with thorough antiseptic irrigation and repositioning of the VPS in peritoneal cavity. Postoperatively, the faeculent discharge from the upper anterior abdominal wall ceased. He was discharged home in 2 weeks. There was complete resolution after 6 months. We conclude that there should be a high index of suspicion of an enterocutaneous fistula, although very rare, when faecal discharge is noticed following a VPS and should necessitate a fistulogram. Effective surgical treatment of the intraluminal migration and other possible complications, should involve a multidisciplinary team.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Appendicular knot causing closed-loop obstruction, volvulus and
           strangulation of ileum in a 9-year-old: a case report
    • Authors: Soo; Charles T.; Tsegha, Livingfaith J.
      Abstract: image Appendicular knot/tie syndrome is a rare cause of mechanical intestinal obstruction. It is rarer still in the paediatric age group. We present the case of a 9-year-old boy admitted with clinical features and radiological evidence of acute intestinal obstruction, which at laparotomy revealed an inflamed/gangrenous knotted appendix, ileal volvulus and strangulation. This is a ‘three in one’ case of acute abdomen associated with appendicoileal knotting. In the presence of viable ileum, a retrograde appendectomy was performed. Postoperative period and follow-up were uneventful. Appendicular knot/band syndrome should be considered a possible differential in acute intestinal obstruction. Computed tomographic scan as an investigative modality should be selective in the presence of acute intestinal obstruction with or without peritonitis, with emphasis on adequate resuscitation and surgery.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Repair of oesophageal atresia with tracheo-oesophageal fistula associated
           with dextrocardia through right-sided thoracotomy approach
    • Authors: Awad; Karim; Niyogi, Anindya; Godse, Alok; Jaffray, Bruce
      Abstract: image Right thoracotomy for oesophageal atresia (OA) with dextrocardia is technically challenging due to the heart being in the operative field, and also due to the possibility of right-sided aortic arch. We report a neonate with long-gap OA with tracheo-oesophageal fistula (TOF), dextrocardia, and left-sided aortic arch who was successfully operated by using right thoracotomy. On the basis of our review of the literature and our experience from this case, we found that conventional right thoracotomy is appropriate for OA+ TOF associated with dextrocardia and left aortic arch, and left thoracotomy in dextrocardia and right aortic arch.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • One-stage transanal Swenson procedure for rectosigmoid
           Hirschsprung’s disease in infants and children
    • Authors: Al-Baghdady; Ayman A.; El-Shafei, Ehab A.; El-Asmar, Khaled M.
      Abstract: image Objective: This study aimed to present the outcome of transanal one-stage Swenson pull-through procedure in the management of rectosigmoid Hirschsprung’s disease (HD). Background: HD is a common cause of intestinal obstruction in pediatric age. Several pull-through procedures have been used to treat this pathology. Patients and methods: Between June 2008 and June 2015, 84 children with biopsy-proven HD underwent transanal one-stage Swenson pull-through procedure. Intraoperative details, postoperative complications, and bowel habits were recorded. Follow-up period ranged from 6 to 42 months. Results: The age at the time of surgery ranged from 3 months to 2 years. The length of the resected aganglionic segment ranged from 12 to 34 cm. The operating time ranged from 72 to 180 min. Postoperative hospital stay ranged from 3 to 6 days. There were no anastomotic leaks, no perianal infection, or postoperative bowel obstruction. Twelve patients (14.28%) developed postoperative enterocolitis. Six patients (7.14%) required a posterior internal sphincter myectomy despite repeated dilatations. All patients had less than four times bowel motions per day, 3 months after surgery. No voiding disturbances were encountered at the end of the follow-up period and none of the patients complained of recurrent constipation. Six patients developed perianal dermatitis, which was treated conservatively within 3 months after surgery. Anastomotic circumference could not be felt at digital examination in 78 patients 3 months after surgery. Conclusion: One-stage transanal Swenson pull-through procedure is a safe alternative and simpler procedure for rectosigmoid HD with low morbidities and accepted outcome as regards postoperative bowel habits.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Low-cost laparoscopic appendectomy in pediatric patients
    • Authors: Ebeid; Abdel Mottaleb E.; Hassan, Hussam S.; Almetaher, Hisham A.; Elhalaby, Essam A.
      Abstract: image Background/purpose: Laparoscopic appendectomy is widely practiced worldwide and has become one of the commonly performed procedures in pediatric surgery practice. However, the cost effectiveness of the procedure remains a major concern. The present study aimed to evaluate the safety and effectiveness of the operative techniques used to reduce the cost of the procedure. Patients and methods: A prospective study was conducted on patients undergoing laparoscopic appendectomy over a period of 2 years. The techniques used to reduce the cost of laparoscopic appendectomy were as follows: (i) using reusable trocars instead of disposable ones; (ii) using monopolar electrogoagualtion to seal the mesoappendix instead of staplers, LigaSure, or Harmonic scalpels; and (iii) using a handmade loop to secure the base of the appendix instead of using endoloops. Results: This study included 39 boys and 21 girls. The median age was 10 years. The mean duration of the operation was 56.5 min. No intraoperative complications were encountered. Two cases developed pelvic hematoma and were managed conservatively with success. The mean hospitalization stay was 2 days. Conclusion: Division of the mesoappendix using monopolar electrocautry and closing the base of appendix using handmade endloops during laporoscopic appendectomy appears to be a simple, effective, safe, and cost-efficient technique. Therefore, the use of more costly instruments, such as the endostapler, LigaSure, or Harmonic scalpel, seems unwarranted.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Changing trends in the management of choledochal cysts in children in an
           Egyptian institution
    • Authors: Hassan; Hussam S.
      Abstract: image Introduction/purpose: Choledochal cyst excision and biliary reconstruction is the treatment of choice for choledochal cysts. Biliary reconstruction is carried out using several methods. The two most popular procedures are Roux-en-Y hepaticojejunostomy and hepaticoduodenostomy (HD). Both techniques have their merits and drawbacks. The aim of this study was to detect the change in trends in the management of cases of choledochal cysts during the period from 1993 to 2005 compared with the period between 2006 and 2015. Patients and methods: The files of patients admitted in our institute during the period from 2006 to 2015 for the treatment of choledochal cysts were reviewed. The data of patient’ demographics, pathology, presentation, investigations, surgery, and outcome were statistically analyzed. Data were compared with a previous study conducted at this institute a decade earlier. Results: Files of 25 patients were retrieved. Patients’ demographics, pathology, and presentation were not statistically different between the two decades. There was a recent change in trend in management; all cases were operated using HD, except for those cases that required very high hepatointestinal anastomosis. HD had a significantly shorter operative time. Operation outcome and long-term follow-up were comparable between the two decades. Conclusion: HD is the preferred option for biliary reconstruction in our institute. This was based on the shorter operative time and avoidance of intestinal anastomosis, and an early and late complication rate compared with Roux-en-Y hepaticojejunostomy.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Epidemiology of small-bowel obstruction beyond the neonatal period
    • Authors: Houben; Christoph H.; Pang, Kristine K.; Mou, Wai Cheung; Chan, Kin Wai; Tam, Yuk Him; Lee, Kim Hung
      Abstract: image Background: The aim of this study was to evaluate the etiologies causing intestinal obstruction beyond the neonatal period. Patients and methods: An observational study was conducted on children between 1 month and 17 years of age who underwent surgery for small-bowel obstruction (SBO) at this tertiary referral center between 1 January 2004 and 31 December 2013. Results: In total, 133 patients (38 female) with a median age of 3.4 (range 0.16–15.8) years were included in the study group. Forty-four patients (18 female) had intussusception, of whom seven presented with a pathological lead point. Thirty-nine individuals (12 female) had a postoperative SBO. The median formation time for the SBO was 1.75 years, and neonatal anomalies represented the most frequent cause of initial surgery. Primary SBO with no previous surgery was observed in 30 children (eight girls), including 12 (9%) with Meckel’s diverticulum, nine (7%) with congenital bands, and three (2%) with bezoars. Twenty patients (15%), all boys, presented with an irreducible inguinal hernia. During the surgery, a total of 43 (32%) patients underwent bowel resection or enterotomy. Five patients (3.8%) died, four as a result of sepsis and one following parenteral nutrition-related liver failure. Conclusion: Nearly a quarter of this cohort had a primary SBO. SBO in children is more prevalent among boys (M : F ratio, 2.5 : 1). Intussusception, postoperative adhesions, and irreducible inguinal hernias are the most common pathologies for SBO, followed by Meckel’s diverticulum and congenital adhesive bands.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Avoiding cord extraction or mobilization during pediatric inguinal hernia
           repair: a step midway between conventional and minimally invasive
           approaches
    • Authors: Khirallah; Mohammad G.; Daowood, Hamada; Ali, Abdelfatah; Ashour, Mhamed
      Abstract: image Background: Pediatric inguinal hernia (PIH) represents one of the most common congenital defects in infants and children worldwide. Several techniques have been adopted for repair. Conventional open excision of the sac is considered the most popular and most accepted among pediatric surgeons. In the past few years laparoscopic PIH repair has started to gain popularity. Aim: The aim of this study was to minimize the intervention to be near to minimally invasive but at the same time to be conventional in approach, reducing the stretch and manipulation of the vital cord structures. Patients and methods: During the period from April 2013 to May 2015, 200 male infants who presented with PIH were operated upon in our hospital. We excluded patients with complicated inguinal hernias, hernias associated with hydroceles, undescended testis, and female infants. Results: Of the 200 male infants with PIH who were operated upon, 107 had hernias on the right side, 74 had on the left side, and 19 were bilateral. The mean age was 4.5 months. The mean body weight was 5 kg. All infants received general anesthesia. The mean length of the incision was 10 mm. Recurrence was found in only three cases. There were no cases of testicular atrophy. Conclusion: We found our approach to be safe and easy to perform, and the vital structures in the cord did not have to be manipulated.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Congenital lung malformations: correlation between prenatal and postnatal
           imaging and pathological findings
    • Abstract: image Aim: Congenital lung malformations are a common finding during prenatal ultrasonography (US). Investigations were completed by means of prenatal MRI and postnatal computed tomographic (CT) scan. The purpose of this study was to compare these prenatal findings with postnatal findings and pathological findings after surgical resection. Materials and methods: Prenatal examinations and postnatal CT scan results of congenital malformations were compared with pathological findings. Results: From 2007 to 2013, 39 prenatally diagnosed congenital lung malformations were resected: 18 congenital cystic adenomatoid malformation, eight pulmonary sequestration, five bronchogenic cyst, one bronchial atresia and six complex lesions. Correlation between imaging and diagnosis was as follows: congenital cystic adenomatoid malformation was seen in 17/17 patients using postnatal CT, in 10/15 patients using prenatal MRI and in 17/18 patients using prenatal US. Correlation between imaging and diagnosis was as follows: bronchogenic cyst was seen in 3/5, 3/5 and 3/5 patients, pulmonary sequestration was seen in 7/9, 5/9 and 4/9 patients, and complex lesion was seen in 4/5, 3/6, and 2/6 patients using postnatal CT, prenatal MRI, and prenatal US, respectively. Overall, 32/37 cases were diagnosed by means of postnatal CT, 21/36 cases were diagnosed by means of prenatal MRI and 26/39 cases were diagnosed by means of prenatal US. Conclusion: Discordance between imaging data and definitive diagnosis is not rare. Our results suggest that postnatal CT scan is the most sensible and specific examination. Before birth, US seems better compared with MRI for description of the lesion. MRI seems to be useful in case of complex lesions and pulmonary sequestration.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • Predictors of pediatric surgeons’ career satisfaction: a national
           survey
    • Abstract: image Objective: A survey was performed to identify factors for professional career satisfaction and for dissatisfaction. Methods: During General Assembly of CSPS, attendees answered the 37-question form grouped into the following categories: demographic, professional activity and organizational issues, type of service, education, and compensation and status. Data were analyzed using the Pearson χ2 test (P
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
  • An easy-to-source, inexpensive, self-retaining anorectal retractor
    • Authors: Morsi; Ahmed H.
      Abstract: image Objective: The aim of this study was to build a self-retaining anorectal retractor using easy-to-source components, to use in regular clinical practice. This retractor is used primarily in transanal endorectal pull-through. Materials and methods: The components used to build this retractor were as follows: a set of elastic rubber straps, a set of stainless steel fish hooks, and a frame made of acrylic (plexiglass). Every fish hook was fixed to one end of each rubber strap and used to anchor the anal mucosa. The other end of each rubber strap was stretched over the acrylic frame to achieve the desired degree of retraction. Results: The retractor is effective, providing adequate exposure of the surgical field throughout the pull-through procedure. It is light, yet robust, and reusable. Conclusion: This self-retaining anorectal retractor proved to be a simple-to-build, inexpensive, and effective surgical tool in transanal endorectal pull-through procedure.
      PubDate: Fri, 01 Jul 2016 00:00:00 GMT-
       
 
 
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