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Publisher: LWW Wolters Kluwer   (Total: 280 journals)

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Showing 1 - 200 of 280 Journals sorted alphabetically
Academic Medicine     Full-text available via subscription   (Followers: 54, SJR: 2.202, h-index: 107)
Accountancy     Partially Free   (Followers: 4)
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 7, SJR: 0.206, h-index: 8)
Addictive Disorders & Their Treatment     Hybrid Journal   (Followers: 6, SJR: 0.173, h-index: 13)
Advanced Emergency Nursing J.     Full-text available via subscription   (Followers: 30, SJR: 0.209, h-index: 8)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 6, SJR: 1.262, h-index: 59)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 33, SJR: 0.495, h-index: 27)
Advances in Nursing Science     Full-text available via subscription   (Followers: 23, SJR: 0.402, h-index: 43)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 12)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 3, SJR: 0.101, h-index: 6)
AIDS     Hybrid Journal   (Followers: 14, SJR: 3.112, h-index: 188)
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 15, SJR: 1.37, h-index: 75)
Alzheimer's Care Today     Full-text available via subscription   (Followers: 3)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 48, SJR: 0.846, h-index: 64)
American J. of Dermatopathology     Hybrid Journal   (Followers: 14, SJR: 0.632, h-index: 58)
American J. of Forensic Medicine & Pathology     Hybrid Journal   (Followers: 21, SJR: 0.426, h-index: 44)
American J. of Nursing     Full-text available via subscription   (Followers: 60, SJR: 0.286, h-index: 42)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 38, SJR: 0.804, h-index: 76)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 21, SJR: 2.393, h-index: 165)
American J. of Therapeutics     Hybrid Journal   (Followers: 7, SJR: 0.318, h-index: 49)
Anesthesia & Analgesia     Full-text available via subscription   (Followers: 127, SJR: 1.523, h-index: 161)
Anesthesiology     Full-text available via subscription   (Followers: 105, SJR: 2.162, h-index: 181)
Annals of Pediatric Surgery     Full-text available via subscription   (Followers: 5, SJR: 0.148, h-index: 3)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 13, SJR: 0.988, h-index: 68)
Annals of Surgery     Hybrid Journal   (Followers: 47, SJR: 4.503, h-index: 246)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 8, SJR: 0.795, h-index: 78)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 4)
ASA Refresher Courses in Anesthesiology     Full-text available via subscription   (Followers: 12)
ASAIO J.     Hybrid Journal   (Followers: 1, SJR: 0.836, h-index: 49)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 2)
Behavioural Pharmacology     Full-text available via subscription   (Followers: 2, SJR: 0.876, h-index: 68)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 45, SJR: 0.496, h-index: 61)
Blood Pressure Monitoring     Hybrid Journal   (SJR: 0.445, h-index: 50)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.209, h-index: 14)
Cancer J.     Full-text available via subscription   (Followers: 4, SJR: 1.973, h-index: 60)
Cancer Nursing     Hybrid Journal   (Followers: 29, SJR: 1.034, h-index: 61)
Cardiology in Review     Hybrid Journal   (Followers: 6, SJR: 0.972, h-index: 43)
Cardiovascular Endocrinology     Hybrid Journal  
CIN Computers Informatics Nursing     Full-text available via subscription   (Followers: 11, SJR: 0.417, h-index: 36)
Clinical Dysmorphology     Hybrid Journal   (SJR: 0.294, h-index: 22)
Clinical J. of Pain     Hybrid Journal   (Followers: 10, SJR: 1.111, h-index: 101)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 28, SJR: 0.933, h-index: 80)
Clinical Neuropharmacology     Hybrid Journal   (Followers: 2, SJR: 0.776, h-index: 66)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 3, SJR: 0.507, h-index: 45)
Clinical Nurse Specialist     Full-text available via subscription   (Followers: 20, SJR: 0.272, h-index: 24)
Clinical Nutrition Insight     Full-text available via subscription   (Followers: 13)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 18, SJR: 0.836, h-index: 59)
Clinical Pulmonary Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.178, h-index: 13)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 6, SJR: 0.592, h-index: 54)
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: 4)
CONTINUUM : Lifelong Learning in Neurology     Full-text available via subscription   (Followers: 1, SJR: 0.489, h-index: 15)
Cornea     Hybrid Journal   (Followers: 4, SJR: 1.273, h-index: 96)
Coronary Artery Disease     Hybrid Journal   (Followers: 3, SJR: 0.712, h-index: 53)
Critical Care Medicine     Full-text available via subscription   (Followers: 166, SJR: 3.748, h-index: 220)
Critical Care Nursing Quarterly     Full-text available via subscription   (Followers: 12, SJR: 0.373, h-index: 26)
Critical Pathways in Cardiology     Hybrid Journal   (Followers: 3, SJR: 0.605, h-index: 18)
Current Opinion in Allergy and Clinical Immunology     Hybrid Journal   (Followers: 10, SJR: 1.219, h-index: 66)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 50, SJR: 0.724, h-index: 49)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 9, SJR: 0.984, h-index: 64)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 16, SJR: 1.698, h-index: 81)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 54, SJR: 1.182, h-index: 68)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 19)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 12, SJR: 1.331, h-index: 47)
Current Opinion in Gastroenterology     Hybrid Journal   (Followers: 10, SJR: 1.57, h-index: 62)
Current Opinion in Hematology     Hybrid Journal   (Followers: 16, SJR: 1.878, h-index: 81)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 7, SJR: 2.613, h-index: 41)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 15, SJR: 2.242, h-index: 81)
Current Opinion in Lipidology     Hybrid Journal   (Followers: 5, SJR: 2.515, h-index: 105)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 12, SJR: 1.632, h-index: 75)
Current Opinion in Neurology     Hybrid Journal   (Followers: 16, SJR: 2.18, h-index: 95)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 14, SJR: 0.905, h-index: 59)
Current Opinion in Oncology     Hybrid Journal   (Followers: 22, SJR: 1.89, h-index: 77)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 15, SJR: 1.827, h-index: 69)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 7, SJR: 1.088, h-index: 34)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 7, SJR: 0.885, h-index: 49)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 33, SJR: 1.076, h-index: 64)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 41, SJR: 1.651, h-index: 65)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 9, SJR: 1.397, h-index: 58)
Current Opinion in Rheumatology     Hybrid Journal   (Followers: 7, SJR: 1.718, h-index: 90)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 14, SJR: 0.774, h-index: 24)
Current Opinion in Urology     Hybrid Journal   (Followers: 6, SJR: 0.986, h-index: 48)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 10, SJR: 0.137, h-index: 16)
Current Sports Medicine Reports     Full-text available via subscription   (Followers: 16, SJR: 0.555, h-index: 33)
Dermatitis     Full-text available via subscription   (SJR: 0.802, h-index: 43)
Diagnostic Molecular Pathology     Full-text available via subscription   (Followers: 4, SJR: 0.887, h-index: 48)
Dimensions of Critical Care Nursing     Full-text available via subscription   (Followers: 6, SJR: 0.265, h-index: 22)
Diseases of the Colon & Rectum     Full-text available via subscription   (Followers: 21, SJR: 2.077, h-index: 135)
Ear & Hearing     Hybrid Journal   (Followers: 7, SJR: 1.794, h-index: 81)
Egyptian J. of Histology     Partially Free   (SJR: 0.12, h-index: 2)
Egyptian J. of Oral and Maxillofacial Surgery     Partially Free  
Egyptian J. of Pathology     Partially Free   (Followers: 1)
Egyptian Liver J.     Partially Free   (Followers: 2, SJR: 0.105, h-index: 1)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Epidemiology     Hybrid Journal   (Followers: 48, SJR: 2.981, h-index: 137)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 16, SJR: 0.999, h-index: 59)
European J. of Cancer Prevention     Full-text available via subscription   (Followers: 1, SJR: 1.157, h-index: 65)
European J. of Emergency Medicine     Hybrid Journal   (Followers: 14, SJR: 0.608, h-index: 34)
European J. of Gastroenterology & Hepatology     Hybrid Journal   (Followers: 17, SJR: 0.867, h-index: 86)
Evidence-Based Gastroenterology     Full-text available via subscription   (Followers: 5)
Evidence-Based Ophthalmology     Full-text available via subscription   (Followers: 8)
Exercise and Sport Sciences Reviews     Full-text available via subscription   (Followers: 38, SJR: 2.118, h-index: 74)
Eye & Contact Lens Science & Clinical Practice     Hybrid Journal   (Followers: 1, SJR: 0.58, h-index: 43)
Family & Community Health     Partially Free   (Followers: 12, SJR: 0.374, h-index: 33)
Female Pelvic Medicine & Reconstructive Surgery     Hybrid Journal   (SJR: 0.71, h-index: 13)
Gastroenterology Nursing     Hybrid Journal   (Followers: 10, SJR: 0.183, h-index: 23)
Harvard Review of Psychiatry     Hybrid Journal   (Followers: 6, SJR: 1.078, h-index: 62)
Health Care Management Review     Full-text available via subscription   (Followers: 6, SJR: 0.806, h-index: 39)
Health Physics     Full-text available via subscription   (Followers: 6, SJR: 0.683, h-index: 55)
Hearing J.     Full-text available via subscription   (Followers: 2, SJR: 0.105, h-index: 16)
Holistic Nursing Practice     Full-text available via subscription   (Followers: 5, SJR: 0.282, h-index: 27)
Home Healthcare Now     Hybrid Journal   (Followers: 3)
Human Andrology     Partially Free   (Followers: 2)
Implant Dentistry     Full-text available via subscription   (Followers: 5, SJR: 0.445, h-index: 44)
Infants and Young Children     Full-text available via subscription   (Followers: 4, SJR: 0.461, h-index: 32)
Infectious Disease in Clinical Practice     Hybrid Journal   (Followers: 9, SJR: 0.138, h-index: 18)
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery     Hybrid Journal   (Followers: 1, SJR: 0.395, h-index: 12)
Intervention     Full-text available via subscription   (Followers: 1)
Intl. Anesthesiology Clinics     Hybrid Journal   (Followers: 10, SJR: 0.296, h-index: 25)
Intl. Clinical Psychopharmacology     Hybrid Journal   (Followers: 2, SJR: 1.006, h-index: 79)
Intl. J. of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8, SJR: 0.426, h-index: 18)
Intl. J. of Gynecological Cancer     Hybrid Journal   (Followers: 23, SJR: 0.83, h-index: 65)
Intl. J. of Gynecological Pathology     Hybrid Journal   (Followers: 5, SJR: 0.723, h-index: 64)
Intl. J. of Rehabilitation Research     Hybrid Journal   (Followers: 16, SJR: 0.569, h-index: 39)
Intl. Ophthalmology Clinics     Hybrid Journal   (Followers: 2, SJR: 0.381, h-index: 33)
Investigative Radiology     Hybrid Journal   (Followers: 4, SJR: 2.862, h-index: 89)
J. for Healthcare Quality     Hybrid Journal   (Followers: 16, SJR: 0.468, h-index: 17)
J. for Nurses in Professional Development     Full-text available via subscription   (Followers: 5, SJR: 0.289, h-index: 3)
J. of Addiction Medicine     Hybrid Journal   (Followers: 4, SJR: 0.829, h-index: 25)
J. of Addictions Nursing     Full-text available via subscription   (Followers: 11, SJR: 0.215, h-index: 11)
J. of Ambulatory Care Management, The     Hybrid Journal   (Followers: 3, SJR: 0.548, h-index: 30)
J. of Bronchology & Interventional Pulmonology     Full-text available via subscription   (Followers: 1, SJR: 0.337, h-index: 23)
J. of Burn Care & Research     Full-text available via subscription   (Followers: 5, SJR: 0.713, h-index: 57)
J. of Cardiopulmonary Rehabilitation and Prevention     Full-text available via subscription   (Followers: 2, SJR: 0.88, h-index: 54)
J. of Cardiovascular Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.309, h-index: 35)
J. of Cardiovascular Nursing     Hybrid Journal   (Followers: 11, SJR: 0.69, h-index: 40)
J. of Cardiovascular Pharmacology     Hybrid Journal   (Followers: 6, SJR: 0.962, h-index: 82)
J. of Christian Nursing     Partially Free   (Followers: 1, SJR: 0.113, h-index: 5)
J. of Clinical Engineering     Full-text available via subscription   (SJR: 0.215, h-index: 9)
J. of Clinical Gastroenterology     Hybrid Journal   (Followers: 11, SJR: 1.274, h-index: 87)
J. of Clinical Neuromuscular Disease     Hybrid Journal   (Followers: 1, SJR: 0.39, h-index: 18)
J. of Clinical Neurophysiology     Hybrid Journal   (Followers: 3, SJR: 0.578, h-index: 82)
J. of Clinical Psychopharmacology     Hybrid Journal   (Followers: 18, SJR: 1.091, h-index: 106)
J. of Computer Assisted Tomography     Hybrid Journal   (Followers: 1, SJR: 0.848, h-index: 80)
J. of Craniofacial Surgery     Hybrid Journal   (Followers: 3, SJR: 0.443, h-index: 56)
J. of Developmental & Behavioral Pediatrics     Hybrid Journal   (Followers: 7, SJR: 1.055, h-index: 81)
J. of ECT     Hybrid Journal   (Followers: 8, SJR: 0.784, h-index: 46)
J. of Geriatric Physical Therapy     Full-text available via subscription   (Followers: 9, SJR: 0.549, h-index: 27)
J. of Glaucoma     Hybrid Journal   (Followers: 1, SJR: 1.477, h-index: 69)
J. of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 12, SJR: 1.205, h-index: 75)
J. of Hospice & Palliative Nursing     Full-text available via subscription   (Followers: 20, SJR: 0.279, h-index: 14)
J. of Hypertension     Hybrid Journal   (Followers: 13, SJR: 2.193, h-index: 146)
J. of Immunotherapy     Hybrid Journal   (Followers: 4, SJR: 2.165, h-index: 76)
J. of Infusion Nursing     Full-text available via subscription   (Followers: 5, SJR: 0.347, h-index: 25)
J. of Lower Genital Tract Disease     Hybrid Journal   (SJR: 1.08, h-index: 31)
J. of Nervous & Mental Disease     Hybrid Journal   (Followers: 5, SJR: 0.929, h-index: 98)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 9, SJR: 0.57, h-index: 41)
J. of Neurologic Physical Therapy     Full-text available via subscription   (Followers: 7, SJR: 1.189, h-index: 31)
J. of Neuroscience Nursing     Hybrid Journal   (Followers: 7, SJR: 0.399, h-index: 31)
J. of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 5, SJR: 0.913, h-index: 49)
J. of Nursing Administration     Full-text available via subscription   (Followers: 31, SJR: 0.782, h-index: 65)
J. of Nursing Care Quality     Partially Free   (Followers: 10, SJR: 0.643, h-index: 35)
J. of Nursing Research     Full-text available via subscription   (Followers: 16, SJR: 0.388, h-index: 22)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 46, SJR: 0.894, h-index: 84)
J. of Orthopaedic Trauma     Hybrid Journal   (Followers: 13, SJR: 1.142, h-index: 89)
J. of Patient Safety     Hybrid Journal   (Followers: 7, SJR: 0.691, h-index: 22)
J. of Pediatric Gastroenterology & Nutrition     Hybrid Journal   (Followers: 44, SJR: 1.227, h-index: 99)
J. of Pediatric Hematology/Oncology     Hybrid Journal   (Followers: 5, SJR: 0.452, h-index: 64)
J. of Pediatric Orthopaedics     Hybrid Journal   (Followers: 16, SJR: 1.186, h-index: 69)
J. of Pediatric Orthopaedics B     Hybrid Journal   (Followers: 7, SJR: 0.376, h-index: 41)
J. of Pelvic Medicine and Surgery     Full-text available via subscription  
J. of Perinatal & Neonatal Nursing, The     Hybrid Journal   (Followers: 8, SJR: 0.364, h-index: 32)
J. of Prosthetics and Orthotics     Full-text available via subscription   (Followers: 8, SJR: 0.314, h-index: 23)
J. of Psychiatric Practice     Hybrid Journal   (Followers: 2, SJR: 0.696, h-index: 41)
J. of Public Health Management and Practice     Hybrid Journal   (Followers: 6, SJR: 0.859, h-index: 38)
J. of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2, SJR: 0.798, h-index: 73)
J. of Strength and Conditioning Research, The     Full-text available via subscription   (Followers: 52, SJR: 1.228, h-index: 84)
J. of the Dermatology Nurses' Association     Partially Free   (Followers: 2, SJR: 0.116, h-index: 3)
J. of The Egyptian Public Health Association     Partially Free   (Followers: 1)
J. of the Egyptian Women’s Dermatologic Society     Partially Free  
J. of Thoracic Imaging     Hybrid Journal   (Followers: 3, SJR: 0.751, h-index: 44)
J. of Trauma and Acute Care Surgery, The     Full-text available via subscription   (Followers: 17, SJR: 1.557, h-index: 144)
J. of Trauma Nursing     Partially Free   (Followers: 7, SJR: 0.205, h-index: 12)
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: 10, SJR: 0.712, h-index: 34)
JAIDS J. of Acquired Immune Deficiency Syndromes     Hybrid Journal   (Followers: 3, SJR: 2.434, h-index: 127)
JCR J. of Clinical Rheumatology     Hybrid Journal   (Followers: 3, SJR: 0.634, h-index: 39)
JONA s Healthcare Law Ethics and Regulation     Full-text available via subscription   (Followers: 6)
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: 6, SJR: 0.272, h-index: 30)
Medical Care     Hybrid Journal   (Followers: 13, SJR: 2.004, h-index: 146)
Medical Innovation & Business     Full-text available via subscription   (Followers: 2)
Medical Research J.     Partially Free   (Followers: 2)
Medicine     Open Access   (Followers: 15, SJR: 0.877, h-index: 116)
Medicine & Science in Sports & Exercise     Hybrid Journal   (Followers: 46, SJR: 2.007, h-index: 171)
Melanoma Research     Hybrid Journal   (Followers: 1, SJR: 1.24, h-index: 59)
Menopause     Hybrid Journal   (Followers: 14, SJR: 1.27, h-index: 82)

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Journal Cover Annals of Pediatric Surgery
  [SJR: 0.148]   [H-I: 3]   [5 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by LWW Wolters Kluwer Homepage  [280 journals]
  • A missed complicated Morgagni–Larrey’s hernia
    • Authors: Khan; Yousuf Aziz; ElKholy, Ashraf
      Abstract: imageNo abstract available
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491017.20793.07
       
  • Crossed testicular ectopia: a case report and review of the literature
    • Authors: Salah; Sami E.E.; Elhaj, Khalid I.; Awadelseed, Yasir O.M.; Mohammed, Sami G.E.E.
      Abstract: imageCrossed testicular ectopia (CTE) is an extremely rare anomaly in which deviation of testicular descent results in unilateral location of both testes. It is usually associated with an inguinal hernia, with the spermatic cord of the ectopic testis originating from the appropriate side. Most often the diagnosis of CTE is not made until surgical exploration. We report a case of CTE in a 2-year-old boy who presented with left-sided inguinal hernia with concurrent nonpalpable right testis. Diagnosis was made during diagnostic laparoscopy followed by left open inguinal exploration during which high ligation of the left hernia and trans-septal orchiopexy, contralateral transposition tension-free for each testis was done.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491016.20793.4e
       
  • Meckel’s diverticulum: the lead point of intrauterine intussusception
           with subsequent intestinal atresia in a newborn
    • Authors: Le; Viet H.; Perry, Paul A.; Hale, Allyson L.; Gates, Robert L.; Chandler, John C.
      Abstract: imageIntussusception is a known complication of Meckel’s diverticulum. However, intrauterine intussusception secondary to Meckel’s diverticulum has unknown incidence. Our case describes the medical and surgical management of a newborn with intrauterine intussusception of a Meckel’s diverticulum as a cause of the vascular malformation leading to ileal atresia. To our knowledge, this is the fifth case report of this phenomenon. In all cases, definitive management required exploratory laparotomy, bowel resection, and intestinal primary anastomosis.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491264.30810.b6
       
  • Idiopathic perinatal hepatic infarct as a cause of liver mass
    • Authors: Marti; Josep; Trivedi, Anshu; Rosen, Ally; Arnon, Ronen; Thung, Swan N.; Schwartz, Myron
      Abstract: imageWe present the case of a 2-week-old male infant who presented with an asymptomatic liver mass and underwent surgical resection because of suspicion of malignancy after extensive radiological study with ultrasonography, computed tomography, and MRI. Pathological examination revealed a peripheral hepatic infarct with calcifications and a rim of peripheral organization suggestive of being at least 2 weeks old. This case reviews the scarce cases of hepatic infarct in newborns and highlights the fact that, although untreated perinatal hepatic infarction usually progresses to atrophy of the affected area with compensation by the unaffected liver, surgical resection remains an option in cases of complications or uncertain diagnosis.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491015.13170.fb
       
  • Childhood retroperitoneal teratomas: 5 years of experience in a
           tertiary-care hospital
    • Authors: Rattan; Kamal N.; Yadav, Hemant; Srivastava, Divya; Rattan, Ananta
      Abstract: imageBackground: Retroperitoneal teratomas are rare paediatric neoplasms. One should be well versed with the presenting features, relationship with surrounding vital organs and the extent of tumour before operating.Aim: The present study was planned to highlight the presenting symptoms, preoperative investigatory findings, intraoperative findings, follow-up protocol and the surgeons’ experience in handling these huge tumours.Setting and design: This was a retrospective, tertiary-care hospital-based study.Patients and methods: Patients with retroperitoneal teratomas operated between 2010 and 2015 were studied in detail. All the data were collected from case files.Results: During the mentioned period, there were seven patients including four males and three females. There was no side predilection (three right, two midline, one left and one lesser omentum). All the tumours were completely excised, and histopathology confirmed the benign nature in all cases. All patients were followed-up with postoperative ultrasound and were found to be normal.Conclusion: Retroperitoneal teratomas are benign tumours, and complete excision is curative.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491013.28417.61
       
  • Nasogastric tube self-knotting
    • Authors: Abbas; Gamal A.; Tawfeeq, Mansour A.; Arain, Zahid B.
      Abstract: imageComplications associated with nasogastric tube (NGT) are rare. We report one of these rare complications, NGT knotting, in the pediatric population. Our patient was a 7-year-old boy, a known case of β-thalassemia, who underwent laparoscopic splenectomy. He experienced NGT knotting. NGT knotting detection needs a high index of suspicion; if not detected and managed in a proper way, it may lead to serious complications. Recommended techniques to avoid this complication are discussed in this article.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000462546.89772.f0
       
  • Measurement of penile size in healthy Nigerian newborns using conventional
           penile length measurement technique
    • Authors: Ogundoyin; Olakayode O.; Lawal, Taiwo A.; Olulana, Dare I.
      Abstract: imageObjectives: We attempted to establish a standard penile length for male newborn Nigerians using the conventional penile length measurement technique.Summary: Defining the normal penile size in the neonate is paramount to making accurate diagnosis of abnormalities of the penis and the medical and surgical management of these anomalies.Patients and methods: We carried out a prospective cross-sectional study of all term male neonates within 72 h of birth from April 2013 to March 2014 in the three largest obstetric centres (University College Hospital, Adeoyo Maternity Hospital and Our Lady of Apostles Catholic Hospital) in Ibadan, Nigeria. They underwent clinical examination, and their penile sizes were measured using the conventional penile length measurement technique.Results: A total of 675 male Nigerian newborns were studied. The mean penile length was 3.14±0.65 cm, and the mean penile width was 0.97±0.15 cm.Conclusion: The penile dimensions obtained are comparable with reported values in previous studies in other parts of the world.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491012.28417.28
       
  • Is the double cross flap technique the panacea for avoiding fistula
           formation in hypospadias surgery'
    • Authors: Bertozzi; Mirko; Nardi, Niccolò; Prestipino, Marco; Melissa, Berardino; Magrini, Elisa; Appignani, Antonino
      Abstract: imageObjective: The aim of this study was to analyze retrospectively the 9-year experience of a single institution in the use of the double cross flap technique to interpose a double dartos flap to protect the neourethra with the aim of preventing fistula formation.Patients and methods: Between October 2005 and September 2014 a total of 127 children with distal and mid-shaft primary hypospadias underwent tubularized incised plate urethroplasty by means of a double dartos flap obtained with a double cross flap to protect the neourethra. A Foley catheter was left in situ for 7 days. Success was defined as no incidence of complications requiring reintervention, along with good cosmetic result. A questionnaire was administered to estimate parental satisfaction. Parents were asked to evaluate the cosmetic appearance of the penis as good, acceptable, bad, or indifferent.Results: The patient age at the time of surgery ranged from 12 months to 10 years (median 39 months). Three patients exhibited fistula at follow-up (2.3%). In two patients a glandular dehiscence of the urethroplasty occurred (1.5%). Mild stenosis of the neomeatus occurred in three patients (2.3%). No penile iatrogenic rotation occurred. A ‘good’ cosmetic result was reported by 68.5% of parents, acceptable by 22.8%, bad by 3.9% and indifferent by 4.7% of parents as per the parental questionnaire.Conclusion: The double cross flap technique is not the panacea to prevent fistula formation in hypospadias surgery. Nevertheless, it offers an unquestionable advantage in terms of avoidance of fistula formation. The experience and skills of the surgeon performing urethroplasty remain the mainstay for best results.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489164.33691.5f
       
  • Suboptimal correction of low anorectal anomalies: a possible cause for
           intractable constipation in children
    • Authors: Abouzeid; Amr A.; Radwan, Ahmed B.; Mohammad, Shaimaa A.; Eldebeiky, Mohamed; El-Behery, Mosad
      Abstract: imageBackground: Constipation is a common problem among patients following the repair of low anorectal anomalies. We present our experience in managing constipation in a group of these patients with reoperation to correct residual anterior anal misplacement.Patients and methods: The study included pediatric patients presenting with significant constipation following the repair of low anorectal anomalies. Patients with evidence of residual anterior anal misplacement (either clinically, by means of MRI, or using electrical muscle stimulation) were offered a reoperation to bring their ani backward to an orthotropic position.Results: Thirteen patients were included in the study between September 2009 and June 2015. Their ages ranged from 1.5 to 10 years. The primary anomaly was rectoperineal fistula in 10 (seven boys and three girls) and rectovestibular in three girls. Two types of reoperations were performed: a posterior anoplasty with posterior sphincterotomy (five cases), and a limited sagittal anorectoplasty (eight cases). Straining at defecation was relieved in all patients. Of the 13 patients, nine were relieved from their constipation (69%) and had regular bowel movements without medications. The remaining four (31%) showed partial improvement.Conclusion: Among patients with low anorectal anomalies, suboptimal correction with residual anterior anal misplacement represents one correctable cause for persistence of constipation.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000484840.40461.85
       
  • Comparative study between purse–string suture and peritoneal
           disconnection with ligation techniques in the laparoscopic repair of
           inguinal hernia in infants and children
    • Authors: Oshiba; Ahmed; Ashour, Khaled; Aboheba, Mohamed; Shehata, Sameh; Shalaby, Rafik
      Abstract: imageBackground: Laparoscopic hernia repair in children is becoming more popular nowadays. A lot of laparoscopic techniques were described to repair inguinal hernia in infants and children; however, there are few reports on laparoscopic disconnection of the hernia sac at internal inguinal ring (IIR) as a method for hernia repair.Purpose: The objective of this study was to compare intracorporeal purse–string suturing leaving the hernia sac in continuity and laparoscopic disconnection of the hernia sac at IIR and proximal closure of the peritoneum for repair of inguinal hernia in infants and children. A randomized prospective study was carried out in the Pediatric Surgery Unit of Alexandria University Hospitals (Alexandria, Egypt) on 40 male children.Patients and methods: Forty male patients (48 repairs) were randomized into two equal groups (n=20). Group A was subjected to intracorporeal purse–string suturing around the IIR leaving the hernia sac in continuity. Group B was subjected to disconnection of the hernia sac from the parietal peritoneum at the level of IIR, followed by proximal closure of the peritoneum. Inclusion criteria were as follows: male inguinal hernia, either unilateral or bilateral, and age between 6 months and 12 years. Exclusion criteria were as follows: female inguinal hernia, hernia with undescended testicles, recurrent inguinal hernia, and previous major lower abdominal surgery. The main outcome measurement was recurrence, and secondary outcome measurements were operative time, hospital stay, intraoperative complications, postoperative hematoma, postoperative testicular atrophy, and postoperative hydrocele formation.Results: There were no significant differences between the two groups as regards age, sex, and mode of presentation. All cases were completed laparoscopically without conversion. Group A showed a significantly higher rate of recurrence as well as hydrocele formation compared with group B; however, there was no difference as regards the operative time, hospital stay, and testicular atrophy.Conclusion: Laparoscopic hernia repair using the peritoneal closure following disconnection of the hernia sac is a safe and feasible method for hernial repair with minimal complications. It has a lower recurrence rate compared with the purse–string suturing alone, with no added risk for injury to the vas and vessels.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000481344.06100.70
       
  • Y-to-V umbilicoplasty for proboscoid umbilical hernia
    • Authors: Almetaher; Hisham A.; Hashish, Mohamed S.; Elhalaby, Essam A.
      Abstract: imageBackground/purpose: Several techniques are proposed for reconstruction of proboscoid umbilical hernia in the pediatric patients. In this work, we reported our experience with Y-to-V umbilicoplasty in the surgical repair of proboscoid umbilical hernia in infants and children.Patients and methods: A 3-year prospective study included 15 children presented with proboscoid umbilical hernia. A skin marker was used to draw the lines of skin incisions. ‘Y’ incision was done starting with the vertical limb. The facial defect was repaired. Lateral twin isosceles triangular flaps were excised. A new umbilical valley was reconstructed by one or two subcutaneous stitches of the residual umbilical flap fixing the flap’s summit to the aponeurosis plane. We appreciated the results as excellent, fair or bad according to criteria of the peripheral rim (raised, flattened or depressed) and the central depression (deep, shallow or absent).Results: This study included 10 boys and 5 girls. Their ages ranged from 1 to 7 years at the time of surgery. The mean duration of the operation was 45 min and the mean hospitalization stay was 1 day. The early results were excellent in all cases. Follow-up period continued for 6 months and revealed a natural-looking umbilicus with excellent peripheral rim and central depression.Conclusion: Y-to-V umbilicoplasty in the surgical repair of proboscoid umbilical hernia in infants and children is simple and easy to design and carried out with excellent aesthetic results.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000491263.53680.fe
       
  • Acquired air-filled lung cysts in childhood: pathogenesis of cysts of
           diverse etiologies; nuances of management
    • Authors: Jetley; Nishith K.; Al-Helal, Abdullah S.; Al-Ghamdy, Hashem A.; Al-Awady, Dawood; Saleem, Mervat; Al-Senafy, Waleed S.
      Abstract: imageBackground: Air-filled pulmonary parenchymal cysts (pneumatoceles/PCs) – a pathological condition – involving the lung parenchyma may be congenital or acquired. In children, acquired cases are often caused by staphylococcal pneumonias, but other etiologies may also cause PCs and lead to diagnostic confusion.Objectives: The aim of this study was to examine the natural history and clinicopathologic features of noncongenital, nonstaphylococcal PCs in children.Patients and methods: Four children with nonstaphylococcal PCs were included in this study. A full history, clinical examination, relevant radiological and pathological findings, surgical intervention where relevant, and follow-up were analyzed.Results: The cases described represent acquired PCs: one occurred after infarction following cardiac surgery, another was a subpleural pulmonary bleb of inflammatory origin, and the remaining two were post-traumatic pseudocysts. The inflammatory-process bleb and the postinfarction cysts presented with pneumothorax. The postinfarction and post-traumatic PCs responded to observation. The pulmonary bleb was excised.Conclusion: Our understanding of the clinicopathologic features and pathogenesis of many types of acquired PCs is incomplete. We propose that PC formation has a basis in destruction of the distal airways of the lung. Damaged tissue may act as a valve, and cause air-trapping, which leads to PC formation. Cysts arising after infarction or after trauma usually resolve on observation. Subpleural blebs may require excision because of nonresolution and recurrence of pneumothorax.
      PubDate: Sat, 01 Oct 2016 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000489155.78540.ba
       
 
 
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