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In this paper, we investigate the analytical method that is used to find the current in different types of R−L electrical mesh circuits containing the loop 1 and loop 2 by using the Laplace transform. The differential equations for the electrical circuits are formulated by using Kirchhoff’s voltage law. The Caputo fractional derivative is used as a differential operator. Moreover, we provide some examples of electrical circuits containing two resistors and two inductors connected in each loop using the presented results.

This paper is concerned for the first time an explicit iteration of an unbounded solution for a turbulent flow model involving ψ-Riemann–Liouville fractional derivatives with the p-Laplacian operator on the infinite interval [a,∞),a≥0. A suitable Banach space for our analysis is defined. The fractional integral formula that corresponds to the suggested problem is also derived. The existence and uniqueness results of an unbounded solution for a such model are proved by utilizing the classical Banach contraction technique. Several types of the Ulam–Hyers stability are discussed. The properties of the p-Laplacian operator with unbounded domains created enormous challenges and difficulties. At the end, illustrative examples are enhanced to examine the main findings.

This paper introduces a general nabla operator of order two that includes coefficients of various trigonometric functions. We also introduce its inverse, which leads us to derive the second-order $ \overline{\theta({\tt{t}})} $-Fibonacci polynomial, sequence, and its summation. Here, we have obtained the derivative of the $ \overline{\theta({\tt{t}})} $-Fibonacci polynomial using a proportional derivative. Furthermore, this study presents derived theorems and intriguing findings on the summation of terms in the second-order Fibonacci sequence, and we have investigated the bifurcation analysis of the $ \overline{\theta({\tt{t}})} $-Fibonacci generating function. In addition, we have included appropriate examples to demonstrate our findings by using MATLAB.

In this manuscript, we provide an in-depth analysis of existence and uniqueness results, along with stability assessments associated with the κ-Mittag-Leffler-Ulam-Hyers type, specifically focusing on a newly formulated category of hybrid boundary value problems (BVPs) that incorporate fractional derivatives. Our study leverages the properties of tempered (κ,ϖ)-Hilfer fractional operators to explore the mathematical underpinnings of the problem, which is characterized by implicit nonlinear fractional differential equations. To derive the results, we employ Banach’s fixed point theorem, which facilitates the demonstration of the existence of solutions under certain contractive conditions. We also utilize a generalized Gronwall inequality to establish bounds and stability criteria for the solutions, thereby ensuring their robustness under perturbations. Moreover, we underscore the practical applicability of our theoretical findings by presenting several illustrative examples. These examples not only help demonstrate the effectiveness of our approach but also highlight the relevance of the results in addressing real-world scenarios where fractional dynamics are pertinent.

In this article, we employ the Laplace transform (LT) method to study fractional differential equations with the problem of displacement of motion of mass for free oscillations, damped oscillations, damped forced oscillations, and forced oscillations (without damping). These problems are solved by using the Caputo and Atangana-Baleanu (AB) fractional derivatives, which are useful fractional derivative operators consist of a non-singular kernel and are efficient in solving non-local problems. The mathematical modelling for the displacement of motion of mass is presented in fractional form. Moreover, some examples are solved.

In this article, we introduce a notion of controlled orthogonal δ-metric-type spaces with an example. Further, we prove a contraction theorem and a generalized fixed point theorem in controlled orthogonal δ-metric-type spaces. Finally, we illustrate two applications of the obtained fixed point results on the Atangana–Baleanu fractional integrals and the Riemann–Liouville fractional integrals. These applications showcase the versatility and efficacy of the developed theoretical framework in addressing real-world mathematical problems.

Abstract In this article, we focus on studying the Duffing problem with the time delay of pantograph type via the Hilfer fractional derivatives on the infinite interval ( 0 , ∞ ) $(0,\infty )$ . An appropriate Banach space supported with the Bielecki norm in the Mittag–Leffler function sense is introduced for new and convenient analysis. The existence and uniqueness ( E & U $\mathbf{E\&U}$ ) of the solutions are proved by utilizing the classical fixed point theorems (FPT s). Moreover, the Hyers–Ulam (HU) stability is discussed for our Hilfer fractional Duffing pantograph system (HFDPS). Ultimately, our results are enhanced by providing numerical examples with graphics simulations to check the validity of the main outcomes.

This paper focused on establishing results regarding the existence of solutions for a class of nonlocal terminal value problems involving hybrid implicit nonlinear fractional differential equations with the $ ({\mathsf{k}}, {\rm{\mathsf{φ}}}) $-Hilfer fractional derivative, which includes both finite delay and anticipation arguments. Our analysis was based on the Banach fixed point technique, and the Schauder and Krasnoselskii fixed point theorems. Moreover, illustrative examples were considered to support our new results.

This work aims to motivate the bipolar parametric metric space introduced by Pasha et al. We introduce the concept of bipolar parametric ν-metric space. Afterward, we state and investigate new fixed-point theorems. Suitable examples are given based on our outcomes. An application is provided to strengthen the findings we obtained.

Abstract In this article, we prove new common fixed-point theorems on a C ∗ $\mathscr{C}^{*}$ -algebra-valued R $\mathcal{R}$ -metric space. An example is given based on our obtained results. To enhance our results, a strong application based on the fractional-order initial value problem is provided.

The Levin-Nohel equations play key roles in the interpretation of real phenomena and have interesting applications in engineering and science areas, such as mathematical physics, mathematical biology, image processing, and numerical analyses. This article investigates a new structure for the delay neutral Levin-Nohel integrodifferential (NLNID) system via a Hilfer fractional derivative and is supplemented by initial and instantaneous impulse conditions. A fractional integral equation corresponding to the proposed system is derived and used to prove the existence and uniqueness of the solution with the help of the Banach contraction principle. Additionally, the Ulam-Hyers-Mittag-Leffler (UHML) stability is studied by utilizing the generalized Gronwall's inequality and nonlinear analysis issues. As a consequence, the Ulam-Hyers (UH) stability and generalized UH are also deduced. Furthermore, the Riemann-Liouville ($ \mathcal{R.L.} $) and Caputo fractional versions of the proposed system are discussed. Finally, numerical applications supported with tables and graphics are provided to test the exactitude of the findings.

This manuscript aims to study the effectiveness of two different levels of fractional orders in the frame of Caputo-Hadamard (CH)-derivatives on a special type class of delay problem supplemented by Dirichlet boundary conditions. The corresponding Hadamard fractional integral equation is derived for a proposed CH-fractional pantograph system. The Banach, Schaefer, and Krasnoselskii fixed point theorems (FPTs), are used to investigate sufficient conditions of the existence and uniqueness theorems for the proposed system. Furthermore, the Green functions properties are investigated and used to discuss the Ulam-Hyers (UH) stability and its generalized by utilizing nonlinear analysis topics. Finally, three mathematical examples are provided with numerical results and figures by using Matlab software to illustrate the validity of our findings.

The fractional Bagley-Torvik system (FBTS) is initially created by utilizing fractional calculus to study the demeanor of real materials. It can be described as the dynamics of an inflexible plate dipped in a Newtonian fluid. In the present article, we aim for the first time to discuss the existence and uniqueness (E&U) theories of an unbounded solution for the proposed generalized FBTS involving Riemann-Liouville fractional derivatives in the half-line $ (0, \infty) $, by using fixed point theorems (FPTs). Moreover, the Hyers-Ulam stability (HUS), Hyers-Ulam-Rassias stability (HURS), and semi-Hyers-Ulam-Rassias stability (sHURS) are proved. Finally, two numerical examples are given for checking the validity of major findings. By investigating unbounded solutions for the FBTS, engineers gain a deeper understanding of the underlying physics, optimize performance, improve system design, and ensure the stability of the motion of real materials in a Newtonian fluid.

Abstract In this manuscript, we focus our attention on investigating new Lyapunov-type inequalities (LTIs) for two classes of boundary value problems (BVPs) in the framework of Katugampola–Hilfer fractional derivatives, supplemented by nonlocal, integral, and mixed boundary conditions. The equivalent integral equations of the proposed Katugampola–Hilfer fractional BVPs are established in the context of Green functions. Also, the properties of these Green functions are proved. The LTIs are investigated as sufficient criteria for the existence and nonexistence of nontrivial solutions for the subjected problems. Our systems are more general than in the literature, as a consequence there are many new and known specific cases included. Finally, our results are applied for estimating eigenvalues of two given BVPs.

Abstract In this paper, new generalized weighted fractional derivatives with respect to another function are derived in the sense of Caputo and Riemann–Liouville involving a new modified version of a generalized Mittag–Leffler function with three parameters, as well as their corresponding fractional integrals. In addition, several new and existing operators of nonsingular kernels are obtained as special cases of our operator. Many important properties related to our new operator are introduced, such as a series version involving Riemann–Liouville fractional integrals, weighted Laplace transforms with respect to another function, etc. Finally, an example is given to illustrate the effectiveness of the new results.

We aim to investigate an integro-differential inclusion using a novel computational approach in this research. The use of quantum calculus, and consequently the creation of discrete space, allows the computer and computational algorithms to solve our desired problem. Furthermore, to guarantee the existence of the solution, we use the endpoint property based on fixed point methods, which is one of the most recent techniques in fixed point theory. The above will show the novelty of our work, because most researchers use classical fixed point techniques in continuous space. Moreover, the sensitivity of the parameters involved in controlling the existence of the solution can be recognized from the heatmaps. For a better understanding of the issue and validation of the results, we presented numerical algorithms, tables and some figures in our examples that are presented at the end of the work.

This article aims to establish sufficient conditions for qualitative properties of the solutions for a new class of a pantograph implicit system in the framework of Atangana-Baleanu-Caputo ($ \mathcal{ABC} $) fractional derivatives with respect to another function under integral boundary conditions. The Schaefer and Banach fixed point theorems (FPTs) are utilized to investigate the existence and uniqueness results for this pantograph implicit system. Moreover, some stability types such as the Ulam-Hyers $ (\mathbb{UH}) $, generalized $ \mathbb{UH} $, Ulam-Hyers-Rassias $ (\mathbb{UHR}) $ and generalized $ \mathbb{UHR} $ are discussed. Finally, interpretation mathematical examples are given in order to guarantee the validity of the main findings. Moreover, the fractional operator used in this study is more generalized and supports our results to be more extensive and covers several new and existing problems in the literature.

This research work is devoted to investigating new common fixed point theorems on bipolar fuzzy [Formula: see text]-metric space. Our main findings generalize some of the existence outcomes in the literature. Furthermore, we illustrate our findings by providing some applications for fractional differential and integral equations.

In this paper, we investigate a multi-order $ \varrho $-Hilfer fractional pantograph implicit differential equation on unbounded domains $ (a, \infty), a\geq 0 $. The existence and uniqueness of solution are established for a such problem by utilizing the Banach fixed point theorem in an applicable Banach space. In addition, stability of the types Ulam-Hyers ($ \mathcal UH $), Ulam-Hyers-Rassias ($ \mathcal UHR $) and semi-Ulam-Hyers-Rassias (s-$ \mathcal UHR $) are discussed by using nonlinear analysis topics. Finally, a concrete example includes some particular cases is enhanced to illustrate rightful of our results.

Abstract This paper aims to extend the Caputo–Atangana–Baleanu ( A B C $ABC$ ) and Riemann–Atangana–Baleanu ( A B R $ABR$ ) fractional derivatives with respect to another function, from fractional order μ ∈ ( 0 , 1 ] $\mu \in (0,1]$ to an arbitrary order μ ∈ ( n , n + 1 ] $\mu \in (n,n+1]$ , n = 0 , 1 , 2 , … $n=0,1,2,\dots $ . Also, their corresponding Atangana–Baleanu (AB) fractional integral is extended. Additionally, several properties of such definitions are proved. Moreover, the generalization of Gronwall’s inequality in the framework of the AB fractional integral with respect to another function is introduced. Furthermore, Picard’s iterative method is employed to discuss the existence and uniqueness of the solution for a higher-order initial fractional differential equation involving an A B C $ABC$ operator with respect to another function. Finally, examples are given to illustrate the effectiveness of the main findings. The idea of this work may attract many researchers in the future to study some inequalities and fractional differential equations that are related to AB fractional calculus with respect to another function.

In this paper, we consider a coupled snap system in a fractional G-Caputo derivative sense with integral boundary conditions. Hyers-Ulam stability criterion is investigated, and a numerical simulation will be supplied to some applications. Some numerical simulations are presented to guarantee the theoretical results.

ABSTRACT: Swollen Head Syndrome (SHS) is an economically important viral disease of chickens caused by avian metapneumovirus (aMPV). The virus comprises 6 different subtypes (A,B,C,D, New-1 and New-2). To date, no information was available on the presence of the virus in Tunisian poultry.The present work aims to detect the presence of (aMPV) in broiler chicken in Tunisia, then to characterise the isolates in order to determine their subtype and to estimate their geographic origin of introduction.A total of 289 samples were collected, aMPV detection was detected by real time RT-PCR and molecular characterization was warried out by Sanger sequencing on the glycoprotein (G) gene. Phylogenetic analysis was carried out using Beast 2 software.Out of the 289 samples, 21 were revealed positive to aMPV. Only 2 isolates have been confirmed by sequencing analysis ; one isolate sampled in 2015 and another in 2019. Based on the partial G gene sequence, analysis of these 2 Tunisian isolates showed that they belong to subtype B. The isolate sampled in 2015, appeared to be phylogenetically related to derived vaccine strain. However, the one sampled in 2019 appeared to be a field strain. Phylodynamic analysis provided evidence that this field strain derived from a Spanish strain and probably the virus has been introduced from Spain to North Africa back in 2016.This study is the first that highlighted the circulation of (aMPV) in Tunisia. It is possible that aMPV has been circulating in Tunisia and neighboring countries without being detected. Also, multiple strains could be present and therefore multiple introductions have happened. Through this study, we shed the light on the importance of reinforcing farms biosecurity as well as virological surveillance.

This paper aims to study the existence and uniqueness of the solution for nonlocal multiorder implicit differential equation involving Hilfer fractional derivative on unbounded domains a,∞,a≥0, in an applicable Banach space by utilizing the Banach contraction principle. Furthermore, we discuss various types of stability such as Ulam–Hyers–Rassias (UHR), Ulam–Hyers (UH), and semi-Ulam–Hyers–Rassias (sUHR) for nonlocal boundary value problem. Absolutely, our results cover that several outcomes have existed in the literature.

This paper proposes some iterative constructions of fixed points for showing the existence and uniqueness of solutions for functional equations and fractional differential equations (FDEs) in the framework of CAT (0) spaces. Our new approach is based on the M∗-iterative scheme and the class of mappings with the KSC condition. We first obtain some ∆ and strong convergence theorems using M∗-iterative scheme. Using one of our main results, we solve a FDE from a broad class of fractional calculus. Eventually, we support our main results with a numerical example. A comparative numerical experiment shows that the M∗-iterative scheme produces high accurate numerical results corresponding to the other schemes in the literature. Our results are new and generalize several comparable results in fixed point theory and applications.

This paper is devoted to studying the ϱ-Hilfer fractional snap dynamic system under the ϱ-Riemann–Liouville fractional integral conditions on unbounded domains [a,∞),a≥0, for the first time. The results concerning the existence and uniqueness, along with the Ulam–Hyers, Ulam–Hyers–Rassias, and semi-Ulam–Hyers–Rassias stabilities, are established in an appropriate special Banach space according to fractional calculus, fixed point theory, and nonlinear analysis. At the end, a numerical example is presented for the interpretation of the main results.

To meet the target of carbon neutrality by the year 2050 and decrease the dependence on fossil fuels, renewable energy sources (RESs), specifically wind power, and Electric Vehicles (EVs) have to be massively deployed. Nevertheless, the integration of a large amount of wind power, with an intermittent nature, into the grid and the variability of the load on the demand side require an efficient and reliable energy management system (EMS) for operation, scheduling, maintenance and energy trading in the modern power system. This article proposes a new Energy Management Protocol (EMP) based on the combination of Machine Learning (ML) and Game-Theoretic (GT) algorithms to manage the operation of the charging/discharging of EVs from an energy storage system (ESS) via EV supply equipment (EVSE) when the main source of energy is wind power. The ESS can be linked to the grid to overcome downtimes of wind power production. Case study results of wind power forecasting using an ML algorithm and 10 min wind measurements, combined with a GT optimization model, showed good performance in the forecasting and management of power dispatching between EVs to ensure the efficient and accurate operation of the power system.

Lipid-based drug delivery systems are widely used for enhancing the bioavailability of poorly water-soluble drugs. However, following oral intake, lipid excipients often undergo gastrointestinal lipolysis, which drastically affects drugs solubility and bioavailability. That's why developing new lipid excipients which are resistant to digestion would be of great interest. We studied here the potential role of the unconventional Chinese star anise whole seedpod oil (CSAO) as an alternative multifunctional lipid excipient. Pancreatic lipase-mediated digestion of the extracted crude oil emulsion was assessed in vitro. Pancreatic lipase, being a strict sn-1,3-regioselective lipase, showed a high (16-fold) olive oil to CSAO activity ratio, which could be attributed to fatty acids composition and triglycerides intramolecular structure. For the sake of comparison, the non-regioselective lipase Novozyme® 435 exhibited higher activity than pancreatic lipase on CSAO emulsion, perhaps due to its ability to release fatty acids from the internal sn-2 position of TAGs. Apart counteracting lipolysis, CSAO oil also showed additional biopharmaceutical benefits including moderate antioxidant and antihypertensive activities. Altogether, these findings highlight for the first time the potential use of star anise unconventional whole seedpod oil as a multifunctional lipid excipient for the development of new lipid formulations.

Introduction: The rectum villous tumour is an uncommon pathology in paediatrics, it represents 1% of all the children’s malignant tumours. Case Presentation: An eleven-year-old girl presented a rectal adenocarcinoma arising from a villous tumour. The aim of this study is to overview of the literature, asses the frequency of rectum villous tumours, specify the value of the clinical examination, of the radiologic findings in the assessment of the loco-regional extension of villous tumours and rectum adenocarcinoma and finally to discuss the treatment modalities. Conclusion: The rectum villous tumour symptomatology in children is not very specific. Therefore, a good knowledge of its clinical presentation and the predisposing pathological situations can improve the prognosis of this rare disease.

Introduction: Double aortic arch (DAA) is a rare congenital malformation. Strategies for diagnosis and treatment are different. Reports of thoracoscopic treatment of DAA are rare. We report a description of our diagnostic and therapeutic approach and evaluate outcomes. Material & Methods: We reviewed charts of infants with double aortic arch who were hospitalized in our department from 2008 to 2014. Age at symptom onset, clinical presentation, diagnostic modality, operative details and post operative outcomes were retrieved. Results: We identified 7 patients presenting at a median age of 11,8 months (range: 2 months-27 months) and median weight of 10kg. Respiratory symptoms were present in all cases. Difficulties in feedings were present in 3 cases. Chest radiography, oesophagogram and Computed Tomography (CT) with three-dimentional (3D) reconstructions were performed for all patients. One patient had laryngo tracheoscopy and 3 patients echocardiography. The dominant branch was the right one in all cases. Associated cardiac anomaly was found in 1 case. Operative approach was thoracotomy in 3 cases and thoracoscopic video assisted surgery (VATS) in 4 cases. Median operative time was 132 min. Only one patient required conversion. Median hospital stay was 4,1 days. Conclusion: Double aortic arch is a rare malformation which can cause persistent non specific respiratory symptoms in infants. The use of 3D-CT scan reconstruction facilitates diagnosis and the operative approach. Thoracoscopy and thoracotomy are effective procedures even for patients with low body weight. The operative time seems similar for both approaches. Thoracoscopy offers less post-operative analgesia requirement, shorter hospital stay and good cosmetic results.

Background: Congenital epidermolysis bullosa (CEB) is a rare genodermatosis. The digestive system is very frequently associated with skin manifestations. Pyloric atresia (PA) and oesophageal stenosis (OS) are considered the most serious digestive lesions to occur.The aim of this work is to study the management and the outcome of digestive lesions associated to CEB in four children and to compare our results to the literature. Patients and Methods: A retrospective study of four observations: Two cases of PA and two cases of OS associated to CEB managed in the Paediatric Surgery Department of Fattouma Bourguiba Teaching Hospital in Monastir, Tunisia. Results: Four patients, two of them are 11 and 8 years old, diagnosed as having a dystrophic epidermolysis bullosa since the neonatal period. They were admitted for the investigation of progressive dysphagia. Oesophageal stenosis was confirmed by an upper contrast study. Pneumatic dilation was the advocated therapeutic method for both patients with afavourable outcome. The two other patients are newborns, diagnosed to have a CEB because of association of PA with bullous skin lesions with erosive scars. Both patients had a complete diaphragm excision with pyloroplasty. They died at the age of 4 and 3 months of severe diarrhoea resistant to medical treatment. Conclusion: Digestive lesions associated to CEB represent an aggravating factor of a serious disease. OS complicating CEB is severe with difficult management. Pneumatic dilatation is the gold standard treatment method. However, the mortality rate in PA with CEB is high. Prenatal diagnosis of PA is possible, and it can help avoiding lethal forms.

Background: The definitive treatment of Hirschsprung′s disease is the removal of the aganglionic bowel by a pull-through surgery. In most cases, this surgery is performed in infancy or in the neonatal period as presentation in older children and adulthood is uncommon. Materials and Methods: It is a retrospective study of 20 patients above two-year-old who underwent a transanal Soave one-stage endorectal pull-through procedure for Hirschsprung′s disease between January 2002 and December 2010. Results: Twenty patients were recruited in this study. Fourteen were males and six were females. Patient ages ranged from 2 to 14 years (median age: five years and three months). All patients presented with persistent constipation and abdominal distension. Two of them had an intestinal obstruction that required colostomy. Ten patients (50%) had a recto-sigmoid Hirschsprung′s disease. All patients were operated on using a Soave one-stage endorectal pull-through procedure. The laparoscopy was necessary during the pull-through in three cases. The average duration of the intervention was 240 minutes. That represents almost the double of the duration of the same procedure in newborns and infants in our department (130 minutes). Early postoperative complications included one case of anastomosis leakage and one case of intussusception. Late postoperative complications were perineum irritation in five cases (25%), anal stenosis in four cases (20%) and enterocolitis in one case (5%). None of our patients developed fecal incontinence. Soiling was reported in four cases (20%). There was no death. Conclusion: Soave transanal one-stage endorectal pull-through is safely feasible in children of more than two years of age. Laparoscopy may be necessary whenever there are difficulties in the pull-through.

Background: Although the association of urinary lithiasis and urinary tract malformation is not rare, their management poses challenges. The aim of this study was to evaluate the relationship between urolithiasis and malformations of the urinary system. There were 34 patients (19 males and 15 females) with a mean age of 4.8 years (range, 2 months to 14 years). All patients had urinary lithiasis with a urinary tract malformation. Abdominal pain was the most frequent clinical symptom (38%). Urinary infection was found in 7 patients (21%) and macroscopic haematuria was present in 10 patients (29%). The most frequent urinary tract malformations were megaureter (8 cases), uretero-pelvic junction obstruction (7 cases) and vesico-ureteric reflux (8 cases), but its malformative origin could not be confirmed. Treatment consisted of lithiasis extraction in 32 cases associated with specific treatment of the uropathy in 27 cases. Postoperative outcome was uneventful in all cases. In fact, urinary lithiasis and urinary tract malformation association is not rare. Indeed, 9-34% of urinary lithiasis are noted to be associated with urinary tract malformation. Positive diagnosis relies specifically on kidney ultrasound, intravenous urography, and urethrocystography. Treatment depends on the type of urinary tract malformation, localisation and size of the urinary lithiasis. Conclusion: In conclusion, urinary lithiasis and urinary tract malformation association is a frequent eventuality. Surgical intervention is the usual mode of treatment.

Background: Wound infection is the most frequent complication in burn patients. There is a lack of guidelines on the use of systemic antibiotics in children to prevent this complication. Patients and Methods: A prospective study is carried out on 80 patients to evaluate the role of antibiotic prophylaxis in the control of infections. Results: The mean age was 34 months (9 months to 8 years). There was a male predominance with sex ratio of 1.66. The mean burn surface size burn was 26.5% with total burn surface area ranging from 5% to 33%, respectively. According to American Burn Association 37% (30/80) were severe burns with second and third degree burns >10% of the total surface body area in children aged

Background: Lipoblastoma is a rare benign mesenchymal tumour of embryonal fat that occurs almost exclusively in infants and children. This determined the epidemiological, clinical and therapeutic aspect of this disease. Materials and Methods: A total of 10 cases of pathologically proven lipoblastoma from 2003 to 2012 were reviewed. Results: There were six boys and four girls ranging in age from 7 months to 9 years. A soft-tissue mass was the main complain in nine patients. The various locations of the mass were mediastinal, thigh, buttock, inguino-scrotal, the greater omentum and the Latissimus dorsi. Lesions measured 5-15 cm. complete excision was done. The median time of follow-up was 42 months (ranges between 18 and 84 months). There were no recurrences. Conclusion: It is important to consider lipoblastoma in the diagnosis of a rapidly enlarging fatty mass in children. Complete resection is the only definitive treatment and should not be delayed when impingement on surrounding structures is imminent. There is a tendency for these lesions to recur despite presumed complete excision. Therefore, follow-up for a minimum of 5 years is recommended.

Background: Recurrent intussusceptions in child and infants are problematic and there are controversies about its management. The aim of this study is to determine the details of the clinical diagnosis of recurrent intussusception and to determine the aetiology of recurrent intussusceptions. Patients and Methods: It′s a retrospective study of 28 cases of recurrent intussusception treated in the paediatric surgery department of Monastir (Tunisia) between January 1998 and December 2011. Results: During the study period, 505 patients were treated for 544 episodes of intussusception; there were 39 episodes of recurrent intussusceptions in 28 patients; the rate of patients with recurrence was 5.5%. With comparison to the initial episode, clinical features were similar to the recurrent episode, except bloody stool that was absent in the recurrent group (P = 0,016). Only one patient had a pathologic local point. Conclusion: In recurrent intussusception, patients are less symptomatic and consult quickly. Systematic surgical exploration is not needed as recurrent intussusceptions are easily reduced by air or hydrostatic enema and are not associated with a high rate of pathologic leading points.

Pyloric atresia (PA) is uncommon. It occurs in 1:100000 live births. Neonates usually present soon after birth with copious non-bilious vomiting. The treatment is surgical and its prognosis is poor, especially, when it is associated with epidermolysis bullosa (EB). The aim of this study was to evaluate the clinical presentation, diagnosis, operative management, post-operative courses, and outcome in infant with PA, based in our cases and literature review. Charts of 10 patients who underwent surgery for PA in the department of paediatric surgery in a Teaching Hospital in Tunisia (Monastir) between 1990 and 2012 were reviewed. Data were analysed for demographic, clinical, therapeutic, and prognostic characteristics. The average of age at presentation was 2 days and there were six males and four females. The main presenting symptoms were non-bilious vomiting in 90% of cases. Abdominal X-ray showed gastric dilatation with an absence of gas in the rest of the intestinal tract in 90%, and a pneumoperitoneum in one. The surgical approach was laparotomy in all cases. Gastric perforation was observed in one patient and was completely repaired. The distribution of the anatomic variations was type A in nine cases and type B in one. Five patients underwent excision of the diaphragm and Heineke-Mikulicz pyloroplasty and gastroduodenostomy in the other five cases. Identified associated anomalies were Down′s syndrome in one and EB in 2 (20%), one family has three affected sibling. Post-operative mortality rate was 70%. No standard surgical approach can be adopted a better management of PA or the associated anomalies depends on an early diagnosis and the availability of neonatal intensive care unit.

Near total aganglionosis represents the most extreme and rare form of Hirschsprung's disease. It can affect more than one member of family. We report three cases of near total intestinal aganglionosis in a family presenting with intestinal obstruction at birth. All of them were operated and a jejunostomy was performed. Outcome was dismal.

Mesenteric cysts are documented as a rare entity in pediatric population. They are considered as benign intra-abdominal tumors with an unknown etiology. Symptoms are not specific and knowledge of such condition is essential in order to establish a proper management. We report three pediatrics cases of mesenteric cysts managed between 2000 and 2009 in the pediatric surgery Department of Monastir College Hospital. We described the clinical, radiological and operative findings. Two males and a female were managed (age range: 10 days-5years, mean age: 6,3years). Two patients were presented with an intestinal obstruction. A preoperative diagnosis was made basing on imaging. Thus, abdominal ultrasonography was performed in all of our reported cases and showed a cystic mass in all cases. The cystic nature of the mass, its margins and its extension were better described on tomographic images. The mesenteric cyst was completely and successfully removed in all cases. The histopathological report confirmed the diagnosis and showed a multiloculated cyst with columnar mesothelial lining, without any defined muscular layer or cellular atypia and without any evidence of malignancy. The children were evaluated post-operatively with a mean follow-up of 2 years and a half. No recurrence was noted in our patients during the follow-up period. It is known that clinical features are not specific of such anomaly but once the diagnosis is made, the complete surgical removal of the cyst remains the treatment of choice with excellent outcomes., Competing Interests: The authors declare no competing interest.

Background: Open surgery is the standard option for the treatment of hydatid pulmonary cysts. Surgeons are able to replicate the principles of conventional surgery using minimally invasive techniques ,in particular thoracoscopy. However, there are few reports about this subject in children. To our knowledge, this is one of the biggest pediatric series ever reported in the literature. aim: the purpose of this study was to determine the best indications of the thoracospic surgery for the treatment of the pulmonary hydatid cysts in children. methods: We report a series of 25 cases with pulmonary hydatid cysts treated using the thoracoscopic approach from 2005 to 2009. We retrospectively analyzed the patients' sex, age, symptoms, biological data, characteristics of hydatid cysts (location, number and size) and the medical treatments. Pulmonary hydatid cyst diagnosis was performed on Chest x-ray, abdominal ultrasound and biological data in all the cases. Tomography was not systematic. All patients underwent video-assisted surgery. A conversion to thoracotomy was conducteded in 2 cases. All the patients had a chest tube and received an antibio-prophylaxy , without Albendazol . A concurrent hydatid cyst at the opposite lung or in the peritoneal cavity was treated later. results: There were 25 cases with a sex ratio of 2.1 and a mean age of 8 years. All the patients underwent a video-assisted surgery. A conversion to thoracotomy was performed in 2 cases because hydatid cysts were large (size > 8 cm). The average duration of the procedure was 75 minutes. In the post-operative course, one patient presented an air leak which required a prolonged chest drainage for 16 days and a second one was treated for lung infection. In all the other cases, the follow-up was uneventful., Conclusion: The thoracoscopic approach for pulmonary hydatid cysts in children is feasible. For better results, it is recommended for cysts smaller than 5 cm.