AUCTORES
Globalize your Research
Case Report | DOI: https://doi.org/10.31579/2690-4861/896
Physical therapist, general practitioner, and Master's degree in advanced ulcer and wound management. Director of CIP CIMA, San José, Costa Rica.
*Corresponding Author: Eugenia París Coronado, physical therapist, general practitioner, and Master's Degree in Advanced Ulcer and Wound Management. Director of CIP CIMA, San José, Costa Rica.
Citation: Eugenia P. Coronado, (2025), Advanced Wound Management in Suprapubic Pyoderma Gangrenosum Following Cesarean Section: A Strategic Therapeutic Approach, International Journal of Clinical Case Reports and Reviews, 29(4); DOI:10.31579/2690-4861/896
Copyright: © 2025, Eugenia París Coronado. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 23 June 2025 | Accepted: 04 August 2025 | Published: 11 September 2025
Keywords: pyoderma gangrenosum; skin condition; advanced wound management; surgical wound; magnetotherapy
Pyoderma gangrenosum (PG) is a rare, painful skin condition characterized by rapidly progressing necrotic ulcers. Due to its complexity, it requires advanced wound management involving thorough assessment, multidisciplinary care, and appropriate use of wound care technology. This case report presents a patient who developed suprapubic PG as a postoperative complication following cesarean delivery. Specialized treatment was administered at the Wound Care Clinic (CH), including the application of antiseptic and bioactive topical agents, a range of advanced dressings -such as nonadherent films, antimicrobial-coated materials, silver-based hydrogels, and collagen matrices-, and the use of adjunctive therapies like magnetotherapy. A structured wound care strategy was implemented, emphasizing decontamination, protection, and the facilitation of tissue regeneration. The intervention resulted in complete reepithelialization and progressive surgical wound closure without further complications. This case underscores the value of advanced wound care protocols in managing complex presentations of PG and highlights the importance of tailored, multidisciplinary approaches in achieving favorable clinical outcomes.
Pyoderma gangrenosum (PG) is an uncommon neutrophilic dermatosis of uncertain etiology, clinically characterized by painful, rapidly progressive necrotic ulcers with irregular borders. Current evidence points to the overproduction of proinflammatory cytokines -such as Th1, TNF-α, IL-6, and IL-8- as contributors to sterile inflammation driven by neutrophil chemotaxis [1-4]. PG may present at any age, with a reported prevalence of approximately 5.8 cases per 100,000 adults in the United States [5]. Although its pathogenesis remains incompletely understood, immune dysregulation is widely considered a central mechanism [1]. Clinically, PG is classified into six variants: ulcerative (the most prevalent), pustular, bullous, vegetative, peristomal, and postoperative [1,2]. Lesions are typically located on the lower extremities, buttocks, abdominal region, and face, and often manifest as painful necrotic ulcers with potential for permanent scarring [4-6].
Due to its complexity, PG necessitates a comprehensive and specialized wound management strategy [2]. This includes a detailed assessment of the wound’s microenvironment -encompassing molecular, infectious, and genetic factors-alongside coordinated multidisciplinary care and the integration of advanced wound care technologies [7]. The healing process follows a sequence of cellular and molecular events, beginning with vasoconstriction and coagulation and progressing toward tissue regeneration [8]. A thorough patient evaluation should incorporate medical history, laboratory testing, imaging studies, and nutritional assessment. In parallel, wound evaluation must address key parameters such as size, depth, exudate volume and characteristics, condition of surrounding skin, signs of infection, and pain severity [7].
Following a comprehensive evaluation, individualized treatment goals and plans are established -encompassing wound cleansing frequency, appropriate dressing selection, and the use of technologies designed to sustain a moist healing environment and prevent reinfection [2, 7, 8]. One such adjunctive modality is magnetotherapy, which involves the therapeutic application of electromagnetic fields. Since the 19th century, studies have explored the biological effects of magnetic fields on living systems. Magnetotherapy promotes cellular regeneration and collagen formation by restoring membrane potential and correcting ion imbalances within injured tissues [9,10]. As a complementary approach, magnetotherapy may improve wound healing outcomes when integrated with conventional pharmacological interventions [9].
Optimal dressing selection plays a pivotal role in wound management. Contemporary dressings are designed to maintain a moist environment, prevent infection, facilitate gaseous exchange, and modulate local inflammatory responses through cytokine regulation. Essential attributes include biocompatibility and non-toxicity to ensure safe application across diverse wound types [8]. Among available options, collagen-based dressings are extensively utilized due to their regenerative capacity and compatibility with native tissue. Collagen promotes fibroblast and keratinocyte function, enhances the synthesis of extracellular matrix proteins, and supports tissue remodeling—rendering it particularly effective in the management of epithelial wounds [7, 8, 11, 12].
The primary aim of this case report is to demonstrate the effectiveness of advanced wound management strategies—including the use of specialized dressings and complementary therapies like magnetotherapy—in promoting healing and achieving full epithelialization in a complex case of suprapubic pyoderma gangrenosum (PG) following a cesarean section. By detailing an interdisciplinary, personalized treatment approach, the article contributes valuable insights into clinical practices for managing rare and challenging postoperative skin conditions.
A 34-year-old female patient, previously healthy and nulliparous, experienced an uncomplicated pregnancy and underwent a cesarean section on November 28, 2022. The procedure was uneventful, and she was discharged 24 hours postoperatively. Three days later, on December 1, she reported the onset of fever and general malaise. By December 3, wound dehiscence had developed, measuring approximately 2 cm in length and presenting with a brownish discoloration. On December 4, 2022, the wound exhibited a marked change in coloration, appearing violet, along with increased extension compared to the previous day. The patient reported a fever reaching 39 °C, abdominal pain, jaundice, and a foul odor emanating from the wound site (Figure. 1).
Figure 1: Increased dehiscence of the wound, with color change (violet), jaundice, and foul odor. Source: Dr. Rauff, 2022.
Following an evaluation by her attending gynecologist, a referral was made for interdisciplinary management involving specialists in Infectious Diseases, Dermatology, and Intensive Care. That same day, the patient underwent surgical debridement of the affected area (Fig. 2), after which the wound was closed surgically.
Figure 2: Surgical cleaning of the wound. Source: Dr. Rauff, 2022.
By December 11, 2022 -one week after surgical closure- partial wound edge separation was observed (Figure. 3). Based on clinical presentation and histopathological findings from biopsies of suprapubic tissue, Dermatology confirmed a diagnosis of pyoderma gangrenosum. The patient was referred to the Wound Care Clinic (CH) for specialized evaluation and advanced wound management. Systemic corticosteroid therapy was initiated. Dermatology further emphasized the importance of gentle wound care and advised the use of non-irritating topical products to minimize trauma and support healing. During the CH’s initial assessment, poorly defined lesions were identified, measuring approximately 4 cm on the right and 3 cm on the left, with abundant yellowish serous exudate. The right side was sutured by Plastic Surgery, while the left was left open in accordance with Dermatology’s guidance to continue conservative, specialized care under CH supervision.
Figure 3: Initial separation of the edges of the surgical wound in the patient. Source: Own, 2022.The initial treatment selected by the CH involved cleansing the wound with a sodium hypochlorite solution for five minutes, followed by the application of a biological dressing designed to promote microbial binding. Four hours later, the patient reported excessive exudate and intolerance to the dressing. The wound was cleansed again with the same antiseptic solution, and an antimicrobial silver-based dressing -formulated to absorb excess fluid and maintain a moist healing environment- was applied, with dressing changes scheduled every 24 hours. On December 13, 2022, the patient presented with dehiscence of the wound's left margin, measuring approximately 7 cm, accompanied by abundant exudate and erythematous peri-wound tissue (Figure. 4).
Figure 4: Separation of the left edge of the wound, with an extension of 7 cm, abundant exudate, and edges surrounded by reddish coloration. Source: Own, 2022.
The clinical team continued treatment using a silver-based antimicrobial dressing as the primary layer, secured with an adhesive bandage. To support wound stability and reduce tension in the abdominal area, a binder was added to the therapeutic approach (Figure. 5).
Figure 5: An abdominal binder was added to the treatment. Source: Own, 2022.
By December 17, 2022, additional dehiscence was noted along the left edge of the wound, measuring approximately 4 cm by 1 cm, characterized by a pearly gray base and erythematous margins. Exudate levels appeared to be better controlled at this stage (Figure. 6).
Figure 6: Wound with further separation of the edges in a section of the left edge, with an extension of 4 cm x 1 cm, pearly gray coloration, and erythematous borders, with better control of the exudate. Source: Own, 2022.
The CH maintained the use of an antimicrobial silver dressing as the primary layer, secured with an adhesive support. On December 26, 2022, additional wound edge separation was noted, reaching a depth of 2 cm. The edges were detached from the base with minimal exudate present (Figure. 7).
Figure 7: Further separation of the wound edges, with a depth of 2 cm, edges lifting from the bottom with minimal exudate. Source: Own, 2022.
At this stage, the CH opted to fill the lesion with a hydrofiber dressing containing silver, chosen for its antimicrobial action and stability in both moist and dry conditions. The site was then covered with an outer antimicrobial layer and secured using an adhesive bandage. Ongoing communication with the attending physician supported treatment planning, including the introduction of corticosteroids. Dressing changes were scheduled at 72-hour intervals.
By January 4, 2023 -just over a week later-the wound exhibited reduced depth, increased granulation tissue formation, and minimal exudate (Figure. 8).
Figure 8: Wound with less depth, more granulation tissue, and minimal exudate. Source: Own, 2023.
Residual sutures were observed maintaining edge approximation and were subsequently removed. The dressing protocol remained unchanged, with applications scheduled every 72 hours. One week later, by January 11, 2023, the wound margins appeared healthy, and the wound bed measured approximately 4 cm × 3 cm, with visible granulation tissue and minimal exudate (Figure. 9).
Figure 9: Wound with healthy edges, a bed of 4 cm x 3 cm with granulation tissue and minimal exudate. Source: Own, 2023.
Dermatology recommended tapering the prednisone dosage by 5 mg weekly over four weeks, beginning at 55 mg. For wound management, the CH employed a silver-infused hydrofiber dressing secured with an adhesive bandage. In response to continued lesion activity and suboptimal healing progression, daily magnetotherapy was initiated. The therapy consisted of fifteen 30-minute sessions, calibrated to 200 gauss and 49 Hz. To facilitate continuity of care, the patient was provided with a portable device for home-based application.
On January 16, 2023, the CH initiated simultaneous treatment with magnetotherapy and collagen-based dressings. Following wound cleansing with a sodium hypochlorite solution, a collagen sheet was applied to cover the entire wound bed, leaving a 0.5 cm margin beyond the wound edges. An adhesive dressing was used as a secondary layer, with dressing changes scheduled every three days. This combined approach led to noticeable and accelerated improvements in wound closure. By January 30, 2023, the wound edges were well-adhered to the underlying dermis, and the lesion had reduced in size to approximately 1 cm × 0.5 cm, with minimal exudate. Both the depth and separation of the wound had significantly improved, and the wound bed demonstrated robust, healthy granulation tissue (Figure. 10).
Figure 10: Lesion with edges adhered to the dermal layers, measuring 1 x 0.5 cm, with minimal exudate, reduced depth, and good-quality granulation tissue. Source: Own, 2023.
The integrated approach combining collagen-based dressings with magnetotherapy contributed substantially to the accelerated healing process. By February 20, 2023, the wound had contracted to a diameter of 0.2 cm, presenting with healthy granulation tissue, absence of exudate, and no reported complications. Collagen-based dressing therapy was maintained in the wound bed. Systemic corticosteroid therapy was discontinued; however, Dermatology confirmed continued tapering of prednisone, with the dose at that time set at 40 mg. Between February 20 and March 27, 2023, the wound remained stable, with no notable changes. Incomplete epithelialization persisted, and the lesion measured approximately 0.5 × 0.2 cm, characterized by healthy granulation tissue, absence of exudate, and no signs of infection (Figure. 11).
Figure 11: Granulation tissue lesion measuring approximately 0.5 x 0.2 cm. Source: Own, 2023.
Low-dose corticosteroid therapy was reinitiated by Dermatology, with a recommended gradual tapering of prednisone at a rate of 10 mg per week. Wound care continued every 72 hours, including cleansing with a sodium hypochlorite solution and the application of collagen-based dressings. Additionally, topical micronutrients -comprising ionic zinc, calcium, magnesium, sodium, and vitamins A and B6- were applied to the wound margins, followed by adhesive dressing coverage.
By March 28, 2023, the wound was being managed with collagen-based dressings in combination with topical micronutrient therapy. However, signs of cutaneous irritation were noted, likely resulting from friction with denim clothing (Figure. 12).
Figure 12: Wound in recovery, seemingly affected by rubbing against denim pants. Source: Own, 2023.
The treatment protocol remained unchanged. On April 10, 2023, the patient’s progress was confirmed, with complete epithelialization of the wound and sustained closure, absent any exudate. Healing was achieved without complications, attributable to the advanced wound care delivered by the CH (Figure 13). No further corticosteroid therapy was indicated, following a final taper to 2.5 mg of prednisone, as previously recommended by Dermatology.
Figure 13: Fully epithelialized wound. Source: Own, 2023.
The clinical presentation of PG is notably heterogeneous. In this case, the lesion was morphologically categorized as ulcerative and, due to its atypical progression, further classified as a clinical variant (postoperative). This aligns with the predominant phenotype reported in the literature [1,2], as the lesion originated as an inflammatory pustule at a site of recent trauma—a cesarean section incision. The condition evolved with the development of an erythematous halo extending over previously unaffected skin, followed by central ulceration and severe pain. In this case, the ulcer exhibited an elevated inflammatory border with a bullous configuration, violaceous discoloration, and a secretion-covered base. The lesion progressed asymmetrically -advancing more rapidly on the left side and more slowly on the right- forming a serpiginous pattern consistent with published descriptions [2-4]. Although PG typically manifests on the trunk and lower extremities [1,3], this presentation involved the suprapubic region, arising at a site of surgical trauma following cesarean delivery and associated with wound dehiscence. The diagnosis of PG is primarily clinical, with histopathological evaluation serving as a complementary tool to exclude other differential diagnoses [2]. In this case, Dermatology established the diagnosis based on clinical presentation, which was subsequently reconfirmed by biopsy findings. Additionally, Crohn’s disease and other potential underlying conditions were ruled out during the diagnostic process. Although no specific laboratory markers exist for the diagnosis of pyoderma gangrenosum, leukocytosis—particularly with a predominance of polymorphonuclear cells—and elevated acute-phase reactants are frequently observed [3]. In this case, laboratory testing revealed an increased white blood cell count, supporting the presence of systemic inflammation.
Currently, no standardized clinical guidelines exist for the treatment of PG [13]. Consequently, management relies on suppressing the inflammatory response and implementing optimized wound care to support healing. Although initial improvement may be observed, full remission often requires prolonged complex and challenging treatment [1]. These therapeutic principles were fully reflected in the clinical progression and outcome documented in this case. In this case, the CH oversaw the management and recovery process, tailoring treatment objectives to the lesion’s underlying etiology [14]. A comprehensive wound assessment guided the selection of interventions aimed at promoting epithelialization and minimizing the risk of reinfection. Management included antimicrobial cleansers, topical micronutrients, and advanced primary and secondary dressings. Complementary therapies—such as magnetotherapy—were integrated into a structured wound care regimen. This multidisciplinary, evidence-informed approach proved highly effective in treating pyoderma gangrenosum–related lesions [7].
Therapeutic management of PG remains highly individualized, as no universally effective treatment has been established [13,14]. In most cases, localized wound care serves as an adjunct to systemic therapy, commonly involving immunosuppressive or immunomodulatory agents [4,5]. In this case, treatment combined oral corticosteroids with advanced wound care—incorporating biological and silver-based dressings, alongside magnetotherapy—achieving complete epithelialization within four months. Systemic corticosteroids represent a first-line therapeutic option for PG due to their prompt efficacy, affordability, and ease of administration, with prednisone being the agent of choice [2,3]. In this case, Dermatology initiated treatment with 60 mg of prednisone daily, subsequently tapering the dose in alignment with the patient’s clinical improvement until complete discontinuation upon full resolution of the lesion.
The concurrent use of alternative therapies -specifically magnetotherapy combined with collagen-based dressings- played a key role in promoting accelerated epithelialization through non-invasive mechanisms. These effects were consistently observed during each wound care session conducted by the CH. In this case, magnetotherapy supported wound closure and pain relief, aligning with documented evidence of electromagnetic fields’ influence on cellular regeneration and their physiological and biochemical impact [7, 9]. The integration of pharmacologic interventions with complementary therapies -such as advanced wound care and magnetotherapy- resulted in complete and satisfactory resolution of the pyoderma gangrenosum lesion documented in this case.
This case underscores the complexity of managing pyoderma gangrenosum (PG), a condition that requires prolonged care, specialized wound management, and interdisciplinary collaboration. Timely diagnosis and thorough wound assessment are critical in guiding an effective, adaptable treatment plan. A combination of pharmacologic and complementary therapies -including wound cleansing, biological dressings, collagen-based materials, and magnetotherapy- successfully promoted complete epithelialization and 100% wound closure without complications or continued steroid use. The case illustrates that PG management must be tailored to the wound’s dynamic healing trajectory, using gentle, phase-specific interventions to prevent tissue damage and avoid enlarging the wound cavity. This case contributes valuable clinical evidence supporting innovative advanced wound management techniques in complex PG presentations.
The authors would like to express their sincere gratitude to all individuals who contributed to the completion of this work. Special thanks are extended to the team of doctors: Rauff A, Soria T, González D, for their guidance, support, and valuable input throughout the manuscript preparation.
No funds, resources or financial support from individuals or grant particulars, so there is no conflict of interest. The author is the only contributor for design, data collection, and preparation of article.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
