Details

Autor(en) / Beteiligte

• Kim, Kidong, MD
• No, Jae Hong, MD
• Kim, Yong-Beom, MD
• Lee, Jin Hee, MD
• Rhee, Joong Eui, MD

Titel

Patterns of Accidental Genital Trauma and Factors Associated with Surgical Management in Girls Visiting the Emergency Department of a Referral Center

Ist Teil von

• Journal of pediatric & adolescent gynecology, 2014-06, Vol.27 (3), p.133-137

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Study Objective To examine our experience with the management of accidental genital trauma (AGT) and to identify variables associated with surgical management or admission in girls aged ≤15 y. Design A retrospective, observational study. Setting Tertiary referral hospital. Participants Girls with AGT visiting the emergency department (ED) between 2003 and 2011. Interventions None. Main Outcome Measures Admission rate and surgery rate. Results AGT was the cause in 159 out of 327 girls (49%) who visited the Gynecologic Division of ED; and in girls aged ≤10 years, AGT accounted for 78% of the visits (145/187). Twenty girls (13%) were admitted to the hospital and 38 girls (24%) underwent surgical management. Girls who visited the ED during daytime and those with laceration-type or large lesions tended to receive surgical management. Girls with large lesions also tended to be admitted to the hospital. Conclusion AGT is the major gynecologic cause of ED visits in girls. Time of visit, type and size of lesion were associated with surgical management. Lesion size was also a determinant for admission in girls with AGT. Gynecologists must be familiar with the evaluation and management of girls with AGT.