Citation

Iqbal CW, Jrebi NY, Zielinski MD, Benavente-Chenhalls LA, Cullinane DC, Zietlow SP, Moir CR, Ishitani MB. J. Pediatr. Surg. 2010; 45(5): 930-933.

Affiliation

Department of Surgery, Mayo Clinic Rochester, Rochester, MN 55905, USA.

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.jpedsurg.2010.02.024

PMID

20438929

Abstract

BACKGROUND/PURPOSE: The aim of this study was to define the injury patterns of accidental genital trauma (AGT) in female patients and examine the indications and outcomes of operative intervention. METHODS: Review of patients younger than 16 years with AGT from 1980 to 2007 excluding sexual- and obstetric-related injuries. RESULTS: One hundred sixty-seven patients met the criteria. Mean (+/-SEM) age was 6.9 (0.2) years. There were 70.5% straddle injuries, followed by nonstraddle blunt injuries (23.5%) and penetrating injuries (6.0%). Injuries to the labia were most frequent (64.0%). Injuries to the posterior fourchette (7.8%) and hymenal disruption (8.4%) were less frequent. There was 87.9% of AGT that was managed expectantly without further sequelae. Twenty patients (12.1%) were managed operatively. Penetrating injuries were more likely to require operative management (P

Language: en