@article{ref1,
title="Patterns of Accidental Genital Trauma and Factors Associated with Surgical Management in Girls Visiting the Emergency Department of a Referral Center",
journal="Journal of Pediatric and Adolescent Gynecology",
year="2014",
author="Kim, Kidong and No, Jae Hong and Kim, Yong-Beom and Lee, Jin Hee and Rhee, Joong Eui",
volume="27",
number="3",
pages="133-137",
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. <br><br>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. <br><br>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. <br><br>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.<p /><p>Language: en</p>",
language="en",
issn="1083-3188",
doi="10.1016/j.jpag.2013.09.005",
url="http://dx.doi.org/10.1016/j.jpag.2013.09.005"
}