Pediatric vulvo-vaginal lacerations in a community-based population

Ladaga, Nathaniel; Busman, Meredith; Ouellette, Lindsey; Ambrose, Lisa; Solis, Stephanie; Rossman, Linda; Seamon, Jason P.; Kolacki, Christian; Jones, J. Stephen

doi:10.1016/j.ajem.2021.06.021

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Superficial injuries with an average size of 1.1 cm were detected in 60.7% of the cases. 34.8% of the patients were sedated in the emergency room and 4.8% were operated in the operating room [14]. In our study, male patients were also evaluated, and 19 (65%) of the female patients and 20 (66%) of the male patients were discharged with medical treatment.…”

Section: Discussionmentioning

confidence: 94%

Management of Genital, Anal, and Perineal Trauma in Children: 10 Year Experience

Gunduz,

Cicekci,

Ozcan Siki

et al. 2023

WJS

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Purpose: Accident or abuse play a role in the etiology of genital, anal and perineal traumas in children. It was aimed to evaluate the genital injury scores and treatment modalities of patients injured as a result of accidents. Methods: After the approval of the local ethics committee, the files of the patients who were treated for genital, anal and perineal trauma in a tertiar center between November 2011 and December 2021 were reviewed retrospectively. An evaluation was made by revealing the gender, age, mechanism of trauma, physical examination findings and treatment modalities of the patients. Results: In this period 59 patients including 30 male and 29 female were treated with mean age of 7.5 year. Genital injury score was determined in trauma caused by running, walking or falling on an object, falling off a bicycle, fighting and non-vehicle traffic accident. Penile hematoma, abrasion, tissue defect, scrotal edema-hematoma-pain, laceration, testicular pain, perineal-perianal laceration, labium majus-minus laceration, abrasion, tissue defect, hymen laceration, laceration in anal sphincter and rectal mucosa were observed. In addition to medical treatment, primary repair, perineoplasty, colostomy, anoplasty, hymenoplasty, sphincteroplasty and debridement were performed. Recovery was uncomplicated. Conclusion: The most common cause of trauma in children is falls, and patients with low genital injury scores on physical examination require medical treatment and/or primary repair with local anesthesia, while those with high levels require examination and surgical treatment under general anesthesia.

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Section: Discussionmentioning

confidence: 94%

Management of Genital, Anal, and Perineal Trauma in Children: 10 Year Experience

Gunduz,

Cicekci,

Ozcan Siki

et al. 2023

WJS

View full text Add to dashboard Cite

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Utilizing Un-enhanced Chest Computed Tomography Screening for Blunt Trauma Surgery Decisions

Baseer,

Noor,

Aman

et al. 2024

Cureus

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Background Blunt chest trauma is a common and potentially life-threatening condition that requires prompt assessment for potential surgical intervention. Computed tomography (CT) of the chest has emerged as a valuable tool due to its heightened sensitivity and specificity in detecting thoracic injuries compared to conventional chest radiography. Objective This study aims to assess the impact of non-contrast CT chest findings on surgical decision-making and compare these findings with those from chest radiographs. Methods The study was conducted at the Accident and Emergency Department of Medical Teaching Institute, Lady Reading Hospital, Peshawar, Khyber Pakhtunkhwa, Pakistan. Patients of all ages and genders who presented with blunt chest trauma were included. Non-contrast CT chest scans were used as an initial screening tool and compared with traditional chest radiographs. Data collected included patient demographics, mechanism of injury, diagnostic findings, and treatment decisions. Imaging was performed using a GE Optima 16-slice scanner (Medsystems Sp. z o.o., Lublin, Poland). Results The study included 246 patients, of whom 210 (85.4%) were males. The most common age group was 50 years or older, comprising 71 (28.9%) of the sample. The predominant mechanism of trauma was road traffic accidents, reported by 188 (76.4%) patients. Hemopneumothorax was detected in 121 (49.2%) patients on CT scans compared to 34 (13.8%) patients on chest radiographs. On chest radiograph, the pneumothorax component was missed in 43 (17.5%) patients, and the hemothorax component was not detected in 21 (8.5%) patients. Patient management included conservative management in 30 (12.2%) cases and surgical intervention in the form of unilateral tube thoracostomy in 173 (70.3%) patients or bilateral tube thoracostomy in 43 (17.5%) patients. Conclusion Our study supports the use of non-contrast CT scans as a reliable diagnostic tool for blunt chest trauma, consistent with current literature. This approach facilitates prompt management decisions, particularly for initiating tube thoracostomy based on findings of pneumothorax and hemothorax. The rarity of mediastinal great vessel trauma further justifies minimizing routine contrast use, thereby enhancing the efficiency of trauma evaluations.

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Pediatric vulvo-vaginal lacerations in a community-based population

Cited by 2 publications

References 10 publications

Management of Genital, Anal, and Perineal Trauma in Children: 10 Year Experience

Management of Genital, Anal, and Perineal Trauma in Children: 10 Year Experience

Utilizing Un-enhanced Chest Computed Tomography Screening for Blunt Trauma Surgery Decisions

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