Surgical management of traumatic perineal injury in female children: A report of two cases

Olaotan, Oyinloye Adewale; Samuel, Wabada; Uruku, Rikin Christopher; Mohammed, Abubakar Auwal

doi:10.1016/j.ijscr.2023.107874

Cited by 3 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Successful results were obtained by performing repairs similar to the PSARP technique in 2 patients with a GIS score of 4 as a result of falling, in which the primary repair was unsuccessful [13]. Although the described technique is used in very few cases in the literature, we think that it can be an alternative in secondary cases.…”

Section: Discussionmentioning

confidence: 93%

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

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.

show abstract

Section: Discussionmentioning

confidence: 93%

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

show abstract

Successful Use of Acellular Small Intestinal Submucosa Graft in Vaginal Reconstruction

Papastefan,

Collins,

Mueller

et al. 2024

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Anal Sphincter Reconstruction Using the Posterior Sagittal Approach for Pediatric Perineal Trauma

Ryan,

Xu,

et al. 2024

European J Pediatr Surg Rep.

View full text Add to dashboard Cite

Objectives: Traumatic perineal injuries are rare but can result in significant morbidity, particularly when the anal sphincter is injured. The management of such injuries in the pediatric population is rarely noted in the literature. We aimed to describe reconstruction in such patients using lessons learned in reoperative anorectal malformation surgery. Materials and Methods: This is a single institution retrospective case series of three pediatric patients who were referred to our institution with pelvic trauma who underwent anal sphincters reconstruction. Results: Three patients aged 5 (female), 12 (male), and 13 (female) years were referred for reconstruction following pelvic trauma involving the anal sphincter, perineal body, and genitourinary system. All three underwent multidisciplinary evaluation with urology and gynecology (for females)and a subsequent repair with anal sphincter reconstruction utilizing a posterior sagittal approach. Two patients had ostomy reversal with appendicostomy for antegrade continence enemas and regained voluntary fecal control. The third patient is awaiting colostomy reversal but has regained volitional urinary control after urethral reconstruction. Comments: The experience gained from using the posterior sagittal anorectoplasty approach in reoperations for patients with anorectal malformations can be applied to cases of rectal trauma. Key aspects include mobilizing the rectum, repairing the sphincters and placing them around the anus, and in females, reconstructing the perineal body. Conclusions: Pediatric pelvic trauma can cause devastating disruptions of physiology and are difficult to treat. Experience from reoperations for anorectal malformations can be applied to these cases, including the use of a multidisciplinary team and posterior sagittal approach.

show abstract

Surgical management of traumatic perineal injury in female children: A report of two cases

Cited by 3 publications

References 14 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

Successful Use of Acellular Small Intestinal Submucosa Graft in Vaginal Reconstruction

Anal Sphincter Reconstruction Using the Posterior Sagittal Approach for Pediatric Perineal Trauma

Contact Info

Product

Resources

About