title: Patterns of accidental genital trauma and factors associated with surgical management in girls visiting the emergency department of a referral center.
abstract: 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.
  
  
  METHODS
  A retrospective, observational study.
  
  
  METHODS
  Tertiary referral hospital.
  
  
  METHODS
  Girls with AGT visiting the emergency department (ED) between 2003 and 2011.
  
  
  METHODS
  None.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam-Si, Gyeonggi-Do, Republic of Korea.
authors.forename: Kidong
authors.initials: K
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam-Si, Gyeonggi-Do, Republic of Korea.
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: No
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam-Si, Gyeonggi-Do, Republic of Korea. Electronic address: ybkimlh@snubh.org.
authors.forename: Yong-Beom
authors.initials: YB
authors.lastname: Kim
authors.affiliation: Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam-Si, Gyeonggi-Do, Republic of Korea.
authors.forename: Jin Hee
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam-Si, Gyeonggi-Do, Republic of Korea.
authors.forename: Joong Eui
authors.initials: JE
authors.lastname: Rhee
mesh_terms: D000059:Accidents; D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D005836:Genitalia, Female / Q000293:injuries* / Q000601:surgery; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D022125:Lacerations / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010502:Perineum / Q000293:injuries; D012189:Retrospective Studies; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D013997:Time Factors; D014521:Urethra / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000473:pathology / Q000601:surgery*
keywords: Adolescent; Child; Female genital disease; Hospital emergency service; Injury