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Gynecological and Obstetric Injuries

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Trauma Surgery
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Abstract

The female genitalia are well confined within the pelvic bone against traumatic injuries; however, pregnancy and pathological enlargement of these organs force them to move outside pelvis and make them susceptible to traumatic injuries. Some cases of blunt pelvic trauma may be associated with gynecological injuries. Gynecological injury causes may change according to age, profession, and interests such as female athletes, horse riding, motorcycle riding, bicycle riding, skiing, and gymnastics [1, 2]. Another important role in the etiology of gynecological trauma may be sexual assault or first sexual experience [3–6]. Most of the gynecological injuries are minor; however, if they are not treated properly, the patient may end up with bleeding, pelvic sepsis, and loss of endocrine and fertility functions. In rare cases endometriosis following vulvar trauma has been described [7].

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References

  1. Fardy HJ (1988) Women in sport. Aust Fam Physician 17(3):183–186

    CAS  PubMed  Google Scholar 

  2. Partin SN, Connell KA, Schrader S et al (2012) The bar sinister: does handlebar level damage the pelvic floor in female cyclists? J Sex Med 9(5):1367–1373

    Article  PubMed Central  PubMed  Google Scholar 

  3. Ghosh M, Rodriguez-Garcia M, Wira CR (2013) Immunobiology of genital tract trauma: endocrine regulation of HIV acquisition in women following sexual assault or genital tract mutilation. Am J Reprod Immunol 69 Suppl 1:51–60. doi:10.1111/aji.12027

    Article  PubMed  Google Scholar 

  4. Larkin HJ, Cosby CD, Kelly D, Paolinetti LA (2012) A pilot study to test the differential validity of a genital injury severity scale, in development for use in forensic sexual assault examinations. J Forensic Nurs 8(1):30–38

    Article  PubMed  Google Scholar 

  5. Möller AS, Bäckström T, Söndergaard HP et al (2012) Patterns of injury and reported violence depending on relationship to assailant in female Swedish sexual assault victims. J Interpers Violence 27(16):3131–3148

    Article  PubMed  Google Scholar 

  6. Willoughby V, Heger A, Rogers C et al (2012) Sexual assault documentation program. Am J Forensic Med Pathol 33(1):22–25

    Article  PubMed  Google Scholar 

  7. Katz Z, Goldchmit R, Blickstein I (1996) Post-traumatic vulvar endometriosis. Eur J Pediatr Surg 6(4):241–242

    Article  CAS  PubMed  Google Scholar 

  8. Black EA, Lawson CM, Smith S et al (2011) Open pelvic fractures: the University of Tennessee Medical Center at Knoxville experience over ten years. Iowa Orthop J 31:193–198

    PubMed Central  PubMed  Google Scholar 

  9. Tarman GJ, Kaplan GW, Lerman SL, McAleer IM, Losasso BE (2002) Lower genitourinary injury and pelvic fractures in pediatric patients. Urology 59:123–126

    Article  PubMed  Google Scholar 

  10. Moore EE, Jurkovich GJ, Knudson MM et al (1995) Organ injury scaling. VI: extrahepatic biliary, esophagus, stomach, vulva, vagina, uterus (nonpregnant), uterus (pregnant), fallopian tube, and ovary. J Trauma 39(6):1069–1070

    Article  CAS  PubMed  Google Scholar 

  11. Pearlman MD, Tintinalli JE, Lorenz RP (1990) Blunt trauma during pregnancy. N Engl J Med 323:1609–1613

    Article  CAS  PubMed  Google Scholar 

  12. Hankin GDV (1997) Trauma and envenomation. In: Clark SL, Cotton DB, Hankins GDV et al (eds) Critical care obstetrics, 3rd edn. Blackwell Science, Malden, pp 597–628

    Google Scholar 

  13. Rozycki G (1993) Trauma during pregnancy: predicting pregnancy outcome. Arch Gynecol Obstet 253(suppl):S15

    Article  PubMed  Google Scholar 

  14. Sherman HF, Scott LM, Rosemurgy AS (1990) Changes affecting the initial evaluation and care of the pregnant trauma victim. J Emerg Med 8:575–582

    Article  CAS  PubMed  Google Scholar 

  15. Oxford CM, Ludmir J (2009) Trauma in pregnancy. Clin Obstet Gynecol 52(4):611–629

    Article  PubMed  Google Scholar 

  16. Mirza FG, Devine PC, Gaddipati S (2010) Trauma in pregnancy: a systematic approach. Am J Perinatol 27(7):579–586

    Article  PubMed  Google Scholar 

  17. Brown HL (2009) Trauma in pregnancy. Obstet Gynecol 114(1):147–160

    PubMed  Google Scholar 

  18. Petrone P, Talving P, Browder T et al (2011) Abdominal injuries in pregnancy: a 155-month study at two level 1 trauma centers. Injury 42(1):47–49

    Article  PubMed  Google Scholar 

  19. Helton AS, McFarlane J, Anderson ET (1987) Battered and pregnant: a prevalence study. Am J Public Health 77:1337

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  20. Dudley DJ, Cruikshank DP (1990) Trauma and acute surgical emergencies in pregnancy. Semin Perinatol 14:42–51

    CAS  PubMed  Google Scholar 

  21. Awwad JT, Azar B, Seoud MA et al (1994) High-velocity penetrating wounds of the gravid uterus: review of 16 years of civil war. Obstet Gynecol 83:259

    CAS  PubMed  Google Scholar 

  22. Esposito TJ (1994) Trauma during pregnancy. Emerg Med Clin North Am 12:167–199

    CAS  PubMed  Google Scholar 

  23. Esposito TJ, Gens DR, Smith LG, Scorpio R (1989) Evaluation of blunt abdominal trauma occurring during pregnancy. J Trauma 29:1628

    Article  CAS  PubMed  Google Scholar 

  24. Austin JM, Cooksey CM, Minikel LL et al (2012) Postcoital vaginal rupture in a young woman with no prior pelvic surgery. J Sex Med. doi:10.1111/j.1743-6109.2012.02682.x [Epub ahead of print]

  25. Ramasamy A, Evans S, Kendrew JM et al (2012) The open blast pelvis: the significant burden of management. J Bone Joint Surg Br 94(6):829–835

    Article  CAS  PubMed  Google Scholar 

  26. Hauschild O, Aghayev E, von Heyden J et al (2012) Angioembolization for pelvic hemorrhage control: results from the German pelvic injury register. J Trauma Acute Care Surg 73(3):679–684

    Article  PubMed  Google Scholar 

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Correspondence to Korhan Taviloglu .

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Taviloglu, K. (2014). Gynecological and Obstetric Injuries. In: Di Saverio, S., Tugnoli, G., Catena, F., Ansaloni, L., Naidoo, N. (eds) Trauma Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5459-2_16

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  • DOI: https://doi.org/10.1007/978-88-470-5459-2_16

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