Çocuklarda Anogenital Travmalar

Year 2018, Volume: 10 Issue: 1, 34 - 37, 15.03.2018

Metin Gündüz

https://doi.org/10.21601/ortadogutipdergisi.376265

Abstract

Amaç: Anogenital travmalar çocuklarda kaza ya da istismar nedeniyle  görülmektedir. Kaza sonucu yaralanan
hastaların yaralanma özellikleri ve tedavi biçimlerinin değerlendirilmesi
amaçlandı.

Gereç ve Yöntemler: Selçuk Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Kliniği’nde Kasım
2011- Aralık 2017 arasında anogenital travma nedeniyle tedavi edilen hastaların
dosyaları retrospektif olarak tarandı. Hastaların yaş, cinsiyet, travmanın oluş
şekli, bulgular ve tedavileri değerlendirildi.

Bulgular: Belirtilen
tarihler arasında 6 kız 4 erkek olmak üzere toplam 10 hasta anogenital travma
nedeniyle kliniğimizde tedavi edildi. Hastaların yaş ortalaması 7.6 olarak
saptandı. 5 hasta bisikletten düşme, 2 hasta ağaçtan düşme, 1 hasta koşarken
düşme, 1 hasta yüksekten atlama ve 1 hasta da araç dışı trafik kazası nedeniyle
tedavi edildi. Labium majusta laserasyon, abrazyon veya doku defekti, anal
sfinkterde laserasyon, rektal mukozada laserasyon, skrotal ciltte laserasyon,
perineal laserasyon ve doku defekti ile glans peniste doku defekti görüldü.
Hastalar medikal tedavi ile birlikte, primer onarım, sfinkteroplasti,
perineoplasti, anoplasti ve kolostomi uygulandı.

Sonuçlar: Çocuklarda anogenital travmanın en sık nedeni bisikletten düşme
olarak görülmüş olup uygun tedavi genel anestezi altında yapılacak muayene
bulgularına göre değişmektedir.

Keywords

çocuk; kaza; anogenital travma

Anogenital Trauma in Children

Abstract

Aim: Anogenital trauma occurs due to accidents or sexual abuse. We
aimed to evaluate the features of injury and management of accidental
anogenital trauma in children.  

Material and Methods:
This retrospective study was carried out using data of patients those admitted
to Selcuk University Medical Faculty Department of Pediatric Surgery between
November 2011 and December 2017. Clinical data, including age, sex of the
patient, how trauma happened, clinical findingd and treatment were evaluated.

Results:
In this period 10 patients including 6 female and 4 male patients were treated.
Mean age was 7.6 year. The etiology of trauma was straddle injuries including 5
bicycles, 2 tree and 1 while runnig, 1 fall onto an object and a motor vehicle
accident. Laceration, abrasion or tissue defect in labim majus, laceration in
anal sphincter,and rectal mucosa, laceration in scrotum, laceration in perineum
and abrasion in glans penis were the findings. Non-operative and operative
treatment including primary repair, sphincteroplasty, perineoplasty, anoplasty,
and colostomy were performed.

Conclusion:
In children most common cause of anogenital trauma is straddle injuries
includin bicycle. For managing treatment evaluation under general anesthesia
should be done.

Keywords

children; injury; anogenital trauma

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