NON OBSTETRIC GENITAL TRACT INJURY IN A RURAL INDIAN MEDICAL COLLEGE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 46
Abstract
BACKGROUND Obstetric trauma to the female genital tract being more common, non-obstetric genital tract trauma remains neglected. Reports of non obstetric traumatic injuries to the vagina specially laceration have been infrequent in the literature and offers only generalised approach to this problem with lack of an organised treatment protocol of such patients. Recently knowledge of NOGTI has become important due to modern life style such as high-speed road transportation, recreational activity and increase sexual assault which often leads to vulvovaginal injuries. The objectives of this study were to determine the incidence, age distribution, site, type of injuries, mechanism of injuries and different management protocols. MATERIALS AND METHODS A descriptive study was carried out in the department of obstetrics and gynaecology of Malda Medical College and Hospital, West Bengal, India, for a duration of one year from January 2013 to 31st December 2014. Details of site, type, mechanism of injuries and management protocol were recorded from the operation theatre registration book of department of obstetrics and gynaecology. Total no. of cases studied during this period was 39. RESULTS Incidence of non-obstetric genital tract injuries (NOGTI) in Malda medical college was 2.537% of total emergency gynaecological admissions in the study period. The commonest sufferers belong to the age group of 20-30 years (43.59%). Commonest variety of NOGTI in the study was vulval haematoma (41.02%) and the commonest mechanism of injury was non coital injury like bicycle/ automobile/fall from height/ cattle horn (66.66%). We have not encountered any anorectal injury in this time period. Management option included immediate resuscitation along with primary repair, incision and drainage of vulval haematoma, packing only and removal of foreign bodies from genital tract. Only seven cases required blood transfusion and there was no mortality. CONCLUSION Non-obstetric genital tract injury is a serious problem which may involve significant loss of blood, and it may be life threatening in rural areas in some cases if there is delay in referral and necessary intervention.
Authors and Affiliations
Malay Sarkar, Jaydeb Mandal, Dibyendu Roy, Raj Mohan Ghosh
Keywords
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- EP ID EP548068
- DOI 10.14260/jemds/2018/1113
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