Current Management of Gynecologic Trauma

Hidden trauma: shedding light on the relationship between gun violence and infertility

“…More urinary symptoms, sexual dysfunction and TBI in those with GU injuries Yes No Rivas et al. ( 32 ) United States 2020 Retrospective cohort study 313 women aged ≥16 who experienced gynecologic trauma registered to the National Trauma Database between 2011 to 2013 A minority of cases, 21% (n = 68) were the result of penetrating trauma. Ovarian and fallopian tube trauma more common.…”

“…Penetrating trauma to reproductive structures (uterus, fallopian tubes, or ovaries) is rare and represented <0.1% of injuries in the National Trauma Databank between 2007 and 2015 ( 29 ). In our review, we identified four studies that explicitly reviewed the female experience ( 26 , 29 , 31 , 32 ). Rivas et al.…”

“…Importantly, gunshot trauma more often resulted in salpingo-oophorectomy rather than an attempt to repair the injured tissue. While this study shed light on the surgical approach to gynecologic traumas, it did not address how to discuss these injuries with patients or manage expectations around future fertility ( 32 ).…”

“…Penetrating trauma to reproductive structures (uterus, fallopian tubes, or ovaries) is rare and represented <0.1% of injuries in the National Trauma Databank between 2007 and 2015 (29). In our review, we identified four studies that explicitly reviewed the female experience (26,29,31,32). Rivas et al (32) conducted a retrospective cohort study of 313 women who had experienced gynecologic trauma reported to the National Trauma Databank between 2011 and 2013.…”

“…In our review, we identified four studies that explicitly reviewed the female experience (26,29,31,32). Rivas et al (32) conducted a retrospective cohort study of 313 women who had experienced gynecologic trauma reported to the National Trauma Databank between 2011 and 2013. The investigators demonstrated that although most reported traumas were blunt trauma, 21% resulted from penetrating trauma.…”