Risk of hysterectomy and salpingectomy or oophorectomy compared to repair after pelvic gynecologic trauma

Risk of hysterectomy and salpingectomy or oophorectomy compared to repair after pelvic gynecologic trauma

Purpose Pelvic gynecologic trauma (PGT) includes injury to the uterus, ovaries or fallopian tubes. We hypothesized Injury Severity Score (ISS) ≥ 25, hypotension on admission and age ≥ 51 (average age for menopause) would be independent risk factors for resection compared to repair. Methods A retrosp...

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Veröffentlicht in:European journal of trauma and emergency surgery (Munich : 2007) 2019-06, Vol.45 (3), p.403-410
Hauptverfasser: Grigorian, Areg, Joe, Victor, Delaplain, Patrick Thomas, Schubl, Sebastian, Barker, Bel, Gabriel, Viktor, Dosch, Austin Ronald, Barrios, Cristobal, Nahmias, Jeffry
Format: Artikel
Sprache:eng
Schlagworte:
Abbreviated Injury Scale
Accidents, Traffic
Adult
Age
Age Factors
Conservative Treatment
Critical Care Medicine
Emergency Medicine
Fallopian tubes
Fallopian Tubes - injuries
Female
Fractures, Bone
Genitalia, Female - injuries
Gynecologic Surgical Procedures - statistics & numerical data
Health risk assessment
Humans
Hypotension - epidemiology
Hysterectomy
Hysterectomy - statistics & numerical data
Injury Severity Score
Intensive
Medicine
Medicine & Public Health
Middle Aged
Mortality
Original Article
Ovariectomy - statistics & numerical data
Ovary - injuries
Pelvic Bones - injuries
Reconstructive Surgical Procedures - statistics & numerical data
Retrospective Studies
Risk
Risk factors
Salpingectomy - statistics & numerical data
Sports Medicine
Surgery
Surgical Orthopedics
Trauma
Traumatic Surgery
Uterus - injuries
Wounds, Gunshot - surgery
Wounds, Nonpenetrating - surgery
Young Adult
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Zusammenfassung:Purpose Pelvic gynecologic trauma (PGT) includes injury to the uterus, ovaries or fallopian tubes. We hypothesized Injury Severity Score (ISS) ≥ 25, hypotension on admission and age ≥ 51 (average age for menopause) would be independent risk factors for resection compared to repair. Methods A retrospective analysis of the National Trauma Data Bank was performed between 2007 and 2015. Results Of 2,040,235 female patients, 1938 (
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-018-0936-5