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[Surgical gynecologic interventions in 1 to 15-year-old girls]
W Grünberger1, E Vytiska-Binstorfer
1I. Univ.-Frauenklinik Wien.
Insights
Over seven years, 1200 girls visited a pediatric gynecology clinic, with 86 requiring hospitalization and 111 surgeries for conditions affecting the vulva, vagina, and abdomen. Older girls were more likely to need operations.
Area of Science:
- Pediatric Gynecology
- Adolescent Health
- Surgical Interventions in Children
Context:
- Outpatient department data from a children and adolescent gynecology clinic over seven years.
- Analysis of 1200 girls aged newborn to fifteen years.
- Focus on hospitalization and surgical intervention rates.
Purpose:
- To analyze the incidence of hospitalization and surgical procedures in pediatric and adolescent gynecology patients.
- To identify common gynecological conditions requiring surgical intervention in young females.
- To discuss associated juridical and psychological issues in this patient cohort.
Summary:
- 1200 girls (newborn to 15 years) were seen over seven years.
- 86 children (7%) required hospitalization.
- 111 operations were performed: 36 vulvar, 33 vaginal, and 42 intraabdominal. Operative patients were older.
- Juridical and psychological issues were also considered.
Impact:
- Highlights the need for specialized gynecological care in pediatric and adolescent populations.
- Provides data on the types and frequency of surgeries in young females.
- Emphasizes the importance of addressing psychosocial factors in pediatric gynecological cases.
Abstract:
1200 girls, aged between newborn to fifteen years, came to our outpatient department of children and adolescent gynecology, during the last seven years. 86 children (7%) had to be hospitalized. In the 86 young patients 111 operations were necessary; 36 operations had to be performed at the vulva, 33 at or through vagina and 42 intraabdominal. As expected the girls with operative interventions were older than the mean age of all our patients. Also juridical and psychological problems are discussed.