Management of child victims of acute sexual assault: Surgical repair and beyond
Open Access
- 1 January 2013
- journal article
- research article
- Published by Medknow in Journal of Indian Association of Pediatric Surgeons
- Vol. 18 (3), 105-111
- https://doi.org/10.4103/0971-9261.116043
Abstract
Aim: To evaluate the outcome of definitive repair of anogenital injuries (AGI) in child victims of acute sexual assault. settings and Design: It is a prospective study of emergency care provided to child victims of acute sexual assault at a tertiary care Pediatric Surgical Unit in Maharashtra, India. Material and Methods : Out of 25 children, who presented during January 2009-December 2010 with suspected sexual assault, five children (one male and four female, between 4-9 years of age), had incurred major AGI. These children underwent definitive repair and a diverting colostomy. Perineal pull-through was performed in the male child with major avulsion of rectum. One 4-year-old girl with intraperitoneal vaginal injury required exploratory laparotomy in addition. Results : The postoperative period and follow-up was uneventful in all our patients. Four out of five patients have excellent cosmetic and functional outcome with a follow-up of 2-4 years. Our continence results are 100%. Conclusion : Children with acute sexual assault need emergency care. To optimally restore the distorted anatomy, all major AGI in such children should be primarily repaired by an expert, conversant with a child's local genital and perineal anatomy. Along with provision of comprehensive and compassionate medical care, prevention of secondary injuries should be the ultimate goal.Keywords
This publication has 14 references indexed in Scilit:
- Management of Sexual Assault-related Large Rectovaginal Fistula in an Eight-Year-OldJournal of Pediatric and Adolescent Gynecology, 2011
- Abused and Neglected ChildrenPublished by Elsevier BV ,2011
- Adolescent RapePublished by Elsevier BV ,2011
- Genital and Anal Injuries Requiring Surgical Repair in Females Less Than 21 Years of AgeJournal of Pediatric and Adolescent Gynecology, 2008
- The Evaluation of Sexual Abuse in ChildrenPEDIATRICS, 2005
- Management of Anorectal Injuries in Children: An Eighteen-Year ExperienceEuropean Journal of Pediatric Surgery, 2003
- Management of Complex Perineal InjuriesWorld Journal of Surgery, 2003
- Management of selected rectal injuries by primary repairThe American Journal of Surgery, 1996
- Anterior sagittal anorectoplasty for anorectal malformations and perineal trauma in the female childJournal of Pediatric Surgery, 1996
- Anterior sagittal anorectoplasty for rectovestibular and anovestibular fistulaJournal of Pediatric Surgery, 1992