Miao Liang,* Yu Wen,* Yongkang Li, Xiaofan Zhu, Cheng Chen

Department of Gynaecology and Obstetrics, Chongqing General Hospital, Chongqing University, Chongqing, 401147, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Cheng Chen, Email chencheng961@126.com

Abstract: Female external genital injuries mainly include sexual-related injuries and accidental injuries. Severe cases may experience rapid and massive bleeding, with possible foreign body retention in the body or concurrent injuries to adjacent organs such as the rectum and bladder. Most of these cases require surgical treatment, and the intraoperative situation is complex and changeable. We report a patient with a penetrating injury of the genital tract and foreign body retention in the body, who was successfully treated using the laparoscopic combined with transvaginal full-layer suture technique. Compared with the traditional transvaginal approach, this method can comprehensively explore the lacerations and surrounding organs of the cavity, and thoroughly clean up residual foreign bodies in the body. This paper explores the safety, feasibility, related surgical techniques, and perioperative precautions of this technique in the treatment of genital tract penetrating injuries.

Keywords: laparoscopy, laceration, surgical procedures, operative