Physical Abuse in Children: A Surgeon 's Perspective

Authors

  • Maitree Anuntkosol Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand
  • Seksant Srimaharacha Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand
  • Theerachai Panitphong Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand
  • Somnuk Temiyasathit Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand
  • Tongkao Rattanasuwan Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand
  • Wattanasak Petlek Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok 10400, Thailand

Abstract

Background: Physical abuse in children is one category of child abuse which surgeons are usually consulted. Its prevalence is anticipated to be increased as a result of the more stressful society. The natures of the victims, the perpetrators, the injuries, the management and its outcomes are the crucial data for the handling of this complicated problem.

Materials and Methods: Retrospective data collection was carried out from the records of all children diagnosed with physical abuse, who were admitted to the Children's Hospital, Bangkok, during a recent ten-year period (1992-2001).

Results: Of the 12 intentionally injured children, all but one were younger than 5 years of age, and half were younger than I year of age. Two-thirds of these abuses occurred in the last 4 years. Ten abusers were males. Head injury, abdominal injury, fractures, skin and soft tissue injuries were seen in 5, 6, 7, and 11 patients respectively. Several of whom had multiple injuries. Seven patients required surgical intervention: two for head injury, and five for abdominal injury. One patient died from massive hemorrhage. Of the eleven who recovered; two were discharged home, but nine ended up in charitable institutions.

Conclusion: The victims of physical abuse were usually very young infants. Direct blows and beating were the mechanism of assault. Head and abdominal injuries were often severe and required surgery. Fractures were mostly multiple and thus were a good clue to the diagnosis. Long-term fate of these victims are miserable.

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Published

2003-03-31

How to Cite

1.
Anuntkosol M, Srimaharacha S, Panitphong T, Temiyasathit S, Rattanasuwan T, Petlek W. Physical Abuse in Children: A Surgeon ’s Perspective. Thai J Surg [Internet]. 2003 Mar. 31 [cited 2024 Dec. 23];24(1):1-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243027

Issue

Vol. 24 No. 1 (2003): January - March

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.