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INTRODUCTION To date, there are few reports describing the management of traumatic gynecologic injuries leaving physicians with little guidance. OBJECTIVE Describe the injury patterns and the preferred management of these injuries. METHODS A retrospective cohort study was performed using the National Trauma Data Bank (NTD from years 2011 to 2013. Female patients age 16 years and older with internal gynecologic injuries were identified based on diagnosis codes. Demographics, associated diagnoses and procedure codes were compiled for th