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Penetrating arrow injuries in Western India
Brijesh M Madhok1, Dipesh D Dutta Roy, Sashidhar Yeluri
1Department of Surgery, Medical College Baroda & Sir Sayajirao General Hospital, Gujarat 390007, India.
Injury
|August 16, 2005
Summary
Penetrating arrow injuries are common in tribal India. Prompt management involving exploration, hemorrhage control, and repair is crucial for survival, as delays and poor TRISS scores negatively impact outcomes.
Area of Science:
- Trauma surgery
- Global health disparities
Background:
- Penetrating arrow injuries, though rare in Western countries, remain a significant concern within tribal populations in India.
- Understanding the clinical characteristics and management of these injuries is essential due to their persistent prevalence.
Purpose of the Study:
- To document the clinical profile of patients with arrow injuries.
- To analyze the diverse clinical presentations and management strategies employed at a university hospital.
Main Methods:
- A retrospective analysis of 70 patients admitted to Sir Sayajirao General Hospital (SSGH), Baroda, Gujarat, India, over a 5-year period.
- Data collection focused on clinical presentation, management, and outcomes.
Main Results:
- The study included a majority of male patients (n=67) with a median age of 36 years.
- A median delay of 11 hours in hospital presentation was observed, with a median TRISS score of 98.2%.
- Notable complications included major wound infection (n=1), intestinal fistula (n=1), and multiple organ dysfunction syndrome (n=2), with three mortalities.
Conclusions:
- Arrow injuries and their effective management remain relevant in contemporary medical practice.
- Delayed treatment and low TRISS scores are associated with adverse survival outcomes.
- Successful management hinges on optimal surgical exploration, adequate wound debridement, hemorrhage control, and timely repair.