Title: Arrow Injuries – in Current Scenarios

Authors: Rinku Yadav, Shailendra Singh, R.K. Mathur, Sonia Moses, Ankur Maheshwari

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.108

Abstract

Background: Penetrating injuries by traditional weapons are rare entity in the modern era of sophisticated weapons. Arrow are low velocity projectile weapon and from a close proximity they can cause penetrating trauma similar to a low powered handgun. Incident and their Management of the cases were discussed.

Aims and Objectives:  To collect the epidemiological data of arrow injuries cases and various mode of presentations & their management.

Materials and Methods: The study was designed to collect data of patients presenting with arrow injuries which were managed in M. Y. Hospital since 2010 to 2015 (6 years).Data was collected in  retrospective manner from 2010 to 2013 by medical records and In Prospective manner  from September 2013 to October 2015. Follow up of these cases was done for immediate post-operative period of one month. The injuries were classified according to the organ system concerned and management accordingly.

Result: A total 70 cases of Arrow injury were included in the study. There were sixty nine males (98.57%) and one female (1.428%). The peak age of incidence was 35yrs. Thirty seven patients (52.86%) were presented with arrow in-situ and thirty three patients (47.14%) presented after extraction of arrow. Out of seventy patients, twenty seven(38.57%) were chest injuries, twenty four (34.29%)were abdominal injuries, three(4.29%) of thoraco-abdominal and remaining sixteen(22.86%) patients were head, neck and limbs injuries cases. All patients were managed surgically according to injuries.

Conclusion: Arrow injuries still exist in developing societies. Arrow injuries are the result of tribal conflicts and pose considerable challenges in their management; however with adequate resuscitation and adherence to the proposed principles for extraction the outcome is good.

Keywords: Arrow Injuries, Extraction, projectile, penetrating, chest injury, abdominal injury.

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Corresponding Author

Dr Shailendra Singh 

Senior Resident Surgery Department, S.S. Medical College & S.G.M.H.& GM. Hospital Rewa M.P

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