Introduction:
Fishing is a common recreational
activity among the children and young adults all over the world. This study was
done to determine the efficacy of various techniques used for fish hook
removal, the anatomical areas involved in fish hook injuries, type of injuries,
types of analgesia used, need for tetanus prophylaxis and complications
associated with fish hook injuries.
Methodology:
This was a single-center
retrospective study based on data collected at the Children’s Emergency
department at KK Women’s and Children’s Hospital (KKH) between 2006 and 2016.
Results:
There were 37 fish hook injuries in
the study period. Puncture wounds (81.1%) caused by fish hooks were the most
common type of injuries seen followed by lacerations (18.9%). Advance and cut
technique of fish hook removal was used in 70.3% of patients with retrograde
removal technique being used in remaining patients. 13.5% patients developed
features of wound infection requiring interventions like wound toileting,
change in antibiotics and multiple follow up visits for wound care.
Conclusion:
Our study demonstrated that the
predominant types of injuries associated with fish hook are superficial
injuries like puncture wounds and lacerations. Bystander use of fish hook
resulted in majority of injuries in children. Advance and cut technique of fish
hook removal was the most common type of method used for fish hooks removal and
had the highest success rate. The commonest complication related to fish hook
injury is infection and this occurred despite the use of prophylactic
antibiotics in all the patients.
Keywords: Fish Hook Injuries;
Children
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