It works well for the removal of large hooks with single barbs but is most effective when the point of the fishhook is superficially embedded and can be easily covered by the needle. The needle cover technique requires dexterity on the part of the physician. Tetanus status should be assessed and toxoid administered if needed. Prophylactic antibiotics are generally not indicated. Wound care following successful removal involves extraction of foreign bodies from the wound and the application of a simple dressing. The string-yank method can be used in the field and can often be performed without anesthesia.
The advance and cut technique is almost always successful, even for removal of large fishhooks.
#BARBED FISH HOOKS SKIN#
The retrograde technique is the simplest but least successful removal method, while the traditional advance and cut method is most effective for removing fishhooks that are embedded close to the skin surface. Occasionally, more than one removal technique may be required for removal of the fishhook. The choice of the method for fishhook removal depends on the type of fishhook embedded, the location of the injury and the depth of tissue penetration. The four most common techniques of fishhook removal and injury management are described in this article.
Ocular involvement should prompt immediate referral to an ophthalmologist. All fishhook injuries require careful evaluation of surrounding tissue before attempting removal. Most of these injuries are minor and can be treated in the office without difficulty. While serious injuries are uncommon, penetrating tissue trauma involving fishhooks frequently occurs.
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