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. 2022 Jan 1;10(1):e2.
doi: 10.22037/aaem.v10i1.1403. eCollection 2022.

Advance Without Cut and Retrograde Removal of Embedded Fishhook; Introducing a Novel Technique

AbdolGhader Pakniyat  1 , Kourosh Akhbari  1 , Fatemeh Radfar  2   3
Affiliations

Advance Without Cut and Retrograde Removal of Embedded Fishhook; Introducing a Novel Technique

AbdolGhader Pakniyat et al. Arch Acad Emerg Med. .

Abstract

Removing embedded fishhook without causing further tissue damage from the barbed nature of the hook is a challenge in emergency department (ED). The four most commonly used techniques include advance and cut, string-yank, needle cover, and retrograde removal. This study aims to describe a modified push- through technique without cutting the barb, namely advance without cut and retrograde removal, as an effective technique of successful removal of fishhooks. There is no risk of additional injury to patients and healthcare staff, and the technique does not need tools that are not generally readily available in EDs.

Keywords: Emergency Service; Foreign Bodies; Hospital; Wounds and Injuries; soft tissue injuries.

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Figures

Figure 1
Figure 1
A: the shank of the hook is grasped with a hemostat and then it is advanced into the wound until the barbed end protrudes through the skin; B: using a needle holder the barb is clamped and bent over the body of the bend part (made barbless); C: the hook is then removed in a retrograde manner
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