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Fishhook removal.

M G Gammons1, E Jackson

  • 1Michigan State University College of Human Medicine, East Lansing, USA.

American Family Physician
|June 22, 2001
PubMed
Summary
This summary is machine-generated.

Fishhook injuries are common in recreational fishing but usually minor. This article details four fishhook removal techniques, emphasizing the advance and cut method for effective management of tissue trauma.

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Area of Science:

  • Emergency Medicine
  • Sports Medicine
  • Dermatology

Background:

  • Fishing is a popular recreational activity with frequent occurrences of penetrating tissue trauma from fishhooks.
  • While most fishhook injuries are minor and treatable, careful evaluation is crucial, especially for ocular involvement requiring specialist referral.

Purpose of the Study:

  • To describe four common fishhook removal techniques and injury management strategies.
  • To guide the selection of appropriate removal methods based on hook type, location, and penetration depth.

Main Methods:

  • Review and description of four primary fishhook removal techniques: retrograde, advance and cut, string-yank, and others.
  • Discussion of wound care, including foreign body removal and dressing application.
  • Emphasis on assessing tetanus status and administering toxoid if necessary.

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Main Results:

  • The retrograde technique is simple but less successful.
  • The advance and cut method is highly effective, particularly for hooks near the skin surface, and successful even with large hooks.
  • The string-yank method is suitable for field use, often without anesthesia.

Conclusions:

  • Fishhook removal techniques should be chosen based on injury specifics.
  • The advance and cut method offers high success rates for various fishhook impalements.
  • Standard wound care and tetanus prophylaxis are key components of post-removal management.