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Vol. 10 No. 1 (2022)

January 2022

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

  • Abdolghader Pakniyat
  • Kourosh Akhbari
  • Fatemeh Radfar

Archives of Academic Emergency Medicine, Vol. 10 No. 1 (2022), 1 January 2022 , Page e2
https://doi.org/10.22037/aaem.v10i1.1403 Published: 2022-01-01

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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:
  • Foreign Bodies
  • Wounds and Injuries
  • soft tissue injuries
  • Emergency Service
  • Hospital
  • PDF

How to Cite

1.
Pakniyat A, Akhbari K, Radfar F. Advance Without Cut and Retrograde Removal of Embedded Fishhook; Introducing a Novel Technique. Arch Acad Emerg Med [Internet]. 2022 Jan. 1 [cited 2026 Jul. 7];10(1):e2. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1403
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References

Daniel B. Stone DJS. Foreign Body Removal. In: Roberts JR HJ, editor. Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care, 7ed. Philadelphia, PA: W.B. Saunders; 2019

Lammers R, Mastenbrook J. Soft Tissue Foreign Bodies. In: Tintinalli JE, Ma OJ, Yealy DM, Meckler GD, Stapczynski JS, Cline DM, et al., editors. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e. New York, NY: McGraw-Hill Education; 2020.

Beasley K, Ouellette L, Bush C, Emery M, Wigstadt S, Ambrose L, et al. Experience with various techniques for fishhook removal in the emergency department. The American Journal of Emergency Medicine. 2019;37(5):979-80.

Gammons MG, Jackson E. Fishhook removal. American Family Physician. 2001;63(11):2231-6.

Scott PM. Removing a fishhook. journal of the American Academy of Physician Assistants. 2003;16(4):69-70.

Thommasen HV, Thommasen A. The occasional removal of an embedded fish hook. Canadian Journal of Rural Medicine 2005;10(4):254-9.

Fish hook removal techniques [Internet]. UpToDate. 2021. Available from: https://www.uptodate.com/contents/fish-hook-removal-techniques.

Julian E, Mammino J. Don't get hung up on fishhooks: a guide to fishhook removal. Cutis. 2016;97(3):195-8.

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