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3 Figure 7: Advance and Cut technique Using a needle driver (or pliers), advance the fishhook, including the entire barb, through the skin Cut the advanced portion (including barb) free with pliers or other cutting tool Remove the remaining portion of the fishhook back out of the original entrance wound (should be no resistance) Post Fishhook Removal Wound Care Explore wound for possible foreign bodies (bait) Generally wound is left open to heal by secondary intention Rinse wound with normal saline irrigation post fishhook removal Consider application of antibiotic ointment and simple dressing Majority of individuals with superficial wounds do not require prophylactic antibiotics

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