Contraindications to Shallow Fishhook Removal None Complications of Shallow Fishhook Removal Infection Chronic granuloma formation Equipment for Shallow Fishhook Removal Cleansing solution, such as povidone-iodine or chlorhexidine 21 - and 25-gauge needles 10-mL syringe Local anesthetic, such as 1% lidocaine Pliers, 18-gauge needle, or 30 to 40 cm of strong string (eg, suture material) depending on removal method Sometimes a #11 scalpel Nonsterile gloves Relevant Anatomy for Shallow Fishhook Removal Rarely, hooks become embedded in or near important structures (eg, nerves, vessels, tendons) that must be taken into consideration during removal.