Contraindications to Deep Fishhook Removal None Complications of Deep Fishhook Removal Infection Chronic granuloma formation Equipment for Deep Fishhook Removal Cleansing solution, such as povidone-iodine or chlorhexidine 21 - and 25-gauge needles 10-mL syringe Local anesthetic, such as 1% lidocaine #11 scalpel Strong forceps or pliers Strong wire cutters (eg, diagonal cutters) Small, nonsterile paper or plastic cup Nonsterile gloves Relevant Anatomy for Deep Fishhook Removal Rarely, hooks become embedded in or near important structures (eg, nerves, vessels, tendons) that must be taken into consideration during removal.