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4 Equipment and Techniques (see Figure 1) 4 Povidone-iodine or chlorhexidine solution Local anesthetic solution without epinephrine 3 mL syringe Wire cutter Needle driver Hemostat 18-gauge needle 25-gauge needle String, fishing line, or 2-0 silk suture line, at least 50 cm in length Safety glasses, goggles, or a face mask with an eye shield for both the provider and patient Proceed to cleanse the embedded area of debris, apply iodine or chlorhexidine solution, and allow the area to dry

Obviously, robust tackle is a must when fishing to hand, so 0.14mm main line is incorporated to a 0.10mm hooklength

I was a wrangler on Silent Tongue