Hi Roland,
The more I look at this the more I tend to agree with you that this would be cumbersome to use as a bullet extractor though it follows the same principle.
As for leaving the bullet in the hole there seems to have been multiplicity of opinion. For example Thom. Longmore in a Treatise on Gunshot Wounds 1862 states the following:
On arrival at the hospital, where comparative leisure and absence of exposure afford means of careful diagnosis and definitive treatment, the following are the points to be attended to by the surgeon: firstly, examination of the wound with a view to obtaining the correct knowledge of its nature and extent; secondly, removal of any foreign bodies which may have lodged; thirdly, adjustment of lacerated structures; and fourthly, the application of the primary dressings.
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