Evaluation of Surgical Glove Perforation after Laparoscopic and Open Cholecystectomy

Da, Walczak; Zakrzewski, Jerzy; Pawełczak, Dariusz; Grobelski, Bartłomiej; Pasieka, Zbigniew

doi:10.1080/00015458.2013.11680957

Cited by 9 publications

(21 citation statements)

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“…We identified several factors associated with increased risk of glove perforation. Minimally invasive procedures are associated with a lower risk of glove perforation than more invasive procedures, which is consistent with studies in human and small animal surgery . This finding is also supported by evidence in large animal surgery and may reflect increased tissue and instrument handling in these procedures.…”

Section: Discussionsupporting

confidence: 85%

“…The rates of glove perforation vary widely from 9% to 78% of procedures in human and small animal surgery . Several predisposing factors have been identified for glove perforation, including type of procedure, duration of time a glove is worn, use of air‐powered instruments and surgical wire, and role of the operator (primary surgeon or assistant) in the procedure . These risk factors have led to recommendations to prevent compromise of the aseptic barrier, such as double gloving and regular, scheduled glove changes during prolonged procedures …”

Section: Introductionmentioning

confidence: 99%

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Observational study on the occurrence of surgical glove perforation and associated risk factors in large animal surgery

et al. 2017

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Observational study on the occurrence of surgical glove perforation and associated risk factors in large animal surgery

et al. 2017

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“…We identified a hole in 10.7% of all gloves. In the literature, glove perforation was reported as 3.58% in total knee replacement surgery [18], 8% in oral surgery [19] and open and laparoscopic cholecystectomy [20], 9.2% in thyroid surgery [21], and 24% in elective surgery [22]. The relatively higher rate of perforation found in the current study can be explained by the differences in the surgical procedures examined.…”

Section: Discussionmentioning

confidence: 45%

Rate of Glove Perforation in Open Abdominal Surgery and the Associated Risk Factors

Sayın

Yılmaz

Baydur

2019

Surgical Infections

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Background: Glove perforation is common during surgery. Surgical gloves are used as personal protective equipment to reduce infection risks from bloodborne pathogens for both the surgical team and patients. This research was conducted to determine the perforation rates of gloves worn in open abdominal surgery performed in a general surgery department and the risk factors affecting perforation. Methods: This research was designed as an observational prospective cohort study including 70 open abdominal operations. There were four members of the surgical team (surgeon, first assistant, second assistant, and scrub nurse). A total of 280 (70 • 4) pairs of gloves in 70 consecutive open abdominal procedures were included in this study. A total of 140 unused gloves were tested as control group to assess perforations and pre-existing leaks. After the operation, all gloves were checked for water impermeability using the EN455-1 method and the presence or absence of a puncture hole was recorded. Results: Glove perforation was detected in 54.3% of operations. The rate of perforation in all gloves was 10.7%, of which 78% unnoticed by the surgical team during surgical procedure. It was determined that the puncture in the gloves was mostly on the non-dominant hand (left). For the left-hand glove, the highest number of holes was observed on the index finger (21.1%) and palm/dorsum of the hand (21.1%). The risk of glove perforation was 5.8 times greater for surgeons compared with the other team members, and operation time of 61 minutes or longer increased the risk of perforation by 12.77 times. Conclusions: Glove perforation rates are high in open abdominal surgery. The highest number of perforations occurred in the non-dominant hand (left) has a high rate of perforation in surgeons and long operations. It may be beneficial for surgical team members to change gloves at certain intervals during surgery or use indicator glove systems.

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“…Double gloving is a common practice for reducing the risk of bloodborne pathogen exposure in the event of a sharps injury, but is also considered an SSI prevention strategy because of potential micro perforations that can result in migration of hand flora to the patient's wound. 16 In addition, changing the surgeon's outer sterile gloves at set intervals (e.g., 60 minutes) during surgical procedures and changing them before handling implants and closing the incision are additional suggested measures to reduce the risk of SSI. 17 Infection risk associated with surgical instruments used on patients includes those that are classified as non-critical or having contact with intact skin.…”

Section: Additional Prevention Measuresmentioning

confidence: 99%

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2015

AORN Journal

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Evaluation of Surgical Glove Perforation after Laparoscopic and Open Cholecystectomy

Cited by 9 publications

References 0 publications

Observational study on the occurrence of surgical glove perforation and associated risk factors in large animal surgery

Observational study on the occurrence of surgical glove perforation and associated risk factors in large animal surgery

Rate of Glove Perforation in Open Abdominal Surgery and the Associated Risk Factors

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