Glove Perforation in Pediatric Orthopedic Practice

Al-Habdan, Ibrahim; Sadat-Ali, Mir

doi:10.1097/01241398-200311000-00019

Cited by 14 publications

(9 citation statements)

References 12 publications

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“…Longer periods of surgery have been associated with a higher frequency of glove defects (Cole and Gault 1989, Greco and Garza 1995, Marin-Bertolin and others 1997, Laine and Aarnio 2001, Al-habdan and Sadat-Ali 2003, Character and others 2003; Laine and Aarnio (2001) reported that the risk of glove perforation increased by 1•12 per cent for each 10 minutes of additional surgical time.…”

Section: Discussionmentioning

confidence: 98%

“…The higher frequency of defects recorded in the glove worn on the non-dominant hand is not surprising because sharp instruments are usually held in the dominant hand, the nondominant hand being used for retraction, stabilisation and palpation and being more likely to be pierced by the sharp instruments held in the other hand (Wong and others 1993, Hollaus and others 1999, Naver and Gottrup 2000, Laine and Aarnio 2001, Al-habdan and Sadat-Ali 2003. Character and others (2003) suggested that the non-dominant hand is less dexterous and more susceptible to glove damage, but they found that faculty surgeons had a higher (although not significantly so) percentage of defects in the glove worn on the dominant hand and suggested that faculty surgeons may be more aggressive in the use of their dominant hand during complicated surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

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Study of how frequently surgeons’ gloves are perforated during operations

Burrow

Pinchbeck²

2006

Veterinary Record

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Surgical gloves were collected after 231 first opinion and referral surgical procedures performed at the University of Liverpool Small Animal Hospital. They were tested for defects by the water load test and the site of any defects was recorded; 10.2 per cent of the gloves had defects, and at least one glove became defective during 51 (22.1 per cent) of the surgical procedures. Significantly more defects occurred during orthopaedic procedures and the likelihood of a defect occurring increased with the duration of the surgical procedure. The majority (78 per cent) of the defects occurred in the gloves worn on the non-dominant hand and 64 per cent of them were in the index finger. The surgeon or assistant was aware of a glove being punctured in only 3.8 per cent of cases.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Study of how frequently surgeons’ gloves are perforated during operations

Burrow

Pinchbeck²

2006

Veterinary Record

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“…Previous studies on glove perforations during pediatric surgeries have demonstrated that the incidence of glove rupture during these procedures is around 10–15% [ 32 , 33 ]. In pediatric orthopedic surgeries, Al-Habdan et al [ 34 ] have highlighted the superiority of double gloves versus single gloves.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Unnoticed Glove Perforations during Minimally Invasive versus Open Surgeries: A Systematic Review and Meta-Analysis

et al. 2022

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Objective: Various studies have depicted the incidence of glove perforations during open (OS) and minimally invasive surgeries (MIS). The aim of this meta-analysis was to compare the incidence of macroscopic and microscopic glove perforations during MIS and OS. Methods: The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Scientific databases (PubMed, Web of Science, Scopus, and EMBASE) were systematically searched for comparative studies depicting the glove perforation rates during MIS and OS. Risk ratios (RR) were calculated for both the outcomes (dichotomous) and the Mantel–Haenszel method was utilized for the estimation of pooled RR. The methodological quality assessment was performed by two independent investigators using the Downs and Black scale. The main outcomes of the study were the proportion of gloves with gross (macroscopic) perforations and the proportion of gloves with microscopic perforations. Results: Four comparative studies including a total of 1428 gloves (435 from the MIS group) were included. Pooling the data demonstrated no difference in the incidence of macroscopic glove perforations among the MIS and OS groups (RR 0.57, 95% CI 0.21 to 1.54, p = 0.27). On the other hand, the incidence of microscopic perforations was significantly higher in the OS group versus the MIS group (RR 0.72, 95% CI 0.55 to 0.95, p = 0.02). However, all the studies had a moderate risk of bias. Conclusions: When compared to OS, the macroscopic glove perforation rate during MIS showed no significant difference. The incidence of microscopic glove perforations was significantly higher during OS as compared to MIS. However, due to the moderate risk of bias of the available comparative studies, the level of evidence of these studies is limited.

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“…Several studies have identified the important factors to be type of surgery, handedness, and operating time. 15 –18 However, the present study focused on the time and stage of the operation at which the risk of glove perforation in primary total knee arthroplasty is highest. The main finding was that there was at least one glove tear in 113 (37.6%) of 300 cases.…”

Section: Discussionmentioning

confidence: 99%

At what point during total knee arthroplasty operations are gloves most frequently torn?

Karakuş

Sarı

2020

J Orthop Surg (Hong Kong)

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Purpose: The aim of this study was to determine the time points during a total knee arthroplasty operation when there is the greatest possibility of tearing a surgical glove and thus the stage of the operation at which there is the greatest risk of infection. Methods: The study included 300 total knee arthroplasty cases performed by 10 orthopedic surgeons. Using a chronometer during the operation, the upper layer of each surgical glove was removed and inflated with sterile saline at 10-min intervals. When a tear was determined, a record was made of the time it occurred, the stage of the operation, the finger that was torn, and the side (right or left hand). Results: The mean time of the glove perforation was 40.74 ± 10.69 min. Glove tears occurred at the rate of 28.9% ( n = 39) in the thumb, 63.7% ( n = 86) in the index finger, 2.2% ( n = 3) in the middle finger, and 5.2% ( n = 7) in the ring finger. The tears occurred after the femoral cut in 8.1% ( n = 11), after the tibial cut in 14.8% ( n = 20), at the stage of trial component reduction in 52.6% of cases ( n = 71), after placement of the prosthesis in 7.4% ( n = 10), and at the closure stage in 17% ( n = 23) ( p < 0.001). Conclusion: The fingers requiring the most care during total knee arthroplasty are the thumb and index finger. The stages of the operation with the greatest risk for glove tears are trial component reduction and wound closure. Changing gloves after these high-risk surgical stages would help to decrease the risk of periprosthetic infections. Level of Evidence: Level IV/Case series

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Glove Perforation in Pediatric Orthopedic Practice

Cited by 14 publications

References 12 publications

Study of how frequently surgeons’ gloves are perforated during operations

Study of how frequently surgeons’ gloves are perforated during operations

Comparison of Unnoticed Glove Perforations during Minimally Invasive versus Open Surgeries: A Systematic Review and Meta-Analysis

At what point during total knee arthroplasty operations are gloves most frequently torn?

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