Occult Glove Perforation During Adult Elective Orthopaedic Surgery

Dhar, Dinesh

doi:10.3889/mjms.1857-5773.2011.0191

Cited by 4 publications

(7 citation statements)

References 17 publications

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“…The literature also reveals higher rates of glove puncture in surgeons compared to other team members [16,17,23,24]. Similar to the current study, some researchers found that glove punctures were most commonly observed in the gloves worn by surgeons and first assistants [11,13,25].…”

Section: Discussionsupporting

confidence: 87%

“…In studies investigating glove perforation, the rate of perforation also varies depending on the type of surgery, e.g., 4.7% in total knee and hip arthroscopy [8], 21.4% in major plastic surgery [9], 93% in oncologic gynecologic surgery [10], 15% in orthopedic surgery [11], and 4% in ophthalmic surgery [12]. Furthermore, for colorectal surgery, the glove perforation rate was 27.3% and 15.37% in operations longer and shorter than 60 minutes, respectively [13].…”

mentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

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

Sayın

Yılmaz

Baydur

2019

Surgical Infections

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“…The results of the average time of perforated and healthy gloves showed that there was no significant difference between time and damage of surgical gloves, which was contrary to the studies by Latef and Yinusa, [13] Han et al, and Yinusa et al [6,11,13] Of course, the results of a study by Dhar [19] in accordance with this study show that as the time increases, the damage does not increase and it is different or maybe less, in different intervals after the start of the procedure, [18] which seems to be due to the difference between the type of surgery and the study environment in that research.…”

Section: Discussionmentioning

confidence: 73%

“…[9] and the opposite of the results of the study by Pie and Dhar. [8,[18][19] It seems that the higher rate of damages in the dominant hand is due to more activities such as exposure, suture, tissue separation, and the use of tools and, in general, being more active than the nondominant hand.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Jazinidorcheh¹

2018

AJP

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Background: Sterile surgical gloves protect patients from the surgical team members' microbial flora of the hands, and mutually, the members of the surgical team from pathogens of the patient's body. Damage of surgical gloves during each surgical procedure is one of the major concerns. There are a lot of risk factors and related issues associated with the damage of gloves that the results of other studies about them in some cases are consistent and in some cases inconsistent with each other. The aim of this study was to investigate the rate of surgical glove damages based on various factors in orthopedic surgery. Materials and Methods: In this descriptive-analytic study, 384 surgical gloves (192 pairs) were the study samples. The gloves were all made of the same material, and they were consisted of two layers. The gloves were selected based on a simple sampling study method. The study environment was the orthopedic and nerve operating room in Kashani Hospital associated with Isfahan's Medical Sciences University. The study population included the gloves wore by the scrubbed individuals during foot and hand orthopedic plating operations. Data collection tools were comprised of questionnaires and checklists all constructed by the researcher. Questionnaire contained demographic information, surgery type, and the operation team members, and the checklists covered items pertaining to the surgical glove damages. The present study made use of Water Leak Test to evaluate whether the gloves have been damaged or not. To analyze the data, descriptive statistics tests and analytical statistical tests were applied, and the data were further inspected in the SPSS software, ver. 22. Results: The results of this study showed that there was a significant relationship between the type of surgery, the role of people in procedure, the gender of the surgical team, the location of damage on the gloves, the glove layer, the dominant hand of people, and the rate of damage of the surgical gloves, among different issues (*P < 0.05), and factors such as the number of scrubbed staff in surgery, the surgical team experience, and the size of surgical gloves did not have a significant relationship with the rate of surgical glove damages (*P > 0.05). Discuss and Conclusion: Considering to risk factors that damage to surgical gloves by the surgical team, can reduce the number of needle sticks or transmission of infection between patients and them. According to the results, it is suggested that the surgical team during surgery should seek more attention to their dominant hands and in the areas contacting with the surgical instruments and the patient's body, including the thumb and index finger. Furthermore, due to the higher rate of surgical gloves damages in implanting plates into the femur, it is recommended to put on two layers gloves or routine changing of them during these surgical procedures.

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“…Para fins de análise considerou-se equivalente o tempo de cirurgia e o tempo de uso da luva uma vez que, geralmente, o calçamento da luva se faz imediatamente antes do início do procedimento e a sua retirada é feita logo após o fechamento da incisão, isto é, ao término da cirurgia (Quadro 1). Desse total, nove trabalharam com a luva de látex (15,(18)(19)(21)(22)24,27,(29)(30) , um (32) comparou a luva de látex com as de não-látex e nove mencionaram a marca registrada utilizada, mas não o material (7,12,17,20,23,(25)(26)28,31) .…”

Section: Resultsunclassified

Qual o intervalo de tempo sugerido para a troca de luvas cirúrgicas? Uma revisão integrativa

2016

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A troca das luvas cirúrgicas durante o procedimento constitui uma importante medida para a manutenção da sua integridade e prevenção da infecção do sítio cirúrgico, entretanto existe pouco consenso quanto ao tempo para essas trocas. Objetivou-se identificar, analisar e sintetizar os achados disponíveis na literatura sobre o intervalo de tempo sugerido para a troca das luvas cirúrgicas durante as cirurgias com intuito de manter a sua integridade. Tratou-se de uma revisão integrativa de estudos publicados entre 2003 e 2016. Foram selecionados 19 artigos que abordaram a relação integridade da luva cirúrgica e seu tempo de uso. Os estudos apontaram a relação direta entre tempo da cirurgia e aumento do percentual de perfuração das luvas. Com base na análise realizada, sugere-se a troca em menos de 120 minutos para cirurgias do aparelho digestivo, ginecológicas e torácicas. A elaboração de protocolos relativos às diferentes especialidades cirúrgicas deve ser considerada.

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Occult Glove Perforation During Adult Elective Orthopaedic Surgery

Cited by 4 publications

References 17 publications

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

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

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Qual o intervalo de tempo sugerido para a troca de luvas cirúrgicas? Uma revisão integrativa

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