Prospective study of glove perforation in obstetrical and gynecological operations: are we safe enough?

The Journal of Obstetrics and Gynaecology Research
Monika MalhotraRaksha Arora

Abstract

To assess the glove perforation rate, efficacy of double gloving, effect of duration of surgery, expertise of surgeon and operative urgency on the glove perforation rate in obstetrical and gynecologic operations. From February to September 2002, double glove protocol was made necessary for all major obstetrical and gynecologic procedures. The operating surgeon, first and second assistant were included in the study. Gloves damage was noted (overt by inspection, occult by hydroinsufflation technique). Of the 156 procedures included in study, 32 procedures were performed (all emergency operations) single-gloved because surgeons found double gloving clumsy (56%), made it difficult to tie knots due to lack of dexterity (24%), or were too tight (20%). One thousand one hundred and twenty single gloves were examined after each procedure by hydroinsufflation. The overall perforation rate was 13.6% (single versus double outer gloves, 13.8% versus l3.2%, P > 0.05). Matching perforations were found in six cases (4.6%). Thus, the protection offered by double gloves was 95.4% even if the outer gloves were perforated. Four inner gloves had preexisting perforations. Sixty unused gloves checked similarly revealed a perforation rate of 1.6%. Eme...Continue Reading

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Citations

Jun 6, 2006·Applied and Environmental Microbiology·Günter KampfDaryl Paulson
Mar 27, 2012·International Journal of Oral and Maxillofacial Surgery·N KuroyanagiK Shimozato
Mar 3, 2012·AORN Journal·Denise Korniewicz, Maher El-Masri
Mar 3, 2010·Journal of the American College of Surgeons·Donald E FryCarolyn L Twomey
Jul 22, 2008·American Journal of Obstetrics and Gynecology·Lisa K WilsonDavid Soper
May 4, 2006·Journal of Pediatric Orthopedics·Ibrahim Al-HabdanMir Sadat-Ali
Jul 21, 2006·The Cochrane Database of Systematic Reviews·J Tanner, H Parkinson
Nov 27, 2014·British Journal of Nursing : BJN·Mohammed Abdullah Al Maqbali
Feb 17, 2011·Journal of Perioperative Practice·Steven Phillips

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