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Related Experiment Videos

Glove perforation rate in open lung surgery.

P H Hollaus1, F Lax, D Janakiev

  • 1Department of Thoracic Surgery, Pulmologisches Zentrum Wien, Austria. peter.hollaus@pul.magwien.gv.at

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|June 17, 1999
PubMed
Summary

Thoracic surgeons experience high glove perforation rates during open lung surgery. Double gloving is crucial for preventing blood exposure and disease transmission in these procedures.

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Area of Science:

  • Surgical Safety
  • Infectious Disease Prevention
  • Medical Device Performance

Background:

  • Open lung surgery involves rib cage access, potentially increasing glove perforation risk.
  • High glove perforation rates are a concern in surgical specialities with limited access.
  • Standard surgical protocols may not adequately address the unique risks in thoracic procedures.

Purpose of the Study:

  • To prospectively evaluate glove perforation rates in thoracic surgeons during thoracotomies.
  • To identify factors influencing glove perforation during open lung surgery.
  • To assess the efficacy of double gloving in preventing cutaneous blood exposure.

Main Methods:

  • 100 thoracotomies were prospectively studied, with surgeons and assistants wearing double standard latex gloves.

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  • Data collected included perforation numbers, locations, causes, operation duration, and rib resection.
  • Analysis correlated perforation rates with surgeon seniority, maneuvers, and operation specifics.

    • Main Results:

    • A 78% overall operation perforation rate was observed, with 150 outer and 19 inner glove perforations.
    • Double gloving prevented cutaneous blood exposure in 78% of operations and 87% of perforations.
    • Perforation rates were significantly higher with rib resection and operations exceeding 2 hours (P<0.05).

    Conclusions:

    • The high perforation rate (78%) in thoracic surgery necessitates enhanced safety measures.
    • Double gloving is highly effective in preventing surgeon blood exposure during thoracotomies.
    • Routine double gloving is recommended for thoracic surgeons to mitigate infectious disease transmission risks.