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Related Experiment Videos

Glove punctures in orthopaedic surgery.

W Yinusa1, Y H Li, W Chow

  • 1Department of Orthopaedic Surgery, University of Hong Kong, Duchess of Kent Children's Hospital, 4/F Medical Officers' Room, Sandy Bay Road, Sandy Bay, Hong Kong S.A.R., Peoples' Republic of China.

International Orthopaedics
|October 10, 2003
PubMed
Summary

Orthopaedic surgeries show a high rate of latex glove perforation. Double gloving significantly reduces puncture risk, highlighting its importance in preventing surgical site infections.

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Area of Science:

  • Orthopaedic Surgery
  • Infectious Disease Prevention
  • Medical Device Safety

Background:

  • Latex gloves are essential barriers in surgery.
  • Glove perforation can lead to pathogen transmission.
  • Orthopaedic surgeries pose unique risks due to sharp instruments and bone contact.

Purpose of the Study:

  • To determine the incidence of latex glove perforation in various orthopaedic sub-specialties.
  • To identify factors associated with increased glove perforation rates.
  • To evaluate the effectiveness of double gloving in reducing perforations.

Main Methods:

  • A water infusion test was used to assess 792 latex gloves from 100 orthopaedic operations.
  • Data collected included operative sub-specialty, procedure type, and gloving technique (single vs. double).

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  • Glove perforation rates were calculated overall and stratified by procedure characteristics.

    • Main Results:

    • An overall glove perforation rate of 8.7% was observed.
    • Spine surgeries had the highest operative perforation rate (63.6%), while hand surgeries had the lowest (19.4%).
    • Double gloving reduced the inner glove perforation rate to 0.8% compared to 9.6% for single gloving.

    Conclusions:

    • Latex glove perforation is common in orthopaedic surgery, particularly in spine and lengthy procedures.
    • Double gloving is a highly effective strategy to minimize glove perforations.
    • Recommendations include adopting double gloving and frequent glove changes in high-risk orthopaedic procedures.