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Glove perforation during oral surgical procedures
Ruth Lopes de Freitas Xavier1, Belmiro Cavalcanti do Egito Vasconcelos, Luiz Carlos Ferreira da Silva
1Department of Oral and Maxillofacial Surgery, University of Pernambuco, Recife, Brazil.
Objective:
The aim of this study was to determine the incidence of glove perforation among undergraduates and residents performing maxillofacial surgery and identify procedures associated with the perforations.
Study Design:
For this purpose, 200 pairs of surgical gloves were used. For inspecting the perforations, the gloves were filled with water, at least 500 ml.
Results:
Sixteen gloves (8%) were perforated, 8 (4%) by residents and 8 (4%) by undergraduate students. Only the residents noticed that 2 gloves (1%) were perforated and identified the object causing the perforation. The left hand was the more affected with 9 perforations (4.5%). The finger pulp was the region most affected with 12 perforations (6%). The perforated forefinger appeared in 8 gloves (4%), representing the highest incidence of perforations.
Conclusion:
We concluded there was no difference in surgical glove perforation between undergraduate students and residents, the incidence of perforations was greater in the left hand (nondominant hand) and the fingers in which most perforations occurred were the forefinger and the thumb.
Insights
Surgical glove perforation occurred in 8% of cases during maxillofacial surgery training. Perforations were more common on the non-dominant left hand, particularly the forefinger and thumb.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Training
- Medical Device Safety
Background:
- Surgical glove integrity is crucial for preventing infections and cross-contamination.
- Understanding perforation rates in training settings can inform safety protocols.
Purpose of the Study:
- To determine the incidence of surgical glove perforation in maxillofacial surgery training.
- To identify specific procedures and anatomical locations associated with glove perforations.
Main Methods:
- 200 pairs of surgical gloves were inspected for perforations.
- Gloves were filled with 500 ml of water to detect leaks.
Main Results:
- An overall perforation rate of 8% was observed.
- Perforations were equally distributed between undergraduate students and residents (4% each).
- The left (non-dominant) hand (4.5%) and fingers (forefinger 4%, thumb) were most affected.
Conclusions:
- No significant difference in glove perforation rates between undergraduate students and residents.
- Left-hand glove perforations were more frequent.
- Forefinger and thumb were the most common sites of perforation.
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