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Related Experiment Videos

Outer gloves in orthopaedic procedures. Cloth compared with latex.

R Sanders1, P Fortin, E Ross

  • 1Department of Orthopaedic Surgery, University of South Florida, Tampa 33606.

The Journal of Bone and Joint Surgery. American Volume
|July 1, 1990
PubMed
Summary

Cloth and latex double-gloving significantly reduces inner glove perforations during orthopedic surgery compared to double latex gloves. This technique is crucial for preventing unrecognized glove tears and enhancing surgical safety.

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Area of Science:

  • Surgical Safety
  • Infection Control
  • Orthopedic Surgery

Background:

  • Double-gloving is a standard practice in surgery to prevent glove perforations.
  • Latex gloves are commonly used, but their integrity can be compromised during procedures.
  • The effectiveness of different double-gloving materials in preventing inner glove punctures requires investigation.

Purpose of the Study:

  • To compare the rate of inner glove punctures between double latex gloves and latex inner gloves with cloth outer gloves in orthopedic operations.
  • To assess the incidence of unrecognized glove perforations in both techniques.
  • To determine the impact of procedure duration on inner glove integrity.

Main Methods:

  • A randomized prospective study involving 50 orthopedic procedures.

Related Experiment Videos

  • Group I: 25 procedures with double latex gloves.
  • Group II: 25 procedures with latex inner gloves and cloth outer gloves. Inner gloves were tested for punctures, and intraoperative glove changes were recorded.
  • Main Results:

    • Double latex gloves (Group I) showed a significantly higher rate of total inner glove perforations compared to cloth and latex gloves (Group II) (p < 0.0001).
    • Unrecognized perforations were also significantly more frequent in Group I (p < 0.01).
    • In Group I, puncture rates increased with operation duration, with all procedures over three hours experiencing punctures. Group II had only two unrecognized tears, independent of duration.

    Conclusions:

    • Using cloth outer gloves with latex inner gloves is superior to double latex gloves in preventing inner glove perforations during orthopedic surgery.
    • The cloth and latex combination significantly reduces the risk of unrecognized glove tears, enhancing surgical safety.
    • This technique is particularly beneficial for longer surgical procedures where the risk of perforation is higher.