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Surgical glove perforation.

R D Dodds1, P J Guy, A M Peacock

  • 1Department of Surgery, St. Peter's Hospital, Chertsey, Surrey.

The British Journal of Surgery
|October 1, 1988
PubMed
Summary
This summary is machine-generated.

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Surgical glove perforations occur in 12.7% of gloves, but do not increase patient infection risk. Surgeons should change damaged gloves to protect themselves from surgical pathogens.

Area of Science:

  • Surgical Safety
  • Infection Control
  • Medical Device Integrity

Background:

  • Surgical glove perforation is a known issue.
  • The clinical significance of glove perforations for patient outcomes and surgeon safety requires investigation.

Purpose of the Study:

  • To determine the incidence of surgical glove perforation.
  • To assess the clinical significance of glove perforations on bacterial contamination and wound sepsis.
  • To evaluate the implications for surgeon protection against transmissible pathogens.

Main Methods:

  • Measured bacterial contamination on surgeons' hands and gloves before and after operations.
  • Tested gloves for perforations.
  • Conducted a clinical study on 100 adult hernia repairs to assess wound sepsis.

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Main Results:

  • Perforations were found in 12.7% of gloves (74/582) and occurred in 34.5% of operations.
  • Glove perforation did not significantly affect bacterial counts on hands or gloves.
  • No evidence linked perforation to increased wound sepsis in hernia repairs.

Conclusions:

  • Surgical glove perforations, despite their high incidence, pose no clinical risk to patients after standard pre-operative preparation.
  • The primary indication for changing perforated gloves is surgeon protection from blood-borne pathogens like hepatitis B and HIV.
  • Surgeons must remain vigilant about glove integrity for personal safety during surgical procedures.