[Starch peritonitis. Apropos of 13 cases]

Area of Science:

• Medical Science
• Surgical Complications
• Histopathology

Context:

• Historically, starch powder replaced talcum in surgical gloves since 1950.
• The perceived inertness of starch powder is now questioned due to adverse effects.
• Many surgeons remain unaware of the potential risks associated with glove starch.

Purpose:

• To review the clinical presentation, diagnosis, and treatment of glove starch peritonitis.
• To highlight the risks associated with recurrent operations for this condition.
• To emphasize the importance of minimizing starch powder introduction into the peritoneal cavity.

Summary:

• Presents 13 cases of glove starch peritonitis observed between 1971 and 1978.
• Discusses clinical signs, diagnostic challenges, and therapeutic options.
• Identifies limiting peritoneal starch introduction as the primary preventive measure.

Impact:

• Raises awareness among surgeons about the adverse effects of surgical glove starch.
• Underscores the need for strict discipline in surgical teams to prevent starch contamination.
• Provides insights into managing and preventing a potentially serious surgical complication.