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Double gloving and surgical technique

J M Webb1, B D Pentlow

  • 1Department of General Surgery, Southmead Hospital, Bristol.

Annals of the Royal College of Surgeons of England
|July 1, 1993
PubMed
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Double gloving, a common surgical practice, did not significantly impact surgeons' tactile discrimination or knot-tying skills. Wearing the smaller glove externally offered improved comfort without compromising performance.

Area of Science:

  • Surgical Technique
  • Medical Device Performance
  • Human Factors in Medicine

Background:

  • Double gloving is frequently employed in surgery to enhance protection against contamination.
  • Potential impacts of double gloving on surgeon's fine motor skills and sensory feedback remain a concern.

Purpose of the Study:

  • To compare the effects of single gloving versus double gloving on tactile sensation and dexterity.
  • To evaluate surgeon performance in knot tying and two-point discrimination under different gloving conditions.

Main Methods:

  • Seventeen surgeons performed knot-tying tasks and Dellon's moving two-point discrimination test.
  • Tests were conducted using single gloves, double gloves (larger outer), and double gloves (smaller outer).

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Main Results:

  • No significant difference was observed in two-point discrimination between single and double gloving.
  • Surgical knot-tying ability remained unaffected by double gloving protocols.
  • The configuration with the smaller glove worn externally was perceived as more comfortable.

Conclusions:

  • Double gloving does not appear to impair essential surgical skills like tactile discrimination and knot tying.
  • Optimizing glove configuration may enhance surgeon comfort without compromising patient safety or procedural efficacy.