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Starch peritonitis and its prevention

J J Sternlieb, D C McIlrath, J A van Heerden

    Archives of Surgery (Chicago, Ill. : 1960)
    |April 1, 1977
    PubMed
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    Surgical gloves containing cornstarch can cause starch peritonitis, a serious complication after abdominal surgery. Corticosteroids effectively treated this condition, and sodium bicarbonate shows promise as a safer glove lubricant.

    Area of Science:

    • Surgical Complications
    • Medical Device Contamination
    • Gastrointestinal Surgery

    Background:

    • Commercially available surgical gloves utilize cornstarch derivatives, posing a risk of starch peritonitis.
    • Starch peritonitis is a significant, albeit rare, complication following intra-abdominal procedures.
    • This condition presents with symptoms including fever, migratory abdominal pain, and ileus.

    Purpose of the Study:

    • To investigate the incidence and clinical features of starch peritonitis.
    • To evaluate the efficacy of current operating room precautions in preventing starch contamination.
    • To explore alternative glove lubricants to mitigate the risk of starch peritonitis.

    Main Methods:

    • Retrospective case review of patients diagnosed with starch peritonitis.

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  • Analysis of intra-abdominal procedures performed during a 12-month period.
  • Assessment of operating room protocols for starch contamination control.
  • Preliminary evaluation of sodium bicarbonate as a surgical glove lubricant.

    • Main Results:

    • Seven cases of starch peritonitis were identified within a 12-month period.
    • Standard operating room precautions were insufficient to completely eliminate starch contamination.
    • Corticosteroid therapy demonstrated effectiveness in managing starch peritonitis.
    • Sodium bicarbonate emerged as a promising alternative to cornstarch for glove lubrication.

    Conclusions:

    • Cornstarch-based surgical gloves present a preventable cause of peritonitis.
    • Enhanced preventative measures and alternative lubricants are crucial for patient safety.
    • Sodium bicarbonate offers a potential solution to eliminate the hazard of starch peritonitis.