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Double gloving as self protection in abdominal surgery
S L Jensen1, B Kristensen, K Fabrin
1Department of Surgical Gastroenterology, Aalborg Hospital, Denmark.
The European Journal of Surgery = Acta Chirurgica
|March 1, 1997
Summary
Double gloving significantly reduces glove perforations during abdominal surgery, lowering the risk of patient-to-surgeon disease transmission. This surgical safety practice is crucial for protecting healthcare professionals.
Area of Science:
- Surgical Safety
- Infection Control
- Medical Device Performance
Background:
- Glove perforation is a known risk during abdominal surgery.
- Perforated gloves can lead to patient-to-surgeon disease transmission.
- The effectiveness of double gloving in preventing perforation requires further investigation.
Purpose of the Study:
- To evaluate the efficacy of double gloving in reducing glove barrier perforations.
- To compare perforation rates between single and double gloving techniques during abdominal operations.
Main Methods:
- Randomised controlled trial conducted in a county hospital.
- 400 glove barriers from surgeons and assistants during abdominal surgeries were analyzed.
- Participants were randomized to wear either single or double gloves.
Main Results:
- A 20% perforation rate was observed with single gloves versus 4% with double gloves (p < 0.001).
- Perforations were more frequent on non-dominant hands.
- Increased perforation rates correlated with longer operation duration and surgeon seniority.
Conclusions:
- Double gloving is an effective strategy to decrease glove barrier perforations in abdominal surgery.
- Implementing double gloving can minimize potential disease transmission from patients to surgeons.
- Surgical context, including operation length and surgeon experience, influences glove integrity.