Occult Glove Perforation During Adult Elective Orthopaedic Surgery
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2011, Vol 4, Issue 4
Abstract
Aim: This prospective study was conducted in Rustaq Regional referral hospital, Oman from 01-3-2004 to 31-2-2007 to study the frequency of occult glove perforation in adult elective orthopaedic operations and to determine the efficacy of double gloving. Material and Methods: A total of 404 gloves (369 double and 35 single ) used in 175 adult orthopaedic operations were examined. All gloves were tested by standardized water leak method – EN 455-1. Glove perforation rate, incidence amony surgical team members, location of perforation and duration of surgery were analysed and compared. Results: The overall perforation rate was found to be 15% with 11.6% blood contamination in our study. Surgeons had higher perforation rate (11.1%) compared to other operating team members.The index finger and thumb of the non-dominant hand had more perforations then the dominant hand. More perforations were observed in bony operations compared to other surgeries. Perforation rate was more in operations lasting for more than 90 min. The perforation rate of unused gloves was 1%. Conclusion: Routine use of double gloves during elective orthopaedic surgery is advocated. Occult perforations are unrecognized during surgery and pose greater risk. Double gloves confers additional protection especially in high risk patients and significantly reduces blood contamination. Also regular glove changing in high risk surgeries and surgeries lasting more than 2 hours is recommended.
Authors and Affiliations
Dinesh Dhar| Senior Specialist Orthopaedics, Nizwa Regional Referral Hospital, Oman
Keywords
Related Articles
- EP ID EP8831
- DOI 10.3889/MJMS.1857-5773.2011.0191
- Views 323
- Downloads 18
Epithelioid Angiosarcoma of the Adrenal Gland. Report of a Case and Review of the Literature
Background: Primary mesenchymal neoplasms of the adrenal gland are rare, and a malignant one is an extraordinary finding. Angiosarcomas are uncommon neoplasms and account for less than 1% of sarcomas. Due to their rari...
Effect of Omega-3 Fatty Acids on Erythrocyte Membrane in Diabetic Rats
Background: Diabetes mellitus is a metabolic disease characterized by chronic hyperglycemia resulting from defects in insulin secretion, almost always with a major contribution from insulin resistance which may be affe...
Pasteurella Canis аs а Cause оf Soft-Tissue Infection after Dog Bite: a Case Report
Pasteurella spp are the first organisms to consider in any patient who presents with a soft tissue infection following cat scratches, or cat or dog bites or licks. Pasteurella canis is most common isolate of dog bites....
Respiratory Symptoms, Immunological Changes, Ventilatory Capacity, and Bronchial Responsiveness in Welders
Objective: To evaluate the effect of workplace exposure and its duration on respiratory symptoms, atopic status, ventilatory capacity, and bronchial responsiveness in welders. Material and Methods: We performed a cross...
Oxidant/Antioxidant Status in Patients with Behçet Disease
Background. Increased oxidant stress and decreased antioxidant enzyme activities may result in tissue injury in Behçet’s disease (BD) patients. Aim. The aim of the study was to assess various selected markers of oxi...