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 337
- Downloads 18
Impact of Thyroid Dysfunction on Serum Cystatin C, Serum Creatinine and Glomerular Filtration Rate
Aim. The aim of this cross-sectional, prospective, randomized, longitudinal study was to asses serum cystatin C (Cys C) and creatinine concentrations and glomerular filtration rate (GFR) in thyroid dysfunction. Materi...
Zdravko Trojacanec. Prevention of Sports Injuries. Skopje: Trojacanec; 2009. 151 pages; ISBN 978-9989-3-2; price MKD 300
Field of medicine: Prevention medicine. Audience: Sports medicine specialists, general practitioners, students in medicine. Purpose: Every mental activity of an individual is closely related and dependable on their ph...
Use of Dorsal Metacarpal Artery Flaps in Post Burn Reconstruction – Two Cases Report
Perforator flaps based on the dorsal metacarpal arteries, islanded on a reverse flow pattern are used for reconstruction of two patients respectively with an unstable scar located on the MCP joints and a severe contrac...
Functional Analysis of Mutahassaneen Area during Hajj 1427Hijra
Objective. This study highlighted the activity of Mutahassaneen Area during Hajj-1427 Hijra (H). Methodology. This Study was a retrospective observational review of those Hajj patients who stayed in the Mutahassaneen A...
Effects of the Pharmacological Pre-treatment and Global Brain Ischemia on the Body Temperature in Experimental Rats
The aim of this study is to examine the influence of the pharmacologic pre-treatment and global brain ischemia on the one hand, and on the other hand, the influence of anaesthesia on the body temperature in experimenta...