Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?

Maurício Pandini Monteiro de Barros, Thales Thiago Ferreira Godoi, Mario Ferretti Filho, Helio Jorge Alchavian Fernandes, Fernando Baldy Dos Reis, Maurício Pandini Monteiro de Barros, Thales Thiago Ferreira Godoi, Mario Ferretti Filho, Helio Jorge Alchavian Fernandes, Fernando Baldy Dos Reis

Abstract

Introduction The possibility of perforation of gloves during orthopedic surgeries can reach 56.8%, and it mainly related to the manipulation of blunt instruments. Surgeries for the treatment of fractures and trauma present additional risk due to contact with bone spires. Objective Analysis of the prevalence of loss of integrity of surgical gloves in orthopedic trauma procedures, especially fractures, and evaluation of the surgeon's exposure and contact with secretions from the patient. Methods Macroscopic inspection of the gloves of two surgeons specialized in trauma, over a period of 4 months. Both used two gloves for all procedures and, at the end of the surgery, analyzed the presence or absence of blood stains on the internal gloves and/or fingers. The procedures were categorized according to the time and type of surgery. The intercurrence investigated was the perforation of one or two gloves; if the tear was perceived immediately or only at the end of the surgery, and the location of and reason for the tear, if identified. Results A total of 210 surgeries were included, 87 of which presented perforations, with 17 cases occurring in both gloves and 70 only in the outer glove. Finally, there was a more significant relationship with open focus surgeries and duration > 60 minutes. Conclusion Our results suggest that greater care and inspection of gloves to look for damage are needed in prolonged surgeries with an open focus.

Keywords: gloves, surgical; orthopedic surgeons; protection; traumatology.

Conflict of interest statement

Conflito de interesses Os autores declaram não haver conflito de interesses.

Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).

Figures

Fig. 1
Fig. 1
Internal glove showing loss of integrity of the left index finger perceived at the end of surgery.
Fig. 1
Fig. 1
luva interna mostrando perda da integridade do indicador esquerdo percebido ao final da cirurgia.

References

    1. Tanner J, Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev. 2006;2006(03):CD003087.
    1. Sanders R, Fortin P, Ross E, Helfet D. Outer gloves in orthopaedic procedures. Cloth compared with latex. J Bone Joint Surg Am. 1990;72(06):914–917.
    1. Sebold E J, Jordan L R. Intraoperative glove perforation. A comparative analysis. Clin Orthop Relat Res. 1993;(297):242–244.
    1. Hayes G, Singh A, Gibson T. Influence of orthopedic reinforced gloves versus double standard gloves on contamination events during small animal orthopedic surgery. Vet Surg. 2017;46(07):981–985.
    1. Chan K Y, Singh V A, Oun B H, To B H.The rate of glove perforations in orthopaedic procedures: single versus double gloving. A prospective study Med J Malaysia 200661(Suppl B):3–7.
    1. Maffulli N, Capasso G, Testa V. Glove perforation in elective orthopedic surgery. Acta Orthop Scand. 1989;60(05):565–566.
    1. Laine T, Aarnio P. Glove perforation in orthopaedic and trauma surgery. A comparison between single, double indicator gloving and double gloving with two regular gloves. J Bone Joint Surg Br. 2004;86(06):898–900.
    1. Nicolai P, Aldam C H, Allen P W. Increased awareness of glove perforation in major joint replacement. A prospective, randomised study of Regent Biogel Reveal gloves. J Bone Joint Surg Br. 1997;79(03):371–373.
    1. Louis S S, Steinberg E L, Gruen O A, Bartlett C S, Helfet D L. Outer gloves in orthopaedic procedures: a polyester/stainless steel wire weave glove liner compared with latex. J Orthop Trauma. 1998;12(02):101–105.
    1. Enz A, Klinder A, Mittelmeier H, Kundt G, Mittelmeier W, Zaatreh S. Damages with High Consequences: Analysis of Perforations in Surgical Latex Operation Gloves from Orthopedic Surgeries. Eur J Microbiol Immunol (Bp) 2018;8(04):159–162.
    1. Lee S W, Cho M R, Lee H H, Choi W K, Lee J H. Perforation of Surgical Gloves during Lower Extremity Fracture Surgery and Hip Joint Replacement Surgery. Hip Pelvis. 2015;27(01):17–22.
    1. Hester R A, Nelson C L, Harrison S. Control of contamination of the operative team in total joint arthroplasty. J Arthroplasty. 1992;7(03):267–269.

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