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Incidence of Glove Perforation During Hand Surgical Procedures
Journal article   Peer reviewed

Incidence of Glove Perforation During Hand Surgical Procedures

Kevin F Lutsky, Christopher Jones, Jack Abboudi, William Kirkpatrick, Fred Liss, Charles Leinberry, Asif Ilyas, Dennis Martin and Pedro K Beredjiklian
The Journal of hand surgery (American ed.), v 42(10), pp 840.e1-840.e5
Oct 2017
DOI: https://doi.org/10.1016/j.jhsa.2017.06.103
PMID: 28802536
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Equipment Failure Gloves, Surgical Hand - surgery Humans Incidence Orthopedic Procedures Prospective Studies
To determine the rate of glove perforation during hand surgery. We prospectively examined the rate of glove perforations among 10 fellowship-trained hand surgeons at our institution during a 6 week period. Gloves were tested for perforation using a water-fill technique at the conclusion of each surgical procedure. Surgeons recorded the presence of any glove perforations. Eleven perforations were identified in 10 gloves among 600 surgical procedures during the study period. The perforation rate per case was 1.5% (95% confidence interval, 0.78% to 2.8%). Forty percent of perforations (n = 4) occurred during fracture surgery. Other holes occurred during isolated carpal tunnel release (n = 3) or combined carpal tunnel and trigger finger release (n = 3). The perforation was noticed intraoperatively in only 2 gloves. The difference in perforation rate between single- and double-gloved procedures was not significant. There were no perforations in the inner glove of surgeons who double gloved. A total of 73% of holes (8 of 11) occurred on surgeons' index finger; 75% of these were on the dominant hand. The dominant thumb, non-dominant ring and nondominant little fingers each had a single perforation. The rate of glove perforation during hand surgery is low. Holes can occur even during soft tissue procedures of short duration. The dominant index finger appears to be at greatest risk for perforation. When they do occur, most often holes are not noticed by the operating surgeon. The baseline glove perforation rate is unknown. A high level of vigilance is required to maintain sterile technique.

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5 citations in Scopus

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Web of Science research areas
Orthopedics
Surgery
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