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The gown-glove interface is the weakest point in the barrier system of gown and glove protection for the surgeon. We are herein presenting an easy modification in the cuff of the gown that increases the security of the gown-glove interface.The surgical staff is the main cause of microbial contamination during surgery. Reducing microorganisms concentration requires careful preparation of all the staff members. The gown-glove interface is the weakest point in the barrier system of gown and glove protection for the surgeon and other healthcare professionals (Fig. 1). In addition in long-term interventions the cuff of the gown is not considered sterile after changing the gloves, with the subsequent potential for the transfer of pathogens to both the patient and the surgical team [1,2].Making a small cut in the cuff of the gown and introducing the thumb through this (Figs. 2, 3) prevents the sleeve from sliding up and ensures that the wrist and hand do not contaminate the surgical field (Fig. 4). Although the design of the surgical standard gown with a thumb hole is already marketed this is an easy modification. Using a disposable gown, the thumb hole increases the security of the gown-glove interface. We have not identified any problems with its use. Surprisingly, there are no other reports of this simple technique published in the literature.

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Presentamos el caso de una paciente de 52 años que acudió a consulta refiriendo una tumoración frontal de 4 años de evolución. Como antecedente de interés, la paciente fue intervenida de un angioma intracraneal a los 41 años.A la exploración presentaba aumento de volumen a nivel frontal izquierdo, de unos 2 cm de diámetro, indurado, asintomático, piel con características normales ( fig. 1). Figura 1 -Fotografía de perfil preoperatoria. * Autor para correspondencia.Correo electrónico: Dr.garciamolina@gmail.com (D. Garcia Molina). Figura 2 -Imagen de TC.En la tomografía axial computarizada se objetivó una lesión de aspecto lítico en la vertiente lateral izquierda del hueso frontal, que presentaba en su interior un patrón ligeramente reticular. La lesión no llegaba a contactar con la tabla interna. Presentaba un tamaño de 8 × 29 × 25 mm ( fig. 2).