Glove perforation during hip arthroplasty. A randomised prospective study of a new taperpoint needle

Wright, KU; Moran, C. G.; Briggs, PJ

doi:10.1302/0301-620x.75b6.8245082

Cited by 41 publications

(18 citation statements)

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“…There has been shown to be a reduced rate of glove puncture and needlestick injury by the use of blunt tipped needles, both in obstetrics and other surgical specialities (Corlett, 1993;Wright, 1993;Dauleh, 1994;Miller, 1994;Thomas, 1995;Ablett, 1998). We have demonstrated a trend towards a reduction in glove puncture rates from the use of blunt-tipped needles in perineal repair (Ablett et al, 1998).…”

Section: Blunt-tipped Needlesmentioning

confidence: 99%

“…However, some operators may need to use the needles a few times in order to familiarise themselves with this technique (Lewis et al, 1995). Their use in comparison to sharp needles has been studied in many surgical and orthopaedi c procedures and the results have shown conclusively that they greatly reduce the number of glove and skin punctures occurring during operating (Wright et al, 1993;Dauleh, 1994;Miller and Sabharwal, 1994). A recent study from St Mary's Hospital, London, has shown a decrease in glove puncture rate at lower segment caesarean section from 51% to 34% (Thomas et al, 1995).…”

Section: Blunt-tipped Needlesmentioning

confidence: 99%

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Risks for obstetricians - a review of the current issues and literature

Ablett

Smith²

2000

Journal of Obstetrics and Gynaecology

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Section: Blunt-tipped Needlesmentioning

confidence: 99%

Section: Blunt-tipped Needlesmentioning

confidence: 99%

Risks for obstetricians - a review of the current issues and literature

Ablett

Smith²

2000

Journal of Obstetrics and Gynaecology

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“…During surgery, using sterile gloves acts as a protective barrier against pathogens present in blood and skin, such as human immunodeficiency virus and hepatitis B and C and several common bacteria [2-9]. Because of its importance and because of the risk of perforation during surgery, the use of two gloves has generally been adopted by most surgical teams in numerous situations as a way to reduce the risk of perforation, although this measure was not included in WHO recommendations on safety in surgery, since there are no sufficient studies to prove their efficacy [3,4,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…The use of latex gloves is the current standard of protection during surgery, providing enough security to the patient and surgical team, as they remain intact throughout the procedure [2-9]. However, several conditions have been linked to increased risk of glove perforation during surgery, such as frequent handling of sharp instruments and prolonged procedures.…”

Section: Introductionmentioning

confidence: 99%

Is the surgical knot tying technique associated with a risk for unnoticed glove perforation? An experimental study

et al. 2014

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BackgroundThe issue of safety in the surgical procedure has recently been widely and openly discussed at the World Health Organization. The use of latex gloves is the current standard of protection during surgery, as they remain intact throughout the procedure. The present study was designed to evaluate the rate of glove perforation during a two-hand technique using polyester sutures in a controlled experimental study.MethodsHypothesis was that the gloves used during a two-hand technique using polyester suture suffer punctures. We used 150 pairs of gloves during the experiment. Each investigator performed 30 tests always using double gloving. They made five surgical knots on each test over a custom-made table specifically developed for the experiment. Ten tests were done at a time with a week- interval. The Control Group (CG) has 30 pairs of intact surgical gloves. The gloves were tested to impermeability by water filling and leaking was observed at three different times. Statistics relating to the perforation rate were analyzed using the chi-square test. A P value less than 0.05 was considered statistically significant.ResultsDuring the experiment there was no loss of gloves by drilling or inadvertent error in performing the impermeability test. No perforations were detected at any time during the impermeability test with the gloves used for sutures. Also, the CG presented no leakage of the liquid used for the test. There was no statistical difference between the groups underwent suture nor between them and the GC.ConclusionUnder the studied conditions, the authors’ hypotheses could not be proved. There was no damage to the surgical gloves during the entire experiment. The authors believe that the skin abrasions observed in the ulnar side of the little finger, constant throughout the experiment, must be caused by friction. We feel there is no risk of perforation of surgical gloves during a two-hand technique using polyester suture.

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“…Double gloving, 1,2 the wearing of outer 'orthopaedic' gloves or cloth gloves between two pairs of gloves 3 and the use of a taperpoint needle 4 have reduced the incidence of needlestick injuries. The Regent Biogel Reveal double-gloving system (Regent Hospital Products, Broxbourne, UK) was developed to increase the surgeon's awareness of glove perforation.…”

mentioning

confidence: 99%

Increased Awareness of Glove Perforation in Major Joint Replacement

Nicolai

Aldam

Allen

1997

The Journal of Bone and Joint Surgery. British volume

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An intact barrier between the hands of the surgeon and the patient remains the single most important factor in protection against infection for both. Increasing the awareness of possible glove perforation without skin penetration will decrease the risk of contamination.We performed a prospective, randomised trial comparing the incidence of glove perforation using a new type of glove (Regent Biogel Reveal) and standard double-gloves in total hip and knee replacement. One or more perforations was detected in 14.6% of all gloves. The new gloves increased significantly the awareness of perforation. Multiple perforations at the base of the ring finger were found in surgeons who wore wedding rings during the operation and we recommend that rings be removed before undertaking surgery. [Br] 1997;79-B:371-3. J Bone Joint Surg Received 6 September 1996; Accepted after revision 4 November 1996Needlestick injuries with perforation of gloves and sometimes skin are common in all surgical specialties with obvious risks of infection. Double gloving, 1,2 the wearing of outer 'orthopaedic' gloves or cloth gloves between two pairs of gloves 3 and the use of a taperpoint needle 4 have reduced the incidence of needlestick injuries. The Regent Biogel Reveal double-gloving system (Regent Hospital Products, Broxbourne, UK) was developed to increase the surgeon's awareness of glove perforation. A special green inner glove turns dark green when punctured with consequent contact with body fluid. The discoloration is clearly visible under the natural-coloured outer glove. Our aim was to investigate the effectiveness of Biogel Reveal gloves during operation for total hip and knee replacement. PATIENTS AND METHODSPatients undergoing total hip or knee arthroplasty were allocated randomly using sealed envelopes to a 'Reveal' or a 'control' group. The surgeon, first assistant and scrub nurse used the allocated gloves throughout the operation. The outer gloves were changed before the cementing of components and the inner and/or outer gloves if perforation was suspected. All the gloves used during the operation were collected and labelled. Wearers were asked about their awareness of any perforations and blood contamination on the hands. Records were kept of the nature of the operation, the dominant hand, the seniority of the surgeon, first assistant and scrub nurse, and the stage of the operation at which the gloves were changed. The gloves were tested for perforations by filling them with one litre of water and twisting the cuff end of the glove through 360° to increase the pressure. Twenty pairs of unused gloves in both groups were tested for perforations in a similar fashion. We performed statistical analysis using the chi-squared test.

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Glove perforation during hip arthroplasty. A randomised prospective study of a new taperpoint needle

Abstract: Exposure to blood is a hazard for all surgeons.We assessed

Cited by 41 publications

References 0 publications

Risks for obstetricians - a review of the current issues and literature

Risks for obstetricians - a review of the current issues and literature

Is the surgical knot tying technique associated with a risk for unnoticed glove perforation? An experimental study

Increased Awareness of Glove Perforation in Major Joint Replacement

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