Prospective data collection and analysis of perforations and tears of latex surgical gloves during primary endoprosthetic surgeries

Zaatreh, Sarah; Enz, Andreas; Klinder, Annett; König, Tony; Mittelmeier, Lena; Kundt, Günther; Mittelmeier, Wolfram

doi:10.3205/dgkh000285

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…The index finger of the surgeon’s dominant and subordinate hand proved to be particularly prone to lesion, especially in RA [ 9 , 10 , 22 ]. This is in line with the findings of other research groups [ 21 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…From July 2016 until October 2019, 827 surgical gloves were collected at the Clinic for Orthopedics and Trauma Surgery, Catholic Hospital Bochum, University Hospital of the Ruhr-University Bochum and the Clinic for Orthopedics and Trauma Surgery Clinic Lippe in Lemgo (BuL) and subsequently compared to an existing database from the Orthopedic Clinic and Policlinic of the Rostock University Medical Center about glove damage whose data were partly reported previously [ 9 , 10 ]. In total, 2289 surgical gloves from 409 surgeries, including 153 primary endoprostheses implantations, 155 revision arthroplasties and 101 arthroscopic interventions, were examined.…”

Section: Methodsmentioning

confidence: 99%

“…50 gloves without surgery were tested after postage (3 days duration). The evaluation was performed according to EN 455—Medical gloves for single use part 1, method for testing for freedom from holes with water tightening test [ 5 , 10 ]. The localization of the damage was determined, size and dimension were measured with a plastic goniometer (Kirchner & Wilhelm GmbH & Co. KG, Asperg, Germany) and the lesion configuration was recorded with microscopes (Laser Scanning Microscope VK-S1100 and Digital Microscope VHX-6000, Keyence, Germany).…”

Section: Methodsmentioning

confidence: 99%

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Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Enz

Kostuj

Warnke

et al. 2020

Arch Orthop Trauma Surg

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Introduction Various orthopedic surgical procedures cause mechanical stress for gloves. In some cases, sharp-edged objects impact on the glove surfaces. The systematic description of lesions is still missing. Methods 2289 gloves from 409 surgeries [primary hip and knee arthroplasties (PA), revisions arthroplasties (RA) and arthroscopic shoulder, hip and knee surgery (AY)] from 3 clinics were examined for lesions using water tightening test according to the European norm EN 455-1. Results Arthroscopies showed the lowest rate of operations with damaged gloves (6.9%). Depending on clinic, 32.7% and 59.2% of PA surgeries generated damaged gloves, while in RA, these numbers rose to 76.0% and 72.8%, respectively. In PA and RA, the most affected finger was the index finger, whereas in arthroscopies, more damage occurred on the middle finger and the thumb. The size of the lesions was rather small with the vast majority being 1 mm or 2 mm in size. Conclusion All investigated interventions led to glove lesions. With increasing mechanical stress, the number of glove defects increased. EN 455 does not account for the intraoperative tear risk. Stricter requirements for gloves should be introduced. Glove change intervals should be defined and implemented, and new materials should be developed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Enz

Kostuj

Warnke

et al. 2020

Arch Orthop Trauma Surg

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“…Recent studies have shown high rates of glove damage in joint and revision arthroplasty, procedures where gloves are subjected to repetitive mechanical stress during surgery. As a result, the integrity of the gloves is compromised [ 4 , 10 , 11 , 33 ]. However, glove damage was also described in previous studies during much less mechanically demanding operations, such as joint arthroscopies and laparoscopic procedures [ 9 – 11 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Knot tying in arthroplasty and arthroscopy causes lesions to surgical gloves: a potential risk of infection

Enz

Klinder

Bisping

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose Recent studies have shown that the incidence of glove lesions during arthroscopy is much lower than that during primary and revision arthroplasty. However, the rate of glove damage after knot tying has not yet been systematically recorded. Therefore, the aim of the study was to determine the impact of surgical knot tying on glove integrity. It was hypothesized that knot tying increases the rate of glove damage, especially in arthroscopic surgery, which could be of special relevance in the treatment of rotator cuff tears. Methods Gloves that were changed immediately before suturing and only worn during knot tying were investigated for their integrity by means of water tightening test according to EN455. A total of 234 gloves from 40 total hip arthroplasties (THAs), 42 total knee arthroplasties (TKAs) and 36 rotator cuff repairs (RCRs) were collected. A bacterial pass-through test (BPTT) on glove lesions was performed under simulated sterile surgical conditions for 3 surgeons after a wear duration of 45 min. Results Glove damage by knot tying occurred in 25% of THA, 36.6% of TKA and 25% of RCR surgeries. In THA, the pulling hand (PH) was affected in 46.2%, and the main area of damage (15.4%) was detected on the tip of the middle finger; in TKAs the PH was damaged in 75%, and in RCRs the PH was affected in 66.7%, with most of the lesions (20% each) occurring on the tip of the index finger and the ring finger. The BPTT showed Staphylococcus hominis and Bacillus cereus. Conclusion Intraoperative knot tying causes damage to gloves, which is of special relevance for arthroscopic surgery. Whereas knot tying is only partly responsible for glove damage in arthroplasty, the general rate of glove damage in arthroscopic surgery is low without knot tying. The surgical knot tying process must be understood as a possible damaging impact on the glove. Therefore, single gloving is not recommended, which is especially important in arthroscopic surgery, where double gloving is not yet standard. Level of Evidence IV.

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“…Published studies have found perforations frequency and tears up to 78% of gloves during surgical procedures. [ [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] ] These studies have highlighted the duration and type of surgical procedures, user experience, and glove quality as factors related to glove perforation.…”

Section: Introductionmentioning

confidence: 99%

Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba

Garcell¹,

Valdés²,

Álvarez³

et al. 2022

Infection Prevention in Practice

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Prospective data collection and analysis of perforations and tears of latex surgical gloves during primary endoprosthetic surgeries

Cited by 5 publications

References 17 publications

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Knot tying in arthroplasty and arthroscopy causes lesions to surgical gloves: a potential risk of infection

Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba

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