Surgical Gloves: Current Problems

Osman, Maher; Jensen, Steen Lund

doi:10.1007/pl00012360

Cited by 45 publications

(31 citation statements)

References 66 publications

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“…Deficits in cutaneous pressure threshold could be a risk factor in glove perforation, which has become an area of concern as a number of blood-borne pathogens pose a significant risk to the health of operating surgeons. 10 In many different specialities, surgeons have advocated using double gloving techniques to limit the danger posed by glove perforation and bloodborne pathogens. [11][12][13] The safety advantages incurred are offset by presumed disadvantages including reduced manual dexterity and tactile sensation.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the effect of different surgical gloves on objective measurement of fingertip cutaneous sensibility

Bucknor

Karthikesalingam

Markar

et al. 2011

annals

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Ann R Coll Surg Engl 2011; 93: 95-98 95In the wake of challenging global economic circumstances, government reforms in nationalised health systems such as the NHS require the delivery of efficient, high-quality services while reducing costs. 1 The careful selection of surgical equipment can deliver significant cost savings; for example, a recent national audit identified that the NHS in Scotland alone spends approximately £2.6 million on surgical gloves per annum.2 National procurement directives encouraging open competition between glove suppliers would enable the potential saving of £534,000 per annum.2 However, the choice of sterile surgical glove represents a controversial area; although cost savings are possible it is important that surgical technique is not compromised at the expense of patient care. Alterations in surgical glove procurement which were driven purely by cost without regard for clinical factors have faced wide-spread criticism. The prudent selection of surgical gloves can deliver significant efficiency savings. However, objective data are lacking to compare differences in cutaneous sensibility between competing gloves. Therefore, the present study examined the use of a single comparable model of sterile surgical glove from two competing providers, Gammex PF HyGrip ® (Ansell Limited, Red Bank, NJ, USA) with Biogel ® (Mölnlycke Health Care AB, Göteborg, Sweden). SUBJECTS AND METHODS Cutaneous pressure threshold, static and moving two-point discrimination were measured as indices of objective surgical glove performance in 52 blinded healthcare professionals. RESULTS The mean cutaneous pressure threshold was 0.0680 ± 0.0923 g for skin, 0.411 ± 0.661 g for Ansell gloves and 0.472 ± 0.768 g for Biogel gloves. Skin was significantly more sensitive than Ansell (P < 0.0001) or Biogel (P < 0.0001) gloves (Wilcoxon signed rank test). There was no statistical difference between Biogel and Ansell gloves (P = 0.359). There was no significant difference between static or moving 2-point discrimination of skin and Ansell gloves (P = 0.556, P = 0.617; Wilcoxon signed rank test), skin and Biogel gloves (P = 0.486, P = 0.437; Wilcoxon signed rank test) or Ansell and Biogel gloves (P = 0.843, P = 0.670; Wilcoxon signed rank test). CONCLUSIONS No demonstrable objective difference was found between competing gloves in the outcome measures of cutaneous sensibility and two-point discrimination. However, a difference in subjective preference was noted. Untested factors may underlie this discrepancy, and further research should employ more sophisticated measurements of surgical performance using competing models of surgical glove.

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Section: Discussionmentioning

confidence: 99%

A comparison of the effect of different surgical gloves on objective measurement of fingertip cutaneous sensibility

Bucknor

Karthikesalingam

Markar

et al. 2011

annals

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“…Common practices such as suturing the peritoneum, using surgical gloves with talc and using non-absorbable suture should be eliminated entirely. There is clear evidence that these techniques are unnecessary and promote adhesions [171]. There are many simple techniques all surgeons should be aware of which may reduce the severity of adhesions.…”

Section: Adhesionsmentioning

confidence: 98%

Management of complications in surgery of the colon

Gmeiner

Pfeifer

2007

Eur Surg

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Zusammenfassung. Grundlagen: Allgemeinchirurgen sind in ihrer tä glichen Praxis hä ufig mit kolorektalen Erkrankungen konfrontiert, wobei Kolon-oder Rektumkarzinome in Ö sterreich mit nahezu 5000 Neuerkrankungen pro Jahr zu den hä ufigsten bö sartigen Erkrankungen zä hlen. Aber auch die Inzidenz gutartiger Kolonerkrankungen, die einer chirurgischen Therapie bedü rfen (z. B. Kolonpolypen, Sigmadivertikulitis), ist im Steigen begriffen. Das erste Ziel in der Darmchirurgie sollte es sein Komplikationen zu vermeiden; sind sie aber eingetreten, diese adä quat zu behandeln.Methodik: Wir unterscheiden allgemeine und spezielle Komplikationen. Bei den allgemeinen Komplikationen sind besonders das Vorbeugen von Mangelernä hrung und das Stä rken der Immunkompetenz zu nennen. Das in den letzten Jahren zunehmend ä ltere Patientengut zieht neben der Gefahr thrombembolischer Komplikationen mehr kritische Herz-Kreislaufsituationen, Nieren-und Leberfunktionsstö -rungen nach sich, die besonders zu beachten sind. Spezielle Komplikationen sind entweder vom Operationsverfahren (laparoskopisch assistiert oder offen konventionell) oder von der Operationstechnik (Klammern, hä ndisch) abhä ngig. Auch der Umgang mit dem Gewebe an sich (z. B. trockene versus feuchte OP-Tü cher) ist wichtig.Ergebnisse: Eine Verkü rzung des postoperativen Aufenthalts verringert neben der Spitalskosten auch die Infektionshä ufigkeit. Deshalb sind minimal invasive Eingriffe und postoperative ,,Fast Track''-Ernä hrung zu fö rdern. Darü ber hinaus sollten Notfallsoperationen tunlichst vermieden werden (z. B. durch Bridging mit Stents), da Morbiditä t und Mortalitä t deutlich erhö ht sind im Vergleich zu Elektiveingriffen. Bei der Operation selbst kö nnen neue Gerä te und Techniken (z. B. Ultracision + , Ligasure + ) sowie ein eingespieltes Operationsteam Komplikationen reduzieren und die Operation beschleunigen.Schlussfolgerungen: Vermeiden ist besser als Reparieren. Bei eingetretener Komplikation ist es aber wichtig, sofort die nö tigen chirurgischen und intensiv-therapeutischen Maßnahmen zu setzen.Schlü sselwö rter: Komplikation, Kolonchirurgie, Stent, Fast Track.Summary. Background: General surgeons are frequently confronted with colorectal diseases in their daily practice, whereby colorectal cancer is the second most common malignant tumour, with almost 5000 new cases every year in Austria. The incidence of benign colon disorders requiring surgery (e.g. colon polyps, sigmoid diverticulitis) is also increasing. The first aim in colon surgery should be to avoid complications and if they occur to treat them properly.Methods: We basically distinguish between general and special complications. As general complications, prevention of malnutrition and support of the immune system should receive special attention. As the number of elderly patients increases, so does the risk not only of thrombembolic complications but also of critical cardiocirculatory situations, and renal and hepatic failure. Special complications depend either on the type of surgery (laparoscopic...

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“…Directional differences in dimensions of micro-organisms were noted (i.e., spherical compared with rod-shaped) [9]. A comprehensive review of literature on rubber, latex, and vinyls as used in the manufacture, finishing, and performance of protective gloves was published in 1999 and focussed on problems which surgical gloves present in surgical practice [10]. Issues of powder-induced peritonitis and adhesions, hypersensitivity to latex rubber, and glove perforations were addressed.…”

Section: Materials Structure Performance and Consistencymentioning

confidence: 99%

“…However, their use is not problem-free, and glove-related problems were reviewed during the late 1990s [10]. A number of papers published during the last 15-20 years addressed the performance of surgical gloves: the incidence of glove perforation and bacterial contamination (e.g., Dodds, Guy, Peacock, et al [20]), surgical gloves as a barrier against human immunodeficiency viruses (e.g., Dalgleish and Malkovsky [21]), failure of nonlatex surgical gloves [22], and leakage (viral) after simulated use of vinyl and latex examination gloves (e.g., Korniewicz, Laughon, Cyr, et al [23]).…”

Section: Clothing Items and Their Performancementioning

confidence: 99%

Protection Provided by Clothing and Textiles Against Potential Hazards in the Operating Theatre

Laing¹

2008

International Journal of Occupational Safety and Ergonomics

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Surgical Gloves: Current Problems

Cited by 45 publications

References 66 publications

A comparison of the effect of different surgical gloves on objective measurement of fingertip cutaneous sensibility

A comparison of the effect of different surgical gloves on objective measurement of fingertip cutaneous sensibility

Management of complications in surgery of the colon

Protection Provided by Clothing and Textiles Against Potential Hazards in the Operating Theatre

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