Ersozlu Salim, Sahin Orcun, Ozgur Ahmet Fevzi, Akkaya Tolga, Tuncay Cengiz
Baskent University, Department of Orthopaedics and Traumatology, Ankara, Turkey.
Acta Orthop Belg. 2007 Dec;73(6):760-4.
We assessed the frequency of glove perforation during major and minor orthopaedic surgeries, in order to determine the efficacy of double gloving. A total number of 1528 gloves (622 inner and 906 outer) used in 200 procedures (100 major-100 minor), and 100 pairs of unused gloves were examined. Glove perforation rate, incidence among surgical team, location of perforation and duration of surgery were compared. The overall perforation rate was 15.8% (242/1528). Perforation rates for major versus minor surgical procedures were 21.6% and 3.6%, respectively. The perforation rate for the unused control group was 1% (2/200). Inner-outer gloves perforation rates were 3.7% (23/622) and 22.7% (206/906), respectively. Surgeons had a higher perforation rate compared with the other staff. The right thumb and left index finger had more punctures than other fingers. Routine use of double gloving during orthopaedic procedures is recommended, because this significantly reduces the perforation of inner gloves.
我们评估了在骨科大手术和小手术中手套穿孔的频率，以确定双层手套的有效性。在200例手术（100例大手术 - 100例小手术）中总共使用了1528只手套（622只内层和906只外层），并检查了100副未使用的手套。比较了手套穿孔率、手术团队中的发生率、穿孔位置和手术持续时间。总体穿孔率为15.8%（242/1528）。大手术与小手术的穿孔率分别为21.6%和3.6%。未使用的对照组的穿孔率为1%（2/200）。内层 - 外层手套的穿孔率分别为3.7%（23/622）和22.7%（206/906）。外科医生的穿孔率高于其他工作人员。右手拇指和左手食指的穿刺比其他手指更多。建议在骨科手术中常规使用双层手套，因为这可显著减少内层手套的穿孔。
