Brown J N
Department of Orthopaedic Surgery, Doncaster Royal Infirmary, UK.
J R Coll Surg Edinb. 1996 Dec;41(6):395-6.
This paper reports the use of a double gloving system, which consists of a standard latex over glove and a green latex under glove, and aids recognition of intra-operative glove perforation during trauma surgery. Recognition of perforation is possible due to the colour of the under glove becoming more visable following ingress of fluid between the glove layers. The gloves were used in 40 consecutive operative procedures for lower limb fracture fixation. Glove perforations occurred in 48% of operations. The outer glove was perforated on 26 occasions and the under glove on two. There were no false positive colour changes but on one occasion no indication of perforation was visible. The rapidity and accuracy of colour change allowed identification of the cause of glove damage intra-operatively. This was most often due to powered instrumentation (58%).
本文报道了一种双层手套系统的应用，该系统由一只标准的乳胶外层手套和一只绿色乳胶内层手套组成，有助于在创伤手术中识别术中手套穿孔情况。由于液体进入手套层之间后内层手套的颜色变得更加明显，所以能够识别穿孔。这双手套在连续40例下肢骨折固定手术中使用。48%的手术中发生了手套穿孔。外层手套有26次穿孔，内层手套有2次穿孔。没有出现假阳性颜色变化，但有一次没有可见的穿孔迹象。颜色变化的快速性和准确性使得能够在术中识别手套损坏的原因。这最常见的原因是电动器械（58%）。
