Glove perforations in open and laparoscopic abdominal surgery: The feasibility of double gloving

Abstract

Background and Aims: According to the traditional view, the glove protects the patient from the bacterial growth of the surgeons' hands and doing so prevents infections. Today, with growing incidences of HIV and Hepatitis B and C, surgical gloves are also important as protection for the surgeon. We compared the safety of double indicator gloves to standard single surgical gloves by investigating how often surgical gloves are punctured in laparoscopic and open gastrointestinal surgery. Study: As study material we gathered all gloves that had been used in gastrointestinal surgery in Satakunta Central Hospital during two months. 814 gloves from 274 operations were tested by using standardized water filling test method. Results: In open surgery 67 gloves out of 694 had been punctured (9.6 per cent). Puncture occurred in 22.5 per cent of operations (53 out of 236). During open surgery 24 holes out of 35 were undetected with single gloves (69 per cent). With double indicator gloves, only 3 out of 31 holes were unnoticed (10 per cent). Long duration of operation increased the risk of puncture. In laparoscopic operations 4 gloves out of 120 had been perforated (3.3 per cent). Conclusion: Double surgical gloves give markedly better protection in surgery. This is important especially in high risk operations.