6 A study was carried out to investigate double gloving and a glove perforation
indication system in maxillofacial trauma surgery, which shows that the outer glove perforation
rate was significantly higher than the inner glove.
The present study found a glove perforation
rate of 12.
A recent trial published by Sullivan et al showed a statistically significant reduction in the number of cases exhibiting a glove perforation
when blunt needles (7.
8) Orthopaedic procedures involving bone cuts and fracture reduction represent the highest risk for glove perforation
with reported rates ranging from 12% to 37.
Misteli et al (2009) observe that glove perforation
occurred in 16.
DeRoyal's SutureMate[R] is a disposable surgical device shown in a randomized, controlled trial to reduce glove perforations
by 60 to 80% and percutaneous injuries by 70%.
This study was done to evaluate the perceived versus the unperceived glove perforations
of a vascular surgery team and to compare two methods of glove evaluation.
The fact that many glove perforations
go unnoticed by members of the surgical team has also been well-documented in the literature.
The incidence of surgical glove perforation
during the treatment of some maxillofacial fractures may be as high as 50%, with over 80% going unnoticed at the time of operation.
The first intra-operative glove perforation
occurs a mean of 40 minutes into an operation and is not detected by the operating theatre professional in up to 83% of cases (Hentz et al.
Using glove perforation
as a proxy for needlestick injuries, Sullivan and colleagues compared blunt needles with sharp needles during cesarean delivery.
Mingoli A, Sapienza P, Sgarzini G et al 1996 Influence of blunt needles on surgical glove perforation
and safety for the surgeon American Journal of Surgery 172 (5) 512-516
It is interesting to note that all of the studies included in this comparison were conducted in specialities which are considered to have a low risk of glove perforation
, this means surgical procedures which did not involve drilling, sawing or wiring.
Among these three doctors, there were two glove perforations
during the study.
Knowing that glove perforations
and opportunistic bacterial contaminations can occur, especially during longer surgeries, it is beneficial to use a hand antiseptic with residual antimicrobial efficacy.