1) Serrano et al found that a glove perforation occurs in 44% of primary Caesarean delivery cases.
Prior studies have estimated a glove perforation rate of approximately 25% with open abdominal surgery.
2-4,7) However, inherent to this suture construct are sharp barbs that are palpable when gripped with a double-gloved hand, which may cause glove perforation.
8) Orthopaedic procedures involving bone cuts and fracture reduction represent the highest risk for glove perforation with reported rates ranging from 12% to 37.
Survey respondents also were asked about double glove perforations
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.
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%.
Doctors' survey Generalist physicians (N=4) Circumcisions performed prior to study, median (range) Surgical 150 (10 - 200) Unicirc 0 (0 - 10) Ease of performance, n (%) Unicirc much easier 0 Unicirc easier 4 (100) Neutral 0 Surgical easier 0 Surgical much easier 0 Method of preference, n (%) Strongly prefer Unicirc 2 (50) Prefer Unicirc 2 (50) Neutral 0 Prefer surgical 0 Strongly prefer surgical 0 Glove perforations
during the study, n (%) 0 1 (25) 1 2 (50) 2 0 >10 1 (25) Table 6.
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.