Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?

Abstract Introduction The possibility of perforation of gloves during orthopedic surgeries can reach 56.8%, and it mainly related to the manipulation of blunt instruments. Surgeries for the treatment of fractures and trauma present additional risk due to contact with bone spires. Objective Analysi...

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Main Authors: Maurício Pandini Monteiro de Barros, Thales Thiago Ferreira Godoi, Mario Ferretti Filho, Helio Jorge Alchavian Fernandes, Fernando Baldy dos Reis
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300379&tlng=en
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author Maurício Pandini Monteiro de Barros
Thales Thiago Ferreira Godoi
Mario Ferretti Filho
Helio Jorge Alchavian Fernandes
Fernando Baldy dos Reis
author_facet Maurício Pandini Monteiro de Barros
Thales Thiago Ferreira Godoi
Mario Ferretti Filho
Helio Jorge Alchavian Fernandes
Fernando Baldy dos Reis
author_sort Maurício Pandini Monteiro de Barros
collection DOAJ
description Abstract Introduction The possibility of perforation of gloves during orthopedic surgeries can reach 56.8%, and it mainly related to the manipulation of blunt instruments. Surgeries for the treatment of fractures and trauma present additional risk due to contact with bone spires. Objective Analysis of the prevalence of loss of integrity of surgical gloves in orthopedic trauma procedures, especially fractures, and evaluation of the surgeon's exposure and contact with secretions from the patient. Methods Macroscopic inspection of the gloves of two surgeons specialized in trauma, over a period of 4 months. Both used two gloves for all procedures and, at the end of the surgery, analyzed the presence or absence of blood stains on the internal gloves and/or fingers. The procedures were categorized according to the time and type of surgery. The intercurrence investigated was the perforation of one or two gloves; if the tear was perceived immediately or only at the end of the surgery, and the location of and reason for the tear, if identified. Results A total of 210 surgeries were included, 87 of which presented perforations, with 17 cases occurring in both gloves and 70 only in the outer glove. Finally, there was a more significant relationship with open focus surgeries and duration > 60 minutes. Conclusion Our results suggest that greater care and inspection of gloves to look for damage are needed in prolonged surgeries with an open focus.
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spelling doaj.art-645f97fbbea14916ae349d849e88a75e2024-02-02T00:24:59ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437810.1055/s-0040-1722591Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?Maurício Pandini Monteiro de BarrosThales Thiago Ferreira GodoiMario Ferretti FilhoHelio Jorge Alchavian FernandesFernando Baldy dos ReisAbstract Introduction The possibility of perforation of gloves during orthopedic surgeries can reach 56.8%, and it mainly related to the manipulation of blunt instruments. Surgeries for the treatment of fractures and trauma present additional risk due to contact with bone spires. Objective Analysis of the prevalence of loss of integrity of surgical gloves in orthopedic trauma procedures, especially fractures, and evaluation of the surgeon's exposure and contact with secretions from the patient. Methods Macroscopic inspection of the gloves of two surgeons specialized in trauma, over a period of 4 months. Both used two gloves for all procedures and, at the end of the surgery, analyzed the presence or absence of blood stains on the internal gloves and/or fingers. The procedures were categorized according to the time and type of surgery. The intercurrence investigated was the perforation of one or two gloves; if the tear was perceived immediately or only at the end of the surgery, and the location of and reason for the tear, if identified. Results A total of 210 surgeries were included, 87 of which presented perforations, with 17 cases occurring in both gloves and 70 only in the outer glove. Finally, there was a more significant relationship with open focus surgeries and duration > 60 minutes. Conclusion Our results suggest that greater care and inspection of gloves to look for damage are needed in prolonged surgeries with an open focus.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300379&tlng=enorthopedic surgeonsgloves, surgicalprotectiontraumatology
spellingShingle Maurício Pandini Monteiro de Barros
Thales Thiago Ferreira Godoi
Mario Ferretti Filho
Helio Jorge Alchavian Fernandes
Fernando Baldy dos Reis
Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?
Revista Brasileira de Ortopedia
orthopedic surgeons
gloves, surgical
protection
traumatology
title Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?
title_full Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?
title_fullStr Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?
title_full_unstemmed Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?
title_short Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity?
title_sort surgical gloves in orthopedic trauma procedures how many lose their integrity
topic orthopedic surgeons
gloves, surgical
protection
traumatology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300379&tlng=en
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