Glove failure in elective thyroid surgery: A prospective randomized study

Int J Occup Med Environ Health. 2015;28(3):499-505. doi: 10.13075/ijomeh.1896.00428.

Abstract

Objectives: To analyze perforation rate in sterile gloves used by surgeons in the operating theatre of the Department of Endocrinological and General Surgery of Medical University of Lodz.

Material and methods: Randomized and controlled trial. This study analyses the incidents of tears in sterile surgical gloves used by surgeons during operations on 3 types of thyroid diseases according to the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. Nine hundred seventy-two pairs (sets) of gloves were collected from 321 surgical procedures. All gloves were tested immediately following surgery using the water leak test (EN455-1) to detect leakage.

Results: Glove perforation was detected in 89 of 972 glove sets (9.2%). Statistically relevant more often glove tears occurred in operator than the 1st assistant (p < 0.001). The sites of perforation were localized mostly on the middle finger of the non-dominant hand (22.5%), and the non-dominant ring finger (17.9%).

Conclusions: This study has proved that the role performed by the surgeon during the procedure (operator, 1st assistant) has significant influence on the risk of glove perforations. Nearly 90% of glove perforations are unnoticed during surgery.

Keywords: elective surgery; glove failure; surgeon; surgical gloves; thyroid surgery; thyroidectomy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Elective Surgical Procedures / instrumentation*
  • Equipment Failure
  • Follow-Up Studies
  • Gloves, Surgical / standards*
  • Humans
  • Occupational Exposure / adverse effects*
  • Prospective Studies
  • Risk Assessment / methods*
  • Surgeons*
  • Thyroid Gland / surgery*
  • Thyroidectomy / instrumentation*