Document Detail


Risk of glove perforation in minor and major plastic surgery procedures.
MedLine Citation:
PMID:  15029455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Incidental needlestick injury with exposure of blood pathogens has a high incidence among health care workers. Because plastic surgeons make up an important risk group for this type of accident, this study sought to evaluate the incidence of glove perforation during minor and major plastic surgery procedures. METHODS: Evidence of glove perforation was evaluated for 390 gloves after 100 consecutive minor surgical procedures and for 710 gloves after 100 consecutive major surgeries using Maffuli's test. An index based on the number of first assistant's glove perforation and the surgical time was created to compare these accidents associated with both types of procedures. RESULTS: Glove perforations were found in four gloves (1.02%) after minor surgery and 76 gloves (21.40%) after major surgery. During minor surgeries, the assistant was more likely to have exposure than the surgeon. During major surgery, the surgeon experienced more glove perforations (59.21%) than the assistant (40.79%). The most common location of perforations was the palmar face of the left hand in both groups. The surgeons did not notice these perforations at any time. The duration of the minor procedures varied from 10 to 30 min (average, 17.55 min), whereas the time of major procedures ranged from 1 to 6 h (average, 186 min). There was no statistical significant difference in the perforation's index between minor and major procedures. CONCLUSIONS: The risk of perforation to the surgeon's glove during minor surgery is minimal. The frequency of perforation to the first assistant's glove is similar between minor and major plastic surgery procedures.
Authors:
Marcus Vinícius Jardini Barbosa; Fábio Xerfan Nahas; Lydia Masako Ferreira; Andréia Bufoni Farah; Natália Alinda Montecinos Ayaviri; Roberta Lopes Bariani
Related Documents :
8506965 - Laparoscopic versus traditional appendectomy for suspected appendicitis.
17429775 - A simple and inexpensive method for laparoscopic appendectomy.
7800455 - Pediatric barium enema examination: optimizing patient selection with univariate and mu...
12825005 - Evaluation of postoperative fever: usefulness and cost-effectiveness of routine workup.
11525205 - Endoscopic versus open surgical treatment of carpal tunnel syndrome.
22385095 - Risk factors for surgical site infection after gastric surgery: a multicentre case-cont...
Publication Detail:
Type:  Journal Article     Date:  2004-03-22
Journal Detail:
Title:  Aesthetic plastic surgery     Volume:  27     ISSN:  0364-216X     ISO Abbreviation:  Aesthetic Plast Surg     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2004-05-24     Completed Date:  2004-06-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7701756     Medline TA:  Aesthetic Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  481-4     Citation Subset:  IM    
Affiliation:
Alameda Santos, Sao Paolo-SP, Brazil. drmbarbosa@ig.com.br
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Brazil
Gloves, Surgical* / standards
Humans
Infectious Disease Transmission, Patient-to-Professional / prevention & control*
Needlestick Injuries* / prevention & control
Occupational Diseases / prevention & control
Occupational Exposure / prevention & control*
Physician Assistants / statistics & numerical data
Physicians / statistics & numerical data*
Prospective Studies
Reconstructive Surgical Procedures* / adverse effects,  standards
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Otoplasty: a comparison of techniques for antihelical defects treatment.
Next Document:  Implications for nasal recontouring: nasion position preferences as determined by a survey of white ...