Document Detail

Unnoticed glove perforation during thoracoscopic and open thoracic surgery.
MedLine Citation:
PMID:  16122490     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Surgeons tend to underestimate the risk of transferring infection during thoracoscopic operations, although data on glove perforation in thoracoscopic operations have not been reported. METHODS: Unnoticed perforations of the gloves worn by the same primary surgeon during thoracoscopic procedures and open thoracotomy were studied. Gloves with gross damage and those changed due to assumed damage were excluded. Gloves were tested by filling with water and squeezing to inflate each finger, which could detect a perforation by a 30-gauge needle. RESULTS: Perforation was found in 25% after thoracoscopic operation, although this was significantly lower than 70% after open thoracotomy. Twelve percent of the gloves worn during thoracoscopic operation were perforated. The perforation rate was higher for gloves worn for more than 2 hours during thoracoscopic operation. CONCLUSIONS: Glove perforation occurred without being noticed in 25% of thoracoscopic procedures, and in 12% of the gloves used during the procedure. Glove change within 2 hours is recommended.
Yuko Kojima; Masahiko Ohashi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  80     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-26     Completed Date:  2006-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1078-80     Citation Subset:  AIM; IM    
Department of Anesthesiology, Suwa Red Cross Hospital, Nagano, Japan.
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MeSH Terms
Aged, 80 and over
Equipment Failure / statistics & numerical data
Equipment Failure Analysis / methods
Gloves, Surgical / statistics & numerical data*
Middle Aged
Thoracic Surgical Procedures / instrumentation*,  statistics & numerical data*
Thoracoscopy / statistics & numerical data

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