Investigation of Incidence and Risk Factors for Surgical Glove Perforation in Small Animal Surgery. Issue 4 (11th March 2014)

• Record Type: Journal Article
• Authors: Hayes, Galina M.; Reynolds, Deborah; Moens, Noel M.M.; Singh, Ameet; Oblak, Michelle; Gibson, Thomas W.G.; Brisson, Brigitte A.; Nazarali, Alim; Dewey, Cate
• Is Part Of: Veterinary surgery. Volume 43:Issue 4(2014)
• Page Start: 400
• Page End: 404
• Publication Date: 2014-03-11
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/j.1532-950X.2014.12159.x
• Languages: English
• ISSNs: 0161-3499

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="vsu12159-sec-0001" sec-type="section"> <title>Objective</title> <p>To identify incidence and risk factors for surgical glove perforation in small animal surgery.</p> </sec> <sec id="vsu12159-sec-0002" sec-type="section"> <title>Study Design</title> <p>Observational cohort study.</p> </sec> <sec id="vsu12159-sec-0003" sec-type="section"> <title>Sample Population</title> <p>Surgical gloves (n = 2132) worn in 363 surgical procedures.</p> </sec> <sec id="vsu12159-sec-0004" sec-type="section"> <title>Methods</title> <p>All gloves worn by operative personnel were assessed for perforation at end‐procedure using a water leak test. Putative risk factors were recorded by a surgical team member. Associations between risk factors and perforation were assessed using multivariable multi‐level random‐effects logistic regression models to control for hierarchical data structure.</p> </sec> <sec id="vsu12159-sec-0005" sec-type="section"> <title>Results</title> <p>At least 1 glove perforation occurred in 26.2% of procedures. Identified risk factors for glove perforation included increased surgical duration (surgery >1 hour OR = 1.79, 95% CI = 1.12–2.86), performing orthopedic procedures (OR = 1.88; 95% CI = 1.23–2.88), any procedure using powered instruments (OR = 1.93; 95% CI = 1.21–3.09) or surgical wire (OR = 3.02; 95% CI = 1.50–6.05), use of polyisoprene as a glove material (OR = 1.59, 95% CI = 1.05–2.39), and operative role as primary surgeon (OR = 2.01; 95% CI = 1.35–2.98). The ability of the wearer to detect perforations intraoperatively was poor, with a sensitivity of 30.8%.</p> </sec> <sec id="vsu12159-sec-0006" sec-type="section"> <title>Conclusions</title> <p>There is a high incidence of unrecognized glove perforations in small animal surgery.</p> </sec> </abstract>