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.
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%.
Based on these results, there is a high incidence of unrecognized glove perforations in small animal surgery.
Source: Hayes, G. M., Reynolds, D., Moens, N. M.M., Singh, A., Oblak, M., Gibson, T. W.G., Brisson, B. A., Nazarali, A. and Dewey, C. (2014), Investigation of Incidence and Risk Factors for Surgical Glove Perforation in Small Animal Surgery. Veterinary Surgery, 43: 400–404. doi: 10.1111/j.1532-950X.2014.12159.x
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