Investigation of incidence and risk factors for surgical glove perforation in small animal surgery.

Authors: 
Hayes GM1, Reynolds D, Moens NM, Singh A, Oblak M, Gibson TW, Brisson BA, Nazarali A, Dewey C.
Volume: 
43
Number: 
4
Pages: 
400-4
Journal: 
Vet Surg
Date: 
2014 May

OBJECTIVE:

To identify incidence and risk factors for surgical glove perforation in small animal surgery.

STUDY DESIGN:

Observational cohort study.

SAMPLE POPULATION:

Surgical gloves (n = 2132) worn in 363 surgical procedures.

METHODS:

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.

RESULTS:

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%.

CONCLUSIONS:

There is a high incidence of unrecognized glove perforations in small animal surgery.