Glove failure in elective thyroid surgery: A prospective randomized study
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Medical University of Lodz, Łódź, Poland (Department of Emergency Medicine and Disaster Medicine),
Medical University of Lodz, Łódź, Poland (Department of Endocrinological, General and Oncological Surgery)
Medical University of Lodz, Łódź, Poland (Department of Health Care Policy)
Institute of Cardiology, Warszawa, Poland (Department of Cardiosurgery and Transplantology)
Medical University of Lodz, Łódź, Poland (Faculty of Health Sciences)
Medical University of Lodz, Łódź, Poland (Department of Medical Standards, Procedures and Quality)
Corresponding author
Dariusz Timler   

Medical University of Lodz, Department of Emergency Medicine and Disaster Medicine, Pabianicka 62, 93-513 Łódź, Poland
Int J Occup Med Environ Health. 2015;28(3):499-505
Objectives: To analyze perforation rate in sterile gloves used by surgeons in the operating theatre of the Department of Endocrinological and General Surgery of Medical University of Lodz. Material and Methods: Randomized and controlled trial. This study analyses the incidents of tears in sterile surgical gloves used by surgeons during operations on 3 types of thyroid diseases according to the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. Nine hundred seventy-two pairs (sets) of gloves were collected from 321 surgical procedures. All gloves were tested immediately following surgery using the water leak test (EN455-1) to detect leakage. Results: Glove perforation was detected in 89 of 972 glove sets (9.2%). Statistically relevant more often glove tears occurred in operator than the 1st assistant (p < 0.001). The sites of perforation were localized mostly on the middle finger of the non-dominant hand (22.5%), and the non-dominant ring finger (17.9%). Conclusions: This study has proved that the role performed by the surgeon during the procedure (operator, 1st assistant) has significant influence on the risk of glove perforations. Nearly 90% of glove perforations are unnoticed during surgery.
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