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Poo Sing Wong
Vincent K. Young
Aprim Youhana
John E. Wright
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Ann Thorac Surg 1993;56:108-110
© 1993 The Society of Thoracic Surgeons

Articles

Surgical glove punctures during cardiac operations

Poo Sing Wong, FRCS(Ed*, Vincent K. Young, FRCS(I), Aprim Youhana, FRCS(Ed), John E. Wright, FRCS

Department of Surgery, London Chest Hospital, London, England

Accepted for publication October 13, 1992.

* Address reprint requests to Dr Wong, Department of Thoracic Surgery, Royal Brompton National Heart and Lung Hospital, Sydney St, London SW3 6NP, England.

A new method of detecting occult glove punctures was devised to determine its frequency during cardiac operations. Glove puncture is of relevance to the transmission of infectious diseases and the potential contamination of implanted cardiac prostheses. A study was therefore carried out in 48 adult patients undergoing open heart operations in which gloves worn by surgeons and nurses were collected and evaluated at the end of each procedure. In 22 of these cases, gloves were changed at three different stages of the cardiac operation for the principal operators: stage I, skin incision to commencement of cardiopuimonary bypass; stage II, cardiopulmonary bypass to sternotomy closure; and stage III, sternotomy closure to skin closure. One hundred sixty-two gloves (31.5%) had one or more punctures out of a total of 514 gloves tested. Only 20 glove punctures were recognized either at the time or at the end of the operation. There were 185 occult glove punctures. The majority (60%) of punctures were on the nondominant hand, with 30% of perforations located in the nondominant index finger. Using the {chi} 2 test with two degrees of freedom, there is no significant difference between the glove perforation rates for the principal operators in stages I, II, and III. The most important finding from this study was that 61% of gloves worn by scrub nurses had one or more punctures compared with 23.6% of surgeons.




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