Risk of surgical glove perforation in oral and maxillofacial surgery
Abstract Oral and maxillofacial surgery, which involves several sharp instruments and fixation materials, is consistently at a high risk for cross-contamination due to perforated gloves, but it is unclear how often such perforations occur. This study aimed to address this issue. The frequency of the...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2012-08, Vol.41 (8), p.1014-1019 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | Kuroyanagi, N Nagao, T Sakuma, H Miyachi, H Ochiai, S Kimura, Y Fukano, H Shimozato, K |
| description | Abstract Oral and maxillofacial surgery, which involves several sharp instruments and fixation materials, is consistently at a high risk for cross-contamination due to perforated gloves, but it is unclear how often such perforations occur. This study aimed to address this issue. The frequency of the perforation of surgical gloves ( n = 1436) in 150 oral and maxillofacial surgeries including orthognathic surgery ( n = 45) was assessed by the hydroinsufflation technique. Orthognathic surgery had the highest perforation rate in at least 1 glove in 1 operation (91.1%), followed by cleft lip and palate surgery (55.0%), excision of oral soft tumour (54.5%) and dental implantation (50.0%). The perforation rate in scrub nurses was 63.4%, followed by 44.4% in surgeons and first assistants, and 16.3% in second assistants. The odds ratio for the perforation rate in orthognathic surgery versus other surgeries was 16.0 (95% confidence interval: 5.3–48.0). The protection rate offered by double gloving in orthognathic surgery was 95.2%. These results suggest that, regardless of the surgical duration and blood loss in all fields of surgery, orthognathic surgery must be categorized in the highest risk group for glove perforation, following gynaecological and open lung surgery, due to the involvement of sharp objects. |
| doi_str_mv | 10.1016/j.ijom.2012.02.010 |
| format | Article |
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This study aimed to address this issue. The frequency of the perforation of surgical gloves ( n = 1436) in 150 oral and maxillofacial surgeries including orthognathic surgery ( n = 45) was assessed by the hydroinsufflation technique. Orthognathic surgery had the highest perforation rate in at least 1 glove in 1 operation (91.1%), followed by cleft lip and palate surgery (55.0%), excision of oral soft tumour (54.5%) and dental implantation (50.0%). The perforation rate in scrub nurses was 63.4%, followed by 44.4% in surgeons and first assistants, and 16.3% in second assistants. The odds ratio for the perforation rate in orthognathic surgery versus other surgeries was 16.0 (95% confidence interval: 5.3–48.0). The protection rate offered by double gloving in orthognathic surgery was 95.2%. These results suggest that, regardless of the surgical duration and blood loss in all fields of surgery, orthognathic surgery must be categorized in the highest risk group for glove perforation, following gynaecological and open lung surgery, due to the involvement of sharp objects.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2012.02.010</identifier><identifier>PMID: 22446068</identifier><identifier>CODEN: IJOSE9</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Biological and medical sciences ; Blood Loss, Surgical ; Cleft Lip - surgery ; Cleft Palate - surgery ; cross-infection ; Dental Implantation, Endosseous - instrumentation ; Dental Implantation, Endosseous - methods ; Dentistry ; double gloving ; Equipment Failure - statistics & numerical data ; glove perforation ; Gloves, Surgical - statistics & numerical data ; Humans ; Medical sciences ; Mouth Neoplasms - surgery ; Operating Room Nursing - statistics & numerical data ; Operative Time ; Oral Surgical Procedures - instrumentation ; Oral Surgical Procedures - methods ; orthognathic surgery ; Orthognathic Surgical Procedures - instrumentation ; Orthognathic Surgical Procedures - methods ; Otorhinolaryngology. Stomatology ; Physician Assistants - statistics & numerical data ; Reconstructive Surgical Procedures - instrumentation ; Reconstructive Surgical Procedures - methods ; Risk Factors ; Surgery ; Surgery, Oral - statistics & numerical data ; surgical glove</subject><ispartof>International journal of oral and maxillofacial surgery, 2012-08, Vol.41 (8), p.1014-1019</ispartof><rights>International Association of Oral and Maxillofacial Surgeons</rights><rights>2012 International Association of Oral and Maxillofacial Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-4b561922b2df22093bffc05c4cda4c3dea003e8b30aceb9a377c18025784cd73</citedby><cites>FETCH-LOGICAL-c441t-4b561922b2df22093bffc05c4cda4c3dea003e8b30aceb9a377c18025784cd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0901502712000768$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26175757$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22446068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuroyanagi, N</creatorcontrib><creatorcontrib>Nagao, T</creatorcontrib><creatorcontrib>Sakuma, H</creatorcontrib><creatorcontrib>Miyachi, H</creatorcontrib><creatorcontrib>Ochiai, S</creatorcontrib><creatorcontrib>Kimura, Y</creatorcontrib><creatorcontrib>Fukano, H</creatorcontrib><creatorcontrib>Shimozato, K</creatorcontrib><title>Risk of surgical glove perforation in oral and maxillofacial surgery</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>Abstract Oral and maxillofacial surgery, which involves several sharp instruments and fixation materials, is consistently at a high risk for cross-contamination due to perforated gloves, but it is unclear how often such perforations occur. This study aimed to address this issue. The frequency of the perforation of surgical gloves ( n = 1436) in 150 oral and maxillofacial surgeries including orthognathic surgery ( n = 45) was assessed by the hydroinsufflation technique. Orthognathic surgery had the highest perforation rate in at least 1 glove in 1 operation (91.1%), followed by cleft lip and palate surgery (55.0%), excision of oral soft tumour (54.5%) and dental implantation (50.0%). The perforation rate in scrub nurses was 63.4%, followed by 44.4% in surgeons and first assistants, and 16.3% in second assistants. The odds ratio for the perforation rate in orthognathic surgery versus other surgeries was 16.0 (95% confidence interval: 5.3–48.0). The protection rate offered by double gloving in orthognathic surgery was 95.2%. These results suggest that, regardless of the surgical duration and blood loss in all fields of surgery, orthognathic surgery must be categorized in the highest risk group for glove perforation, following gynaecological and open lung surgery, due to the involvement of sharp objects.</description><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Cleft Lip - surgery</subject><subject>Cleft Palate - surgery</subject><subject>cross-infection</subject><subject>Dental Implantation, Endosseous - instrumentation</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dentistry</subject><subject>double gloving</subject><subject>Equipment Failure - statistics & numerical data</subject><subject>glove perforation</subject><subject>Gloves, Surgical - statistics & numerical data</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mouth Neoplasms - surgery</subject><subject>Operating Room Nursing - statistics & numerical data</subject><subject>Operative Time</subject><subject>Oral Surgical Procedures - instrumentation</subject><subject>Oral Surgical Procedures - methods</subject><subject>orthognathic surgery</subject><subject>Orthognathic Surgical Procedures - instrumentation</subject><subject>Orthognathic Surgical Procedures - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Physician Assistants - statistics & numerical data</subject><subject>Reconstructive Surgical Procedures - instrumentation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Surgery, Oral - statistics & numerical data</subject><subject>surgical glove</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV9LHDEUxUOx1NX2C_RB5kXoy2xvMv-hCGK1FRYKuu8hk7mRjJnJmuyI--17h91a8EFyISH8zuVwDmNfOSw58PJ7v7S9H5YCuFgCDYcPbMGzpkkBBByxBTTA0wJEdcxOYuwBoMnq6hM7FiLPSyjrBft5Z-Nj4k0Sp_BgtXLJg_PPmGwwGB_U1voxsWNCT5eosUsG9WKd80ZpSz-zCMPuM_tolIv45XCfsvXN9frqd7r68-v26nKV6jzn2zRvi5I3QrSiM0KQl9YYDYXOdadynXWoADKs2wyUxrZRWVVpXoMoqpqQKjtl3_ZrN8E_TRi3crBRo3NqRD9FyUGUZd00fEbFHtXBxxjQyE2wgwo7guQcnuzlHJ6cw5NAw4FEZ4f9Uztg9yr5lxYB5wdARYrKBDVqG_9zJa8KOsT92HNIYTxbDDJqi6PGzgbUW9l5-76Pizdy7ew4l_OIO4y9n8JIMUsuIwnk_Vzz3DIX1HBFPv8CEEKhyw</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Kuroyanagi, N</creator><creator>Nagao, T</creator><creator>Sakuma, H</creator><creator>Miyachi, H</creator><creator>Ochiai, S</creator><creator>Kimura, Y</creator><creator>Fukano, H</creator><creator>Shimozato, K</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Risk of surgical glove perforation in oral and maxillofacial surgery</title><author>Kuroyanagi, N ; Nagao, T ; Sakuma, H ; Miyachi, H ; Ochiai, S ; Kimura, Y ; Fukano, H ; Shimozato, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-4b561922b2df22093bffc05c4cda4c3dea003e8b30aceb9a377c18025784cd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Cleft Lip - surgery</topic><topic>Cleft Palate - surgery</topic><topic>cross-infection</topic><topic>Dental Implantation, Endosseous - instrumentation</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>Dentistry</topic><topic>double gloving</topic><topic>Equipment Failure - statistics & numerical data</topic><topic>glove perforation</topic><topic>Gloves, Surgical - statistics & numerical data</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mouth Neoplasms - surgery</topic><topic>Operating Room Nursing - statistics & numerical data</topic><topic>Operative Time</topic><topic>Oral Surgical Procedures - instrumentation</topic><topic>Oral Surgical Procedures - methods</topic><topic>orthognathic surgery</topic><topic>Orthognathic Surgical Procedures - instrumentation</topic><topic>Orthognathic Surgical Procedures - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Physician Assistants - statistics & numerical data</topic><topic>Reconstructive Surgical Procedures - instrumentation</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Risk Factors</topic><topic>Surgery</topic><topic>Surgery, Oral - statistics & numerical data</topic><topic>surgical glove</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kuroyanagi, N</creatorcontrib><creatorcontrib>Nagao, T</creatorcontrib><creatorcontrib>Sakuma, H</creatorcontrib><creatorcontrib>Miyachi, H</creatorcontrib><creatorcontrib>Ochiai, S</creatorcontrib><creatorcontrib>Kimura, Y</creatorcontrib><creatorcontrib>Fukano, H</creatorcontrib><creatorcontrib>Shimozato, K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuroyanagi, N</au><au>Nagao, T</au><au>Sakuma, H</au><au>Miyachi, H</au><au>Ochiai, S</au><au>Kimura, Y</au><au>Fukano, H</au><au>Shimozato, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of surgical glove perforation in oral and maxillofacial surgery</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>41</volume><issue>8</issue><spage>1014</spage><epage>1019</epage><pages>1014-1019</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><coden>IJOSE9</coden><abstract>Abstract Oral and maxillofacial surgery, which involves several sharp instruments and fixation materials, is consistently at a high risk for cross-contamination due to perforated gloves, but it is unclear how often such perforations occur. This study aimed to address this issue. The frequency of the perforation of surgical gloves ( n = 1436) in 150 oral and maxillofacial surgeries including orthognathic surgery ( n = 45) was assessed by the hydroinsufflation technique. Orthognathic surgery had the highest perforation rate in at least 1 glove in 1 operation (91.1%), followed by cleft lip and palate surgery (55.0%), excision of oral soft tumour (54.5%) and dental implantation (50.0%). The perforation rate in scrub nurses was 63.4%, followed by 44.4% in surgeons and first assistants, and 16.3% in second assistants. The odds ratio for the perforation rate in orthognathic surgery versus other surgeries was 16.0 (95% confidence interval: 5.3–48.0). The protection rate offered by double gloving in orthognathic surgery was 95.2%. These results suggest that, regardless of the surgical duration and blood loss in all fields of surgery, orthognathic surgery must be categorized in the highest risk group for glove perforation, following gynaecological and open lung surgery, due to the involvement of sharp objects.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22446068</pmid><doi>10.1016/j.ijom.2012.02.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Blood Loss, Surgical Cleft Lip - surgery Cleft Palate - surgery cross-infection Dental Implantation, Endosseous - instrumentation Dental Implantation, Endosseous - methods Dentistry double gloving Equipment Failure - statistics & numerical data glove perforation Gloves, Surgical - statistics & numerical data Humans Medical sciences Mouth Neoplasms - surgery Operating Room Nursing - statistics & numerical data Operative Time Oral Surgical Procedures - instrumentation Oral Surgical Procedures - methods orthognathic surgery Orthognathic Surgical Procedures - instrumentation Orthognathic Surgical Procedures - methods Otorhinolaryngology. Stomatology Physician Assistants - statistics & numerical data Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Risk Factors Surgery Surgery, Oral - statistics & numerical data surgical glove |
| title | Risk of surgical glove perforation in oral and maxillofacial surgery |
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