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Is the surgical knot tying technique associated with a risk for unnoticed glove perforation? An experimental study

机译:手术打结技术是否会引起手套穿孔的风险?实验研究

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Background The issue of safety in the surgical procedure has recently been widely and openly discussed at the World Health Organization. The use of latex gloves is the current standard of protection during surgery, as they remain intact throughout the procedure. The present study was designed to evaluate the rate of glove perforation during a two-hand technique using polyester sutures in a controlled experimental study. Methods Hypothesis was that the gloves used during a two-hand technique using polyester suture suffer punctures. We used 150 pairs of gloves during the experiment. Each investigator performed 30 tests always using double gloving. They made five surgical knots on each test over a custom-made table specifically developed for the experiment. Ten tests were done at a time with a week- interval. The Control Group (CG) has 30 pairs of intact surgical gloves. The gloves were tested to impermeability by water filling and leaking was observed at three different times. Statistics relating to the perforation rate were analyzed using the chi-square test. A P value less than 0.05 was considered statistically significant. Results During the experiment there was no loss of gloves by drilling or inadvertent error in performing the impermeability test. No perforations were detected at any time during the impermeability test with the gloves used for sutures. Also, the CG presented no leakage of the liquid used for the test. There was no statistical difference between the groups underwent suture nor between them and the GC. Conclusion Under the studied conditions, the authors’ hypotheses could not be proved. There was no damage to the surgical gloves during the entire experiment. The authors believe that the skin abrasions observed in the ulnar side of the little finger, constant throughout the experiment, must be caused by friction. We feel there is no risk of perforation of surgical gloves during a two-hand technique using polyester suture.
机译:背景技术最近,世界卫生组织广泛地和公开地讨论了手术过程中的安全性问题。乳胶手套是目前手术过程中的防护标准,因为在整个过程中它们都保持完好无损。本研究旨在在一项对照实验研究中评估使用聚酯缝合线的双手技术中手套穿孔的速率。方法假设是在使用聚酯缝合线的双手技术中使用的手套会被刺穿。在实验过程中,我们使用了150副手套。每个研究人员始终使用双手套进行30次测试。他们在专门为该实验开发的定制桌子上,在每次测试中做了五个手术结。一周进行一次十次测试。对照组(CG)有30副完整的手术手套。通过注水测试手套的不渗透性,并在三个不同的时间观察到渗漏。使用卡方检验分析与穿孔率有关的统计数据。 P值小于0.05被认为具有统计学意义。结果在实验过程中,进行防渗性测试时没有因钻孔而丢失手套或无意中的错误。在抗渗性测试过程中,使用缝线手套的任何时候都没有发现穿孔。另外,CG显示用于测试的液体没有泄漏。进行缝合的组之间以及与GC之间没有统计学差异。结论在研究条件下,无法证明作者的假设。在整个实验过程中,手术手套没有损坏。作者认为,在整个实验过程中,小指尺侧观察到的皮肤擦伤一定是由摩擦引起的。我们认为,在使用聚酯缝合线的双手技术中,手术手套没有穿孔的风险。

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