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Tytuł pozycji:

Risk of surgical glove perforation in oral and maxillofacial surgery.

Tytuł :
Risk of surgical glove perforation in oral and maxillofacial surgery.
Autorzy :
Kuroyanagi, N.
Nagao, T.
Sakuma, H.
Miyachi, H.
Ochiai, S.
Kimura, Y.
Fukano, H.
Shimozato, K.
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Temat :
SURGICAL gloves
PREOPERATIVE risk factors
ORAL surgery
MAXILLOFACIAL surgery
DENTAL implants
CLEFT lip
Źródło :
International Journal of Oral & Maxillofacial Surgery; Aug2012, Vol. 41 Issue 8, p1014-1019, 6p
Czasopismo naukowe
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. [Copyright &y& Elsevier]
Copyright of International Journal of Oral & Maxillofacial Surgery is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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