Effect of puncture resistant surgical gloves, finger guards, and glove liners on cutaneous sensibility and surgical psychomotor skills.
New puncture and cut resistant hand protection systems have been developed to enhance the barrier to cuts and needle puncture injuries during surgical procedures. It is important, however, that these new hand protection systems do not reduce tactile sensitivity or dexterity during surgery. Consequently, it was the purpose of this report to compare the cutaneous sensibility and dexterity of physicians' hands covered by these new puncture and cut resistant hand protection systems to that of the standard surgical latex glove. The hide (Medak) portion of the Life Liner and the polyethylene (Spectra) portion of the FingGuard, which offered the greatest resistance to needle puncture, were associated with the greatest reduction in cutaneous sensibility, as determined by moving and static two-point discrimination, aesthesiometer pressure sensation, and discrimination of suture size and configuration. In addition, the physicians believed that the puncture and cut resistant Life Liner glove liner markedly interfered with their handling of surgical instruments. The ultimate benefit of these puncture and cut resistant hand protection systems must be determined in well-controlled clinical trials.
Woods
J A
JA
Department of Plastic Surgery, University of Virginia, School of Medicine, University of Virginia, Charlottesville 22908, USA.
Leslie
L F
LF
Drake
D B
DB
Edlich
R F
RF
D004192:Discrimination, Psychological; D005932:Gloves, Surgical; D006230:Hand Injuries / Q000517:prevention & control*; D006801:Humans; D016602:Needlestick Injuries / Q000517:prevention & control*; D011482:Protective Devices; D011597:Psychomotor Performance; D011677:Punctures; D012684:Sensory Thresholds; D012867:Skin / Q000294:innervation*; D014110:Touch