Efficacy of PdB in preventing intraoperative risk of infectious diseases.
The objectives of this study were to (1) determine the number of punctures surgeons and assistants suffer during operations involving a laparotomy during the intraabdominal and closure phases; and (2) determine if the number of puncture injuries during wound closure can be reduced using a new surgical instrument (PdB) that protects the surgeon's hands and the patient's viscera against needlesticks. For the first objective, all laparotomies performed during 1 month (n = 52) were controlled, collecting the gloves used and determining the number of perforations. For the second objective, a randomized prospective controlled study, involving two series of 100 medial laparotomies, was carried out. The incidence of perforations was 29% during the intraabdominal phase and 16% during the wound closure phase. The glove perforation rate while closing medial laparotomies was 31.5% if the PdB was not used and 3% if the PdB was used (p < 0.0001). The glove perforation rate during laparotomy is significant, but with the use of the PdB this incidence can be significantly reduced.
Botet
X
X
Department of Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.
Serra
J
J
Padrós
R
R
López
S
S
Boldó
E
E
Llauradó
J M
JM
Trias
R
R
Rius
X
X
D000009:Abdominal Muscles / Q000601:surgery; D004867:Equipment Design; D005383:Finger Injuries / Q000517:prevention & control*; D013502:General Surgery; D005932:Gloves, Surgical; D006801:Humans; D015994:Incidence; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control; D007431:Intraoperative Complications / Q000517:prevention & control*; D007813:Laparotomy / Q000295:instrumentation*; D016602:Needlestick Injuries / Q000517:prevention & control*; D010823:Physician Assistants; D011446:Prospective Studies; D013536:Suture Techniques / Q000295:instrumentation*