Abstract. 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.
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Botet, X., Serra, J., Padrós, R. et al. Efficacy of PdB in Preventing Intraoperative Risk of Infectious Diseases. World J. Surg. 22, 1092–1097 (1998). https://doi.org/10.1007/s002689900523
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DOI: https://doi.org/10.1007/s002689900523