INFLUENCE OF BLUNT NEEDLES ON SURGICAL GLOVE PERFORATION AND SAFETY FOR THE SURGEON

BACKGROUND: Round-tipped blunt needle (BN) may decrease the risk of ne edlestick injuries and hand contamination. We prospectively determined the incidence of glove perforations in emergency abdominal procedures and the efficacy of BN in increasing the safety for surgeons. METHODS : TWO hundred patients were randomized to undergo closure of the abdom inal fascia using sharp needle (SN) or BN. Gloves were tested at the e nd of the procedure. RESULTS: Surgeons had 14 needlestick injuries and 76 perforations recorded in 69 pair of gloves. Sharp needles were res ponsible for ail injuries and 58 (76%) perforations (P <0.00004 and P <0.00001, respectively). This difference was still higher when conside ring the perforations related to the abdominal fascia closure (BN 7% V ersus SN 50%; P <0.0006). CONCLUSION: The risk of glove perforation is sevenfold greater if SN are used. Blunt needles reduce sharp injuries and improve safety for surgeons. (C) 1996 by Excerpta Medica, Inc.