Objective: To investigate if double gloving can reduce the rate of per
foration of glove barriers during abdominal surgery. Design: Randomise
d controlled trial. Setting: County hospital, Denmark. Subjects: 400 g
love barriers from principal surgeons and first assistants used at con
secutive abdominal operations. Intervention: Each participant was rand
omised to wear either a pair of single or double gloves. Main outcome
measures: The number of perforated glove barriers in the two study gro
ups. Results: 40 single glove barriers perforated (20%) and in 8 of th
e double glove group both gloves perforated (4%) (p < 0.001). Glove ba
rriers on non-dominant hands were more often perforated than those on
dominant hands, and both the duration of the operation and the seniori
ty of the doctor were associated with increased rates of perforation.
Conclusion: Double gloving reduces the rate of perforation of glove ba
rriers during abdominal surgery and thereby the number of episodes in
which transmission of disease from patient to surgeon would be possibl
e.