The presence of skin lesions put on alert about the possibility of having a violation of the protective barrier between the patient and surgical team members.

Over the years, the authors have observed that the use of polyester sutures using both hands causes intraoperative discomfort and the appearance of small cracks in the fingers, especially the small finger, almost immediately after the surgical procedure. In the literature, the highest rates of glove perforation are observed in orthopedic and trauma-thoracic procedures, occurring in up to 61% of patients. However, several conditions have been linked to increased risk of glove perforation during surgery, such as frequent handling of sharp instruments and prolonged procedures. The use of latex gloves is the current standard of protection during surgery, providing enough security to the patient and surgical team, as they remain intact throughout the procedure. Because of its importance and because of the risk of perforation during surgery, the use of two gloves has generally been adopted by most surgical teams in numerous situations as a way to reduce the risk of perforation, although this measure was not included in WHO recommendations on safety in surgery, since there are no sufficient studies to prove their efficacy. ĭuring surgery, using sterile gloves acts as a protective barrier against pathogens present in blood and skin, such as human immunodeficiency virus and hepatitis B and C and several common bacteria. Some relatively simple procedures such as adequate preoperative evaluation in order to identify a pre-existing diseases and proper hand hygiene during asepsis moments before the procedure, are fundamental and can avoid more serious problems that may put lives at risk. In this context, the contamination during the operative procedure has highlighted importance, since its occurrence potentially put at risk of infection to both the patient and staff that performs surgery. With that, come many emerging protocols to protect the patient, the surgical team and staff working within the surgical center.

Despite years of experience with the called “modern surgery”, yet are observed complications and avoidable errors during the pre and intraoperative phases. The issue of safety in the surgical procedure has recently been widely and openly discussed at the World Health Organization (WHO).

Surgery knot tying block