• Ekachai Kovavisarach and Charoon Seedadee.
• Department of Obstetrics and Gynecology, Rajavithi Hospital, Ministry of Public Health, Bangkok, Thailand.
• Aust N Z J Obstet Gynaecol. 2002 Nov 1;42(5):519-21.

ObjectiveTo assess the value of double-gloving in gynaecological surgery.DesignA prospective randomised controlled trial of glove perforation in single- and double-gloving methods.SettingRajavithi Hospital between 1 September 1999 to 31 August 2000.SampleEighty-eight (88) and 82 primary surgeons were selected at random to make up single- and double-gloving groups, respectively, while performing total abdominal hysterectomy (TAH) with or without bilateral salpingo-oophorectomy (BSO).MethodsThe gloves were tested by immersion in water.ResultsThe glove perforation rate was 6.09% and 22.73% in double-inner and single gloves, respectively, with this difference being statistically different (p < 0.05). There was no significant difference between the glove perforation rates in single gloves (22.73%) and in double-outer gloves (19.51%). There was matched perforation of the same finger of both outer and inner gloves in 1.22% of total double-inner gloves.ConclusionsThe double-gloving methods significantly reduced the risk of surgeons' hands contacting blood, when compared with the single-gloving method, in TAH with/or without BSO.

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