Randomized trial of blunt-tipped versus cutting needles to reduce glove puncture during mass closure of the abdomen
Version of Record online: 6 DEC 2005
Copyright © 1996 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 83, Issue 8, pages 1156–1157, August 1996
How to Cite
Hartley, J. E., Ahmed, S., Milkins, R., Naylor, G., Monson, J. R. T. and Lee, P. W. R. (1996), Randomized trial of blunt-tipped versus cutting needles to reduce glove puncture during mass closure of the abdomen. Br J Surg, 83: 1156–1157. doi: 10.1002/bjs.1800830839
- Issue online: 6 DEC 2005
- Version of Record online: 6 DEC 2005
- Manuscript Accepted: 7 OCT 1995
- Auto Suture UK
Eighty-five consecutive patients were randomized to undergo mass closure of the abdomen with no. 1 polydioxanone mounted on either a blunt-tipped (n = 46) or cutting (n = 39) needle. Gloves were changed before closure and tested for perforation afterwards using standard air or water techniques. Fourteen pairs of gloves were punctured when using a cutting needle, and three pairs when a blunt-tipped needle was used. The majority of punctures were to the non-dominant glove. The surgeon was aware of the puncture in eight of the 14 instances involving a sharp needle and in one of the three involving a blunt-tipped needle. Blunt-tipped needles, while not eliminating the risk, significantly reduced the incidence of surgical glove puncture (P < 0.001, Fisher's exact test). The use of cutting needles for abdominal closure should be abandoned.