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Wear sterile gloves without contact
2024-02-22

The traditional method of gloving is prone to crimping when the palm is inserted into the mouth of the glove, which may result in contamination of the back of the glove wrist by contact with the back of the hand, and the wrist of the glove is often slipped or reversed during surgery due to over-reaching or friction, exposing the "relatively contaminated" cuff and increasing the chances of infection.

In clinical practice, many surgeons use the traditional gloving method, tucking the cuff into the glove, subconsciously believing that it is safe and will not escape, but in reality, the cuff unknowingly retracts upward after a few large movements during surgery, and the rubber band of the glove gradually rolls outward toward the distal end.
Contactless gloving
Contactless gloving refers to the method whereby the surgeon's hand is not exposed to the cuff while wearing a sterile gown, either alone or with the assistance of another person.

Studies have shown that the contactless gloving method is superior to the traditional gloving method in terms of the rate of glove roll-up and cuff exposure.
Methods
1. Surgical hand washing followed by sterile gowning with hands uncovered and relatively closed in the regional space. Pictures

2. Open the glove package between the sleeves, take the left glove and place it on the palm side of the left hand.

The fingers of the glove should be oriented proximally, and the inner layer of the glove should be pinched by the five fingers in the form of a half-fist through the gown, with the center of the palm corresponding to the palm side of the glove.

3. The right hand assists in turning the outer layer of the glove (i.e., the folded side of the cuff of the sterile glove) over the dorsal side of the left hand through the gown.

4. Gently pull the glove at the fingers to maximize the fit; gently pull the gown so that the cuff reaches the tiger's mouth, indirectly encouraging further glove fit and stretching of the glove and gown as a whole.

5. Put on the right glove in the same way. Check the integrity of the glove.

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