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November 13-14, 2019 | London, UK
ORTHOPEDICS, OSTEOPOROSIS & TRAUMA
12
th
International Conference on
Journal of Orthopaedics Trauma Surgery and
Related Research
Orthopedics 2019
November 13-14, 2019
J Orthop Trauma Surg Rel Res, Volume 14
Volume: 14 | ISSN: 1897-2276
Surgical gowning technique: Are we contaminated before we cut?
Kenton Panas
O.U. Medical Center, USA
Objectives
: The purpose of this study is to assess possible breaches of sterility during the initial gowning step.
Design
: Observational study. 27 gowning events were monitored for contamination during a simulated two-person gowning
process in which a surgical technician assists a surgeon in the gowning process at the beginning of a surgical procedure. The
lower portion of the technician’s gown was coated resin power prior to the gowning process to simulate contamination.
Setting
: Single-institution level 1 trauma center.
Participants
: Three physicians and three tenured surgical technicians.
Intervention
: Observed contaminated areas represented by ultraviolet (UV) resin powder under UV light on the gown of the
surgeon after the two-person gowning step.
Main Outcome Measurement(s)
: Number and surface area of contamination events.
Results
: There was a 66.67% rate of contamination of the surgeon’s gown sleeves while being gowned by a surgical technician.
The overall median contamination for the short surgeon was 1.3 cm
2
. For the medium height surgeon, the overall median
contamination was 1.4 cm
2
. The tall surgeon had an overall median contamination of 2.9 cm
2
. Of the short, medium, and tall
surgeons, the number of contamination events were six, five, and seven, respectively. The study suggested the surgeon’s height
was a significant source of variation (p=0.046).