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  3. Vol. 20 No. 02 (2023): March-April 2023
  4. ORIGINAL PAPER (LAPAROSCOPIC AND ROBOTIC UROLOGY)

ISSN: 1735-1308

March-April 2023
Vol. 20 No. 02 (2023)

A Multicenter, Prospective, Non-randomized Study Evaluating Surgical hand Preparation between Double-Gloving and Single-Gloving for Preventing Postoperative Infection in Robotic and Laparoscopic Minimally Invasive Surgeries

  • Takashi Nagai
  • Kazumi Taguchi
  • Teruki Isobe
  • Nayuka Matsuyama
  • Tatsuya Hattori
  • Rei Unno
  • Taiki Kato
  • Toshiki Etani
  • Takashi Hamakawa
  • Yasuhiro Fujii
  • Yosuke Ikegami
  • Hiroyuki Kamiya
  • Shuzo Hamamoto
  • Akihiro Nakane
  • Ryosuke Ando
  • Tetsuji Maruyama
  • Atsushi Okada
  • Noriyasu Kawai
  • Takahiro Yasui

Urology Journal, Vol. 20 No. 02 (2023), , Page 109-115
https://doi.org/10.22037/uj.v19i.7239 Published 27 February 2023

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Abstract

Purpose: This study aimed to analyze a feasible and suitable surgical precautionary preparatory technique. The techniques of double-gloving with hygienic hand wash (DH) and single-gloving with surgical hand wash (SS) were compared for their ability to prevent postoperative infection in robotic and laparoscopic minimally invasive surgeries.


Materials and Methods: A prospective, non-randomized, multicenter study was conducted between January 2016 and June 2020. We divided the robotic and laparoscopic cases into two groups: DH and SS. Data on infectious outcomes were collected. Propensity score matching was performed to control for operative characteristics between the two groups. The primary endpoint was the presence of fever and surgical site infections (SSIs) indicating postoperative infection.


Results: Among four medical centers, seven surgeons were allocated to either the DH or the SS group. A total of 221 and 251 patients underwent DH and SS, respectively. Propensity score matching, which included 171 cases from each group, showed that the incidence of fever during hospitalization was significantly lower in the DH group than that in the SS group (11.7% vs. 23.4%, p=0.007). Multivariable analysis revealed that DH was associated with a reduced odds ratio for developing postoperative fever during hospitalization (risk ratio: 0.49, p=0.043). No differences were found in SSI before and after hospitalization between the two groups.


Conclusion: DH resulted in less postoperative fever and had a comparable effect in preventing SSIs. This procedure could be an alternative to the SS protocol in some minimally invasive surgeries.

Keywords:
  • Assistive devices
  • Hand washing
  • Laparoscopy
  • Surgical site infection endoscopes
  • 7239/pdf

How to Cite

Nagai, T., Taguchi, K., Isobe, T., Matsuyama, N., Hattori, T., Unno, R., Kato, T., Etani, T., Hamakawa, T., Fujii, Y., Ikegami, Y., Kamiya, H., Hamamoto, S., Nakane, A., Ando, R., Maruyama, T., Okada, A., Kawai, N., & Yasui, T. (2023). A Multicenter, Prospective, Non-randomized Study Evaluating Surgical hand Preparation between Double-Gloving and Single-Gloving for Preventing Postoperative Infection in Robotic and Laparoscopic Minimally Invasive Surgeries. Urology Journal, 20(02), 109-115. https://doi.org/10.22037/uj.v19i.7239
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