Universiteit van die Oranje-Vrystaat - SAMJ Archive Browser
Universiteit van die Oranje-Vrystaat - SAMJ Archive Browser
Universiteit van die Oranje-Vrystaat - SAMJ Archive Browser
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SURGICAL GLOW POWDER AND<br />
INTRAPERITOm ADHESION<br />
mmanoN: AN APPEAL FOR THJI USE OF<br />
POWDER-FREE SURGICAI. GLOVES.<br />
W J -fe5l, E V W ~rste', 3 T and<br />
J I de Wet<br />
'Unit fix Human Reproduction, Department<br />
of obstetrics *+- and Gynaecolos~<br />
University . of the Orange Free State an;<br />
piversitas Hospital, Bloe&ontein, 9300,<br />
Department of Biostatistics, University<br />
of the Orange Free State, Bloemfontein,<br />
9300.<br />
Intraperitoneal adhesipn formation is a<br />
major cause of infertility. There are<br />
many well-known aetiological factors<br />
responsible for peritonea1 *nflasrmatory<br />
reaction. One of these is mgical glove<br />
powder; for example cornstarch powder, -A<br />
study was undertaken .on 30 rats, under<br />
laboratory co&tions randodzed into<br />
two groups. Laparotoaaies were performed<br />
on all the rats and tram inflicted to<br />
the right uterine horn. The study ~ rwp<br />
received cornstarch powder suspended in .<br />
normal physiologic salt solution<br />
intraperitoneally, and the control group<br />
received only normal physiologic salt<br />
solution. Peritonea1 adhesions were<br />
evaluated after two weeks* and<br />
statistically analyzed with a t-test and<br />
95% confidence intervals. The study group<br />
showed a statistical significantly<br />
higher incidence of inkperitonea1<br />
adhesions (p = 0,0003). It is concluded<br />
that cornstarch, as used on surgical<br />
gloves, caused peritoneal adhesions and<br />
should therefore be removed before<br />
surgery. Powder-free gloves are .mare<br />
suitable to prevent adhesion formation.