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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.

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