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Minerva Obstetrics and Gynecology 2021 Dec 14

DOI: 10.23736/S2724-606X.21.04984-8

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Association of gloves change and surgical site complications in elective cesarean sections of low-risk pregnancies

Lucas A. RESENDE 1, Débora C. BORGES 1, Caetano G. PETRINI 1, 2, Brunella M. CHINEN 1, Luciano E. BORGES JÚNIOR 1, 2, Edward ARAUJO JÚNIOR 3, 4 , Alberto B. PEIXOTO 1, 2

1 Mario Palmério University Hospital, University of Uberaba (UNIUBE), Uberaba-MG, Brazil; 2 Department of Obstetrics and Gynecology of Federal University of Triângulo Mineiro (UFTM), Uberaba-MG, Brazil; 3 Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo-SP, Brazil; 4 Medical Course, Municipal University of São Caetano do Sul (USCS), Bela Vista Campus, São Paulo-SP, Brazil


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BACKGROUND: To assess whether the change of gloves is associated with reduced surgical site complications of elective cesarean sections in low-risk pregnancies.
METHODS: Prospective and observational study with 169 patients selected for elective cesarean sections, divided into two groups: Group I (n = 100) - no change of gloves and Group II (n = 94) - gloves changed during surgery. Fisher’s exact test was used to test hypotheses and existence of associations between variables. The receiver operating characteristic curve (ROC) was used to determine the best value of surgical time to identify complications in the surgical site.
RESULTS: There was significant effect on surgical time (Group I: 72.6 vs. Group II: 65.1 min, p = 0.006). There was no association between changing gloves and the presence of complications of the surgical site. Approximately 22.5% of patients had at least one complication up to 60 days after cesarean section, with no association between the change of gloves and the presence of comorbidities during prenatal follow-up (p > 0.999). Surgical time >70 min was able to correctly identify 59.1% of cases of surgical site complications up to 60 days after cesarean section with a false positive rate of 34% (area under curve: 0.627, p = 0.0126, 95% CI = 0.554-0.695).
CONCLUSIONS: In low-risk patients submitted to elective cesarean sections, change of gloves did not reduce the incidence of complications of the surgical site. Surgical time was an independent predictor for the presence of complications of the surgical site up to 60 days after cesarean section.


KEY WORDS: Cesarean section; Low-risk pregnancies; Intra-operative glove changing; Postoperative complications

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