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Protection for the left index finger whilst operating on HIV positive patients.

Surgeons' gloves are punctured during the course of up to 48% of operations (1), and in over onethird of these (37.5%) the puncture is to the index finger of the left hand (2). Wearing two pairs of gloves may reduce the risk of the patient's blood coming into contact with the surgeon's skin to 4.5% of operations (3), but cannot protect the surgeon from a direct stab wound by a needle. We have found it feasible to carry out uncomplicated operations whilst wearing a thimble on the index finger of the left hand between the two pairs of gloves (we are all right-handed surgeons). If the