Surgical Smoke Plume Article Library - General


Title Category Publication Date Description Publication Author

 

Analysis of Surgical Smoke Produced by Various Energy-Based Instruments and Effect on Laparoscopic Visibility 



General, Laparoscopic, OB/GYN 


3/1/2007

 

Discusses the relationship of particle size in plume during laparoscopic procedures. Applies to general surgery as well as gynecologic laparoscopy.



Journal of Endourology, Vol 21, No 3

 

Kyle J. Weld, MD; Stephen Dryer; Caroline D. Ames; Kuk Cho; Chris Hogan; Myonghwa Lee; Pratim Biswas; Jamie Landman,  

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Cancer Risk of Incremental Exposure to Polycyclic Aromatic Hydrocarbons in Electrocautery Smoke for Mastectomy Personnel

 

General, Plastic

 

1/1/2014

 

The carcinogenic effects of PAHs in ES on the occupational health of surgical staff should not be neglected. The use of an effective ES evacuator or smoke removal apparatus is strongly suggested to diminish the electrosurgical smoke hazards to surgical staff.

 

 

Hsin-Shun Tseng, Shi-Ping Liu, Shi-Nian Uang, Li-Ru Yang, Shien-Chih Lee, Yao-Jen Liu and Dar-Ren Chen

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Chemical Composition of Smoke Produced by High-frequency Electrosurgery

 

Aesthetics, Cardiothoracic, Dermatology, Drills, ENT, General, Laparoscopic, Laser, Orthopedic, Plastic, Plume, Saws, Smoke

 

7/1/2007

 

This study demonstrated the presence of irritant, carcinogenic and neurotoxic compounds in electrosurgical smoke such as toluene, ethylbenzene and xylene. This may have considerable implications for the health and safety of all involved in surgical practice, as exposure to these compounds pose potential risks to health.

 

Irish Journal of Medical Science

 

O.S. Al Sahaf; I.Vega-Carrascal; F.O. Cunningham; J.P. MCGrath; F.J. Bloomfield

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Cytotoxicity of Electrosurgical Smoke Produced in An Anoxic Environment

 

General, Laparoscopic

 

3/1/1998

 

The effect on cell viability of smoke produced during high - frequency electro - surgery has not been previously reported. The aim of this study was to produce smoke in vitro , in a closed environment similar to that encountered in minimal access surgery , and to test its cytotoxic effects on cultured cells.

 

The American Journal of Surgery

 

C. Hensman FRACS A; E. L. Newman PhD A; S. M. Shimi FRCS A; A. Cuschieri MD, FRCS A

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Dissemination of Melanoma Cells within Electrocautery Plume

 

Dermatology, General, Laparoscopic

 

7/1/1999

 

Results of this study confirm that application of electrocautery to a pellet of melanoma cells releases these cells into the plume. These cells are viable and may be grown in culture. This release of malignant cells may explain the appearance of port metastases at sites that are remote from the surgical dissection or that were never in direct contact with the tumor.

 

Excerpta Medica, Inc., July 1999, Vol 178

 

John N. Fletcher, MD; Daphne Mew, PhD, MD, FRCS; Jean-Gaston DesCoˆ teaux, MA, MD, FRCS

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Effects of Plume Produced by the Nd: YAG Laser and Electrocautery on the Respiratory System

 

Dermatology, ENT, General, Laser

 

1/1/1993

 

Lasers have assumed an increasingly important role in otolaryngology head and neck surgery in the past 10 years, with numerous studies in the literature supporting the use of this modality of treatment for various head and neck diseases.

 

 Wiley-Liss, Inc., Vol 13

 

Barry L. Wenig, MD; Kerstin M. Stenson, MD; Diane Tracey, BS

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Mutagenicity of Smoke Condensates Induced by CO2 - Laser Irradiation and Electrocauterization

 

General

 

1/1/1981

 

Smoke condensates generated from mucous membrane of the canine tongue irradiated with a CO2 laser showed mutagenicity on Salmonella typhimurium TA98 under metabolic activation with S9 mix. Strain TA100 was not so sensitive to the condensates with or without S9 mix. The revertant number per mg of the smoke condensates from laser irradiation was one-half that of the smoke condensates from electrocauterization (1623 and 3371) in TA98. The mutagenic potency observed was comparable to that of cigarette smoke. The amount of these smoke condensates from 1g of tissue was equivalent to those from 3-6 cigarettes as to total mutagenicity.

 

Mutation Research

 

Toshifumi Tomita; Shigenobu Mihashi; Kazuto Nagata; Setsuo Ueda; Masakazu Fujiki; Minoru Hirano; Tomio Hirohata

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Pilot Study of Directional Airflow and Containment of Airborne Particles in the Size of Mycobacterium Tuberculosis in an Operating Room

 

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, General, Laparoscopic, Laser, OB/GYN, Plastic, Plume, Reamers, Saws, Smoke

 

5/1/2008

 

This pilot study clearly indicates that avoiding the use of freestanding HEPA filters inside an OR during a surgical procedure is prudent and consistent with Centers for Disease Control and Prevention guidelines.

 

American Journal of Infection Control, Vol 36, No 4

 

Russell N. Olmsted, MPH, CIC

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Surgical Smoke a Health Hazard in the Operating Theatre: A study to quantify exposure and a survey of the use of smoke extractor systems in UK plastic surgery units

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, General, Laparoscopic, Laser, Plastic, Plume, Reamers, Saws, Smoke

 

1/1/2012

 

This study looked at the contents of surgical plume in the United Kingdom from plastic surgery centers. Their results revealed the equivalent mutagenicity and other hazards as smoking 27-30 cigarettes per day for OR staff. The contents of the plume were very similar to those of tobacco smoke and have the same disease causing capability.

 

Elsevier

 

D.S.Hill, J.K. O'Neill, R.J. Powell, D.W. Oliver

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Surgical Smoke: A Review of the Literature

 

 

General, Laparoscopic

 

1/1/2004

 

Electrocautery, laser tissue ablation and ultrasonic (harmonic) scalpel tissue dissection all create a gaseous by-product, commonly referred to as ‘smoke’, that can be seen and smelt easily. Concern about this smoke has led to numerous investigations in an effort to determine what, if any, risks this byproduct poses to surgeons, operating room (OR) personnel and/or patients. Some of the findings from these investigations have led to significant concerns regarding the safety of surgical smoke.

 

Business Briefing: Global Surgery

 

William L. Barrett, MD; Shawn M. Garber, MD

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Surgical Smoke and Ultrafine Particles

 

 

General, Laser

 

1/1/2008

 

This article takes measures to quantify the amount of particulate that resides within surgical smoke plume during a series of different procedures. As part of their examination, the authors discuss the respiratory hazards associated with the inhalation of particles less than 2.5 microns as these particles are able to reach the deepest regions of the lungs, the alveolar.

 

Journal of Occupational Medicine and Toxicology

 

Irene Brüske-Hohlfeld; Gerhard Preissler; Karl-Walter Jauch; Mike Pitz; Dennis Nowak; Annette Peters; H-Erich Wichmann

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Surgical Smoke: Plume What Do We Know

 

General, Orthopedic, Plastic

 

1/1/2009

 

This paper provides information of what we know about surgical smoke, the associated health risks and current global recommendations and regulations.

 

Covidien

 

Donna S. Watson, RN, MSN, CNOR, ARNP-BC

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The Visualisation of Surgical Smoke Produced by Energy Delivery Devices: Significance and Effectiveness of Evacuation Systems

 

General

 

1/1/2007

 

Devices delivering energy to biological tissues (eg lasers, RF and ultrasound) can induce surgical smoke consisting of particles, vapor, gasses and aerosols. Besides interfering with the view of the surgeon, the smoke is a risk for the health of both the users and patients. In literature, it has been shown that surgical smoke can contain carcinogenic and harmful biological agents. However, the impact on health of the users and patients is widely debated. The use of smoke evacuation systems in the OR is usually governed by economical reason instead of safety issues. A special image enhancement technique is used to study the behavior of smoke and aerosols and the effectiveness of smoke evacuation systems. A back scatter illumination.

 

Proc. of SPIE, Vol. 6440, 64400R

 

Tjeerd de Boorder, Rudolf Verdaasdonk, John Klaessens

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Don't Be a Victim of Surgical Smoke

 

General, Laparoscopic

 

3/1/1996

 

If you saw a low-lying cloud that was labeled clearly with its contents, and the label contained the words benzene, carbon monoxide, formaldehyde, hydrogen cyanide, methane, phenol, styrene, and toluene, would you go out of your way to walk through that cloud and inhale those toxic chemicals? Of course not. But you expose yourself to these same toxic chemicals each time you participate in a surgical procedure in which smoke from tissue . . .

 

AORN Journal, Vol. 63, No. 3

 

Beverly P. Giordano, RN, MS

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Chemical Composition of Surgical Smoke Formed in the Abdominal Cavity During Laparoscopic Cholecystectomy- Assessment of the Risk to the Patient

 

General, Laparoscopic

 

2/1/2014

 

This article discusses the finding of various xenobiotics in patient urine following laparoscopic cholecystectomy. These chemicals, including benzene, xylene and toluene, were absorbed by the patient from surgical smoke in their abdomen during laparoscopy and found by urinalysis post operatively. They also discuss various risk factors to the patient from the absorption of these chemicals, including the possibility of fetal harm.

 

International Journal of Occupational Medicine and Environmental Health, 27(2):314 – 325

 

Dobrogowski, Wesolowski, Kucharske et al

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No Smoking Allowed: Addressing the Dangers of ESU/Laser Plume and Surgical Fires in the OR

 

General

 

10/1/2004

 

Surgical smoke and laser plume are byproducts that are created when tissue and cells are vaporized during electrosurgical and laser procedures. While these methods provide immeasurable benefit for the patients they treat, they and the healthcare workers (HCWs) who perform and facilitate the ...

 

Infection Control Today, Vol 8, No 10

 

Kris Ellis

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Where There's Smoke...There's Progress

 

General, Laparoscopic, Orthopedic, Plastic

 

4/1/2015

 

There was nothing magic about the way we began to clear the air in our ORs. Yes, there was smoke, and yes, there were mirrors — to get started, we took a good long look at ourselves and our knowledge base — but ultimately, it was education and information, not sleight of hand, that began to make the difference. Our initiative is ongoing, but we've made some significant progress in protecting the health of our OR teams and patients. Here's how.

 

Outpatient Surgery Magazine

 

S.L. Chavis RN

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Study of Health Care Workers Shows Prevalence of Surgical Smoke Exposure

 

General, Orthopedic, Plastic

 

11/1/2015

 

Surgical smoke is a serious and preventable hazard that affects thousands of health care workers every year, according to a NIOSH study presented Nov. 3 at the American Public Health Association’s annual meeting.

 

Safety and Health Magazine

 

Andrea Steege

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Call to Tackle Toxic Surgery Smoke Risk for Doctors, Nurses, Patients

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, ENT, General, Laparoscopic, Laser, OB/GYN, Orthopedic, Plastic, Plume, Reamers, Saws, Veterinary

 

5/29/2016

 

Surgeons, nurses and patients are being exposed to toxic surgical smoke from burnt body parts, and health staff want new safety measures to combat the risks in New Zealand hospitals.

 

Stuff.co.nz

 

John Weekes

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The Examination of Problems Experienced by Nurses and Doctors Associated with Exposure to Surgical Smoke and the Necessary Precautions

 

Aesthetics, Cardiothoracic, Dermatology, ENT, General, OB/GYN, Orthopedic, Plastic, Veterinary

 

7/1/2016

 

This article researches the problems experienced by the nurses and doctors as a result of exposure to surgical smoke included: headache, watering of the eyes, cough, sore throat, bad odors absorbed in the hair, and nausea; then drowsiness, dizziness, sneezing and rhinitis.

 

Journal of Clinical Nursing

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Health Risk Assessment of VOCs from Surgical Smoke

 

Aesthetics, Cardiothoracic, Dermatology, Drills, Electrosurgery, ENT, General, Laparoscopic, Laser, Orthopedic, Plastic, Plume, Reamers, Saws, Smoke, Urology, Veterinary

 

7/1/2017

 

The authors conduct a health risk analysis based on exposure to surgical smoke and length of exposure. They found an increased risk of cancer based on the quantity of benzene and formaldehyde found in surgical smoke. They recommend the use of a high flow vacuum device to remove surgical smoke at the source as a means of protection.

 

Creative Commons CC

 

Shaohua She, Gang Lu, Wah Yang, Mianwei Hong, and Lingfei Zhu

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Health Risk Assessment of VOCs from Surgical Smoke

 

 

a, Aesthetics, Cardiothoracic, Dermatology, General, Laparoscopic, Laser, Plastic, Reamers, Saws, Veterinary

 

7/17/2017

 

The authors conduct a health risk analysis based on exposure to surgical smoke and length of exposure. They found an increased risk of cancer based on the quantity of benzene and formaldehyde found in surgical smoke. They recommend the use of a high flow vacuum device to remove surgical smoke at the source as a means of protection.

 

Creative Commons CC

 

Shaohua She, Gang Lu, Wah Yang, Mianwei Hong, and Lingfei Zhu

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The Examination of Problems Experienced by Nurses and Doctors Associated with Exposure to Surgical Smoke and the Necessary Precautions

 

 

Aesthetics, Cardiothoracic, Dermatology, ENT, General, Laser, OB/GYN, Orthopedic, Veterinary

 

1/1/2018

 

This article researches the problems experienced by the nurses and doctors as a result of exposure to surgical smoke included: headache, watering of the eyes, cough, sore throat, bad odors absorbed in the hair, and nausea; then drowsiness, dizziness, sneezing and rhinitis.

 

Journal of Clinical Nursing

 

Arzu Ilce, Ganime Esra, Yuzden, Meryem Yavuz van Giersbergen

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Call to tackle toxic surgery smoke risk for doctors, nurses, patients

 

 

Aesthetics, Cardiothoracic, Dentistry, Dermatology, Drills, Electrosurgery, ENT, General, Laparoscopic, OB/GYN, Orthopedic, Smoke, Urology, Veterinary

 

5/29/2016

 

Article discusses a surgeons concerns regarding exposure to surgical smoke in New Zealand Hospitals

 

Stuff.co.nz

 

John Weekes

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Canadian Study Finds Dozens of Deaths from 'Minimally Invasive' Laparoscopic Surgeries

 

General

 

5/30/2017

 

This article discusses the complications related to minimally invasive, laparoscopic surgery

 

National Post (Canada)

 

Sharon Kirkey

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