Surgical Smoke Plume Article Library - Laparoscopic


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,  

 

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

 

Comparison of Current and Past Surgical Smoke Control Practices

 

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

 

3/1/2012

 

This is the result of a survey conducted by the authors regarding various surgical smoke control practices throughout the United States. The results showed a variety of Local Exhaust Ventilation, Suction and respiratory protection measures.

 

AORN Journal

 

Ben E. Edwards, MS, CLSO, RRPT, CHP, CMLSO; Robert E. Reiman, MSPH, MD

 

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

 

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

 

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

 

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

 

Surgical Smoke and Infection Control

 

Laparoscopic, Laser

 

1/1/2006

 

Gaseous byproducts produced during electrocautery, laser surgery or the use of ultrasonic scalpels are usually referred to as ‘surgical smoke’. This smoke, produced with or without a heating process, contains bio-aerosols with viable and non-viable cellular material that subsequently poses a risk of infection (human immunodeficiency virus, hepatitis B virus, human papillomavirus) and causes irritation to the lungs leading to acute and chronic inflammatory changes...

 

Journal of Hospital Infection

 

E. Alp, D.Bijl; R.P. Bleichrodt; B. Hansson; A. Voss

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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