Surgical Smoke Plume Article Library - Plastic


Title Category Publication Date Description Publication Author

 

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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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

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HPV Positive Tonsillar Cancer in Two Laser Surgeons: Case Reports

 

 

Dermatology, Plastic

 

1/1/2013

 

A 53 year-old male gynecologist presented with human papillomavirus (HPV) 16 positive tonsillar squamous cell carcinoma. He had no identifiable risk factors with the exception of long term occupational exposure to laser plumes, having performed laser ablations and loop electrosurgical excision procedures (LEEP) on greater than 3000 dysplastic cervical and vulvar lesions over 20 years of practice. The second patient is a 62 year old male gynecologist with a 30 year history of laser ablation and LEEP who subsequently developed HPV 16 positive base of tongue cancer. He also had very few other risk factors for oropharyngeal cancer or HPV infection. HPV is a probable causative agent for oropharyngeal squamous cell carcinoma and has been reported as being transmittable through laser plume.

 

Journal of Otolaryngology, Head and Neck Surgery, 42:54

 

Margo Rioux, Andrea Garland, Duncan Webster and Edward Reardon

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Infectious Papillomavirus in the Vapor of Warts Treated with Carbon Dioxide Laser or Electrocoagulation: Detection and Protection

 

 

Dermatology, Plastic

 

7/1/1989

 

Papillomavirus DNA has been reported recently in the vapor (smoke plume) derived from warts treated with carbon dioxide laser; this raises concerns for operator safety. We therefore have studied a group of human and bovine warts to define further the potential risk of wart therapy and to test whether a surgical mask could reduce exposure.

 

Journal of the American Academy of Dermatology, Vol 21, No 1

 

 William S. Sawchuk, MD; Paul J. Weber, MD; Douglas R. Lowy, MD; Leonard M. Dzubow, MD

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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 and the Dermatologist

 

Dermatology, Plastic

 

1/1/2010

 

The use of electrosurgery and lasers by dermatologists and dermatologic surgeons has increased in recent years with the growth of technology and procedures performed. These devices produce surgical smoke that has been demonstrated to harbor live viruses and bacteria in addition to hazardous chemicals.

 

American Academy of Dermatology, Inc., 2010, doi:10.1016/j.jaad, 11.017

 

Jesse Lewin, Jeremy Brauer, Ariel Ostad

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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 Mutagenicity of Electrocautery Smoke

 

Plastic

 

5/1/1992

 

Careful analysis of electrocautery smoke produced during breast surgery has found organic compounds that are unidentifiable with current analytical techniques. The purpose of this study was to determine the potential mutagenicity of the smoke produced by the electrocautery knife during reduction mammoplasty procedures...

 

Plastic & Reconstructive Surgery, Vol 89, No 5

 

John E. Gatti, MD; Charles J. Bryant, CIH; R. Barrett No one, MD; J. Brien Murphy, MD

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The Use of Contained Breathing Apparatus to Isolate the Operator and Assist for Aerosolizing Procedures Including Dermabrasion and Laser Surgery

 

Dermatology, Plastic

 

8/1/1992

 

Dermabrasion and carbon dioxide laser surgery aerosolize patient blood and tissue particles. The operating physician and assistants may therefore have intimate inhalational and mucous membrane contact with patients' body fluids. Herein is described the use of an isolated ventilation system to protect physicians and assistants from blood and tissue products aerosolized during the course of dermabrasion and carbon dioxide laser surgery.

 

Annals of Plastic Surgery, Vol 29, No 2

 

Paul J. Weber, MD; Allen, E. Wulc, MD

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Viral Disease Transmitted by Laser-Generated Plume (Aerosol)

 

Dermatology, Plastic, Veterinary

 

10/1/2002

 

Laser plume has been shown, for the first time to our knowledge, to actually transmit disease. Strict cars must be maintained by the laser practitioner to minimize potential health risks, especially when treating viral-induced lesions or patients with viral disease.

 

Archives of Dermatology, Vol 138

 

Jerome M. Garden, MD; M.Kerry O'Banion, MD; PhD, Abnoeal D. Bakus, PhD; Carl Olson, DVM, PhD

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Surgical Smoke Without Fire: The Risks to the Plastic Surgeon

 

Plastic

 

11/1/2004

 

Plastic surgeons encounter surgical smoke routinely as a by-product either of electrocautery, laser ablation, or ultrasonic (harmonic) scalpel tissue dissection. Strictly speaking, “smoke” is composed of the products of combustion, while “plume” is a mix of combusted and noncombusted particles, the mix and size of which can vary with the device used. The hazards of smoke plume inhalation are real...

 

Journal of the American Society of Plastic Surgeons Plastic & Reconstructive Surgery, Vol 114

 

R.O.S. Karoo, M.B., M.R.C.S.; I. S. Whitaker, M.A.; Cantab., M.B. B. Chir. G. Offer, M.B. B.Chir., F.R.C.S.; 

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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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