Surgical Smoke Plume Article Library - Smoke

Title Category Publication Date Description Publication Author


Chemical Composition of Smoke Produced by High-frequency Electrosurgery


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




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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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




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.




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

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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




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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