A single-blind controlled study of electrocautery and ultrasonic scalpel smoke plumes in laparoscopic surgery

Fitzgerald, J Edward; Malik, Maheen M.; Ahmed, Ibrar

doi:10.1007/s00464-011-1872-1

Cited by 75 publications

(81 citation statements)

References 9 publications

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“…Estudo afirmou que existe risco de câncer para os cirurgiões frente aos HPA gerados pela fumaça cirúrgica, e esse risco correspondeu a 0,1% (7) . Assim como neste estudo, HPA foram encontrados em estudos transversais realizados em diversos países como na Alemanha, Suécia, Reino Unido e na Suíça, incluindo cirurgias abertas e videolaparoscópicas (5,(13)(14)(15) .…”

Section: Discussionunclassified

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Hidrocarbonetos Policíclicos Aromáticos: Correlação Entre Tempo De Uso Do Eletrocautério E Tempo Cirúrgico

Okubo

Ribeiro²,

Martins³

et al. 2017

Cogitare Enferm.

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RESUMO: Objetivou-se identificar concentrações de hidrocarbonetos policíclicos aromáticos provenientes da fumaça do eletrocautério nas salas operatórias, correlacionando estas concentrações com o tempo de uso do eletrocautério e cirúrgico. Trata-se de um estudo de campo, transversal e quantitativo, realizado em 50 atos cirúrgicos do aparelho digestivo, entre abril e julho de 2015, em hospital The objective was to identify concentrations of polycyclic aromatic hydrocarbons produced by electrocautery smoke in operating rooms, correlating these concentrations with time of electrocautery and surgical use. This is a cross-sectional and quantitative field study carried out in 50 gastrointestinal surgical procedures, between April and July 2015, in a university hospital in the state of Paraná. Hydrocarbons were collected using a suction pump and measurements were determined through liquid chromatography. These compounds were found to have an average of 0.0058 mg.m -3 and a mean of 0.0049 mg.m -3. The mean surgical time and electrocautery use were 136 minutes and 220.5 seconds, respectively. The Spearman correlation test was -0.512 between concentration variables and surgical time, and -0.183 between the concentrations and electrocautery use. The conclusion was the presence of hydrocarbons and a low correlation between the production of these compounds and the electrocautery usage time. DESCRIPTORS: Occupational exposure; Occupational air pollutants; Electrosurgery; Protective devices. Se objetivó identificar concentraciones de hidrocarburos policíclicos aromáticos derivados del humo del electrocauterio en quirófanos, correlacionando las concentraciones con el tiempo de uso del electrocauterio y quirúrgico. Estudio de campo, transversal, cuantitativo, realizado en 50 actos quirúrgicos del aparato digestivo, entre abril y julio de 2015, en hospital universitario del estado de Paraná. Fueron recolectados hidrocarburos mediante una bomba de succión, y determinados por cromatografía líquida. Los compuestos fueron encontrados con promedio de 0,0058 mg.m3 y mediana de 0,0049 mg.m3. El tiempo promedio quirúrgico y de uso del electrocauterio fue de 136 minutos y 220,5 segundos respectivamente. El test de correlación de Spearman fue de -0,512 entre variables concentraciones y tiempo quirúrgico, y de -0,183 entre las concentraciones y tiempo de uso del electrocauterio. Se concluye en que existen hidrocarburos y hay baja correlación entre la producción de tales compuestos y tiempo de uso del electrocauterio.

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Section: Discussionunclassified

“…O referido composto foi encontrado na fumaça do eletrocautério em estudos internacionais (5,(13)(14)(15) , entretanto ainda são escassos estudos, principalmente nacionais, que abordam a presença dos compostos químicos na fumaça cirúrgica (16) , além daqueles que correlacionem o tempo de uso do eletrocautério e o tempo cirúrgico.…”

Section: Introductionunclassified

Hidrocarbonetos Policíclicos Aromáticos: Correlação Entre Tempo De Uso Do Eletrocautério E Tempo Cirúrgico

Okubo

Ribeiro²,

Martins³

et al. 2017

Cogitare Enferm.

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“…(21) To analyze the concentration of volatile hydrocarbons in the electrocautery smoke in laparoscopic intra-abdominal surgeries compared with cigarette smoke and the air of an urban city…”

Section: Aarau Switzerlandmentioning

confidence: 99%

“…A single-blind controlled study of electrocautery and ultrasonic scalpel smoke plumes in laparoscopic surgery (21) 2012 Scotland, United Kingdom…”

Section: E4mentioning

confidence: 99%

Composition of the electrocautery smoke: integrative literature review

Tramontini

Galvão

Claudio

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the composition of the smoke produced by electrocautery use during surgery. Method: Integrative review with search for primary studies conducted in the databases of the US National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences, covering the studies published between 2004 and 2014. Results: The final sample consisted of 14 studies grouped into three categories, namely; polycyclic aromatic hydrocarbons, volatile compounds and volatile organic compounds. Conclusion: There is scientific evidence that electrocautery smoke has volatile toxic, carcinogenic and mutagenic compounds, and its inhalation constitutes a potential chemical risk to the health of workers involved in surgeries.

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“…Minimally invasive surgeon and operating theatre staff regularly are exposed to surgical smoke pollution produced by thermal tissue destruction. Gaseous byproducts produced during laser surgery, electrocautery or the use of ultrasonic scalpels are usually referred to as 'surgical smoke' [2]. Surgical smoke poses a significant health risk as a pulmonary irritant, carcinogen, and vector for transmitting infectious particles [3,4].…”

Section: Introductionmentioning

confidence: 99%

Health Risk Assessment of VOCs from Surgical Smoke

She¹,

Lu²,

Yang³

et al. 2017

Preprint

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Surgical smoke is produced by energy-based surgical instruments. The airborne volatile organic compounds (VOCs) from surgical smoke may have potential health risk. This study aimed to evaluate the evidence for the harmful effects on the operating theater staff. An internationally recognized evaluation model of health risk assessment (HRA) was adapted to preliminarily assess the health risks caused by VOCs in surgical smoke. Results of HRA indicated that non-carcinogenic risk indexes of VOCs did not exceed one, indicating that these pollutants didn't cause significant non-carcinogenic harm to the health of the operating theater staff. But the cancer risk indexes exposed to formaldehyde and benzene all exceed 10 -5 , which was higher than the suggested value of USEPA (10 -6 ) and might cause potential harm to the health of the operating theater staff. Long-term exposure of such surgical smoke will be harmful to the health of the operating theater staff and have a great risk of cancer.

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A single-blind controlled study of electrocautery and ultrasonic scalpel smoke plumes in laparoscopic surgery

Cited by 75 publications

References 9 publications

Hidrocarbonetos Policíclicos Aromáticos: Correlação Entre Tempo De Uso Do Eletrocautério E Tempo Cirúrgico

Hidrocarbonetos Policíclicos Aromáticos: Correlação Entre Tempo De Uso Do Eletrocautério E Tempo Cirúrgico

Composition of the electrocautery smoke: integrative literature review

Health Risk Assessment of VOCs from Surgical Smoke

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