Comparative Safety Analysis of Surgical Smoke From Transurethral Resection of the Bladder Tumors and Transurethral Resection of the Prostate

Zhao, Chen; Kim, Myung Ki; Kim, Hyung Jin; Lee, Sang Kyi; Chung, Youn Jo; Park, Jong Kwan

doi:10.1016/j.urology.2013.05.028

Cited by 14 publications

(13 citation statements)

References 18 publications

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“…In the studies of the third category (E4 to E14) (4,(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) , several gases were identified, but the VOC were the chemical compounds present in all articles. Therefore, the predominant VOC identified and quantified were the following: benzene (4,(21)(22)28) , ethylbenzene (4,21,26,(28)(29) , toluene (4,(21)(22)(23)26,(28)(29)(30) , styrene (4,21,26,28) and butadiene (22,(24)(25)27,30) . This diversity of compounds can be justified by the different types of surgeries in which were collected smoke samples, the body mass index of different patients, and the duration, and energy of electrocautery use because these factors can alter the compounds production (23,26) , increasing the risk of occupational exposure even more, since professionals can work in many surgical rooms and various surgi-www.ee.usp.br/reeusp Composition of the electrocautery smoke: integrative literature review cal procedures daily.…”

Section: Discussionmentioning

confidence: 99%

“…Comparative safety analysis of surgical smoke from transurethral resection of the bladder tumors and transurethral resection of the prostate (22) 2013 Jeonju, South Korea…”

Section: E6mentioning

confidence: 99%

“…Category Compounds found in the electrocautery smoke E1 (3) and E2 (20) First PAH E3 (5) Second Volatile compounds E4 (21) , E5 (4) , E6 (22) , E7 (23) , E8 (24) , E9 (25) , E10 (26) , E11 (27) , E12 (28) , E13 (29) and E14 (30) Third VOC…”

Section: Studymentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…Comparative safety analysis of surgical smoke from transurethral resection of the bladder tumors and transurethral resection of the prostate (22) 2013 Jeonju, South Korea…”

Section: E6mentioning

confidence: 99%

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Composition of the electrocautery smoke: integrative literature review

Tramontini

Galvão

Claudio

et al. 2016

Rev. esc. enferm. USP

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“…During surgical tissue pyrolysis, noticeable quantities of surgical smoke (i.e., both particulate and gaseous matter) can be generated that negatively affect the surgical operators [1,2]. Electrocautery has become an integral tool in the operating room since it was first applied almost one hundred years ago [3].…”

Section: Introductionmentioning

confidence: 99%

“…The chemical compositions and aerodynamic sizes of particles vary significantly, depending on the type of procedure, the pathology of the target tissue, and the scope of surgery [5]. A number of gas phase components (e.g., butyrolactone, vinyl acetylene, 1,3-butadiene, propylene, and isobutylene) have been identified from the transurethral resection of a prostate (TURP) [2]. Nonetheless, relatively little is known about the chemical composition of particulate matter (PM) in the surgical smoke released via the pyrolysis of prostate tissue.…”

Section: Introductionmentioning

confidence: 99%

Emission and Cytotoxicity of Surgical Smoke: Cholesta-3,5-Diene Released from Pyrolysis of Prostate Tissue

et al. 2018

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Respiratory and lung irritants can be a by-product of the surgical pyrolysis of human tissues. Seven prostate tissues were collected during the transurethral resection of a prostate (TURP). Tissue samples, pyrolyzed in a pyrolysis sampling system, were collected and analyzed for the characterization of aerosols in the surgical smoke. In the pyrolyzed particulate matter (PM) from the TURP, Cholestra-3,5-diene was identified as the most dominant component along with 9-methylanthracene, hentriacontane, and dotriacontane based on the mass fragment structure determined using gas chromatography-mass spectrometry (GC-MS). As a molecular marker, Cholesta-3,5-diene can be associated with a cytotoxic in primary human oral keratinocytes (HOK). In this research, the presence of Cholestra-3,5-diene is reported for the first time as a by-product of surgical pyrolysis.

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State of the Science: A Concept Analysis of Surgical Smoke

Vortman¹,

McPherson²,

Wendler³

2020

AORN Journal

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Surgical smoke has not been clearly defined in the literature and often is identified using surrogate terms (eg, plume). In January 2020, a literature search was performed and a principle‐based concept analysis involving four general principles (epistemological, pragmatic, linguistic, and logical) was used to define surgical smoke and identify implications for perioperative personnel, patients, researchers, and policymakers. Surgical smoke is a visible plume of aerosolized combustion byproducts produced by heat‐generating surgical instruments. It consists of water vapor and gaseous substances; can carry toxic chemicals, bacteria, viruses, and tumors; can obscure the surgical field; and can be inhaled. Surgical smoke has a distinctive noxious odor and can cause physical symptoms such as watery eyes and throat irritation. Perioperative leaders should promote protection from occupational harm by educating their staff members on the use of smoke evacuators to mitigate the effects of surgical smoke on perioperative patients and personnel.

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Comparative Safety Analysis of Surgical Smoke From Transurethral Resection of the Bladder Tumors and Transurethral Resection of the Prostate

Cited by 14 publications

References 18 publications

Composition of the electrocautery smoke: integrative literature review

Composition of the electrocautery smoke: integrative literature review

Emission and Cytotoxicity of Surgical Smoke: Cholesta-3,5-Diene Released from Pyrolysis of Prostate Tissue

State of the Science: A Concept Analysis of Surgical Smoke

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