Health risk to medical personnel of surgical smoke produced during laparoscopic surgery
Objectives: During laparoscopic cholecystectomy, the removal of the gall bladder, pyrolysis occurs in the peritoneal cavity. Chemical substances which are formed during this process escape into the operating room through trocars in the form of surgical smoke. The aim of this study was to identify an...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nofer Institute of Occupational Medicine
2015-10-01
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| Series: | International Journal of Occupational Medicine and Environmental Health |
| Subjects: | |
| Online Access: | http://ijomeh.eu/Health-risk-to-medical-personnel-of-surgical-smoke-produced-during-laparoscopic-surgery,58519,0,2.html |
| _version_ | 1818230013944659968 |
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| author | Miłosz Dobrogowski Wiktor Wesolowski Małgorzata Kucharska Katarzyna Paduszyńska Agnieszka Dworzyńska Wiesław Szymczak Andrzej Sapota Lech Pomorski |
| author_facet | Miłosz Dobrogowski Wiktor Wesolowski Małgorzata Kucharska Katarzyna Paduszyńska Agnieszka Dworzyńska Wiesław Szymczak Andrzej Sapota Lech Pomorski |
| author_sort | Miłosz Dobrogowski |
| collection | DOAJ |
| description | Objectives: During laparoscopic cholecystectomy, the removal of the gall bladder, pyrolysis occurs in the peritoneal cavity. Chemical substances which are formed during this process escape into the operating room through trocars in the form of surgical smoke. The aim of this study was to identify and quantitatively measure a number of selected chemical substances found in surgical smoke and to assess the risk they carry to medical personnel. Material and Methods: The study was performed at the Maria Skłodowska-Curie Memorial Provincial Specialist Hospital in Zgierz between 2011 and 2013. Air samples were collected in the operating room during laparoscopic cholecystectomy. Results: A complete qualitative and quantitative analysis of the air samples showed a number of chemical substances present, such as aldehydes, benzene, toluene, ethylbenzene, xylene, ozone, dioxins and others. Conclusions: The concentrations of these substances were much lower than the hygienic standards allowed by the European Union Maximum Acceptable Concentration (MAC). The calculated risk of developing cancer as a result of exposure to surgical smoke during laparoscopic cholecystectomy is negligible. Yet it should be kept in mind that repeated exposure to a cocktail of these substances increases the possibility of developing adverse effects. Many of these compounds are toxic, and may possibly be carcinogenic, mutagenic or genotoxic. Therefore, it is necessary to remove surgical smoke from the operating room in order to protect medical personnel. |
| first_indexed | 2024-12-12T10:27:45Z |
| format | Article |
| id | doaj.art-44cd86a6a6eb4e6a9b45689e21944d2f |
| institution | Directory Open Access Journal |
| issn | 1232-1087 1896-494X |
| language | English |
| last_indexed | 2024-12-12T10:27:45Z |
| publishDate | 2015-10-01 |
| publisher | Nofer Institute of Occupational Medicine |
| record_format | Article |
| series | International Journal of Occupational Medicine and Environmental Health |
| spelling | doaj.art-44cd86a6a6eb4e6a9b45689e21944d2f2022-12-22T00:27:25ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2015-10-0128583184010.13075/ijomeh.1896.00374Health risk to medical personnel of surgical smoke produced during laparoscopic surgeryMiłosz DobrogowskiWiktor WesolowskiMałgorzata KucharskaKatarzyna PaduszyńskaAgnieszka DworzyńskaWiesław SzymczakAndrzej SapotaLech PomorskiObjectives: During laparoscopic cholecystectomy, the removal of the gall bladder, pyrolysis occurs in the peritoneal cavity. Chemical substances which are formed during this process escape into the operating room through trocars in the form of surgical smoke. The aim of this study was to identify and quantitatively measure a number of selected chemical substances found in surgical smoke and to assess the risk they carry to medical personnel. Material and Methods: The study was performed at the Maria Skłodowska-Curie Memorial Provincial Specialist Hospital in Zgierz between 2011 and 2013. Air samples were collected in the operating room during laparoscopic cholecystectomy. Results: A complete qualitative and quantitative analysis of the air samples showed a number of chemical substances present, such as aldehydes, benzene, toluene, ethylbenzene, xylene, ozone, dioxins and others. Conclusions: The concentrations of these substances were much lower than the hygienic standards allowed by the European Union Maximum Acceptable Concentration (MAC). The calculated risk of developing cancer as a result of exposure to surgical smoke during laparoscopic cholecystectomy is negligible. Yet it should be kept in mind that repeated exposure to a cocktail of these substances increases the possibility of developing adverse effects. Many of these compounds are toxic, and may possibly be carcinogenic, mutagenic or genotoxic. Therefore, it is necessary to remove surgical smoke from the operating room in order to protect medical personnel.http://ijomeh.eu/Health-risk-to-medical-personnel-of-surgical-smoke-produced-during-laparoscopic-surgery,58519,0,2.htmlsmokeexposurevolatile organic compoundsdioxinshealth risklaparoscopic cholecystectomypyrolysis |
| spellingShingle | Miłosz Dobrogowski Wiktor Wesolowski Małgorzata Kucharska Katarzyna Paduszyńska Agnieszka Dworzyńska Wiesław Szymczak Andrzej Sapota Lech Pomorski Health risk to medical personnel of surgical smoke produced during laparoscopic surgery International Journal of Occupational Medicine and Environmental Health smoke exposure volatile organic compounds dioxins health risk laparoscopic cholecystectomy pyrolysis |
| title | Health risk to medical personnel of surgical smoke produced during laparoscopic surgery |
| title_full | Health risk to medical personnel of surgical smoke produced during laparoscopic surgery |
| title_fullStr | Health risk to medical personnel of surgical smoke produced during laparoscopic surgery |
| title_full_unstemmed | Health risk to medical personnel of surgical smoke produced during laparoscopic surgery |
| title_short | Health risk to medical personnel of surgical smoke produced during laparoscopic surgery |
| title_sort | health risk to medical personnel of surgical smoke produced during laparoscopic surgery |
| topic | smoke exposure volatile organic compounds dioxins health risk laparoscopic cholecystectomy pyrolysis |
| url | http://ijomeh.eu/Health-risk-to-medical-personnel-of-surgical-smoke-produced-during-laparoscopic-surgery,58519,0,2.html |
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