Quantitative chemical analysis of surgical smoke generated during laparoscopic surgery with a vessel-sealing device.

Details

Serval ID
serval:BIB_B54CC3241FDF
Type
Article: article from journal or magazin.
Collection
Publications
Title
Quantitative chemical analysis of surgical smoke generated during laparoscopic surgery with a vessel-sealing device.
Journal
Surgical Innovation
Author(s)
Gianella M., Hahnloser D., Rey J.M., Sigrist M.W.
ISSN
1553-3514 (Electronic)
ISSN-L
1553-3506
Publication state
Published
Issued date
2014
Volume
21
Number
2
Pages
170-179
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
BACKGROUND: Exposure to surgical smoke in the operation room has been a long-standing concern. Smoke generated by the interaction between lasers or electrocautery devices with biological tissue contains several toxic and carcinogenic substances, but only a few studies so far have provided quantitative data necessary for risk assessment.
METHODS: With laser and Fourier-transform infrared spectroscopy, we investigated the chemical composition of smoke produced with a vessel-sealing device in an anoxic environment during laparoscopic surgery.
RESULTS: Harmless concentrations of methane (<34 ppm), ethane (<2 ppm), and ethylene (<10 ppm) were detected. Traces of carbon monoxide (<3.2 ppm) and of the anesthetic sevoflurane (<450 ppm) were also found. CONCLUSIONS. Gas leaking or gas being released from the pneumoperitoneum could therefore increase pollution by waste anesthetic gas in the operating room. Most toxic compounds found in earlier studies remained undetected. Adverse health effects for operating room personnel due to some of those substances (e.g., toluene, styrene, xylene) can be excluded, assuming no significant losses or changes in the chemical composition of the samples occurred between our sampling and measurements.
Pubmed
Web of science
Create date
30/09/2014 14:22
Last modification date
20/08/2019 15:23
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