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Health risks associated with exposure to surgical smoke for surgeons and operation room personnel

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Abstract

Although surgical smoke contains potentially hazardous substances, such as cellular material, blood fragments, microorganisms, toxic gases and vapors, many operating rooms (ORs) do not provide protection from exposure to it. This article reviews the hazards of surgical smoke and the means of protecting OR personnel. Our objectives are to promote surgeons’ acceptance to adopt measures to minimize the hazards. Depending on its components, surgical smoke can increase the risk of acute and chronic pulmonary conditions, cause acute headaches; irritation and soreness of the eyes, nose and throat; dermatitis and colic. Transmission of infectious disease may occur if bacterial or viral fragments present in the smoke are inhaled. The presence of carcinogens in surgical smoke and their mutagenic effects are also of concern. This review summarizes previously published reports and data regarding the toxic components of surgical smoke, the possible adverse effects on the health of operating room personnel and measures that can be used to minimize exposure to prevent respiratory problems. To reduce the hazards, surgical smoke should be removed by an evacuation system. Surgeons should assess the potential dangers of surgical smoke and encourage the use of evacuation devices to minimize potential health hazards to both themselves and other OR personnel.

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Acknowledgments

We thank Naoto Aihara for his assistance in producing the figure.

Conflict of interest

Kae Okoshi and co-authors have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Surgery, Japan Baptist Hospital, 47 Yamonomoto-cho, Kitashirakawa, Sakyo-ku, Kyoto, 606-8273, Japan

    Kae Okoshi, Katsutoshi Kobayashi & Koichi Kinoshita

  2. Department of Cardiovascular Surgery, Tokyo Women’s Medical University, Tokyo, Japan

    Yasuko Tomizawa

  3. Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

    Suguru Hasegawa & Yoshiharu Sakai

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  1. Kae Okoshi
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  2. Katsutoshi Kobayashi
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  3. Koichi Kinoshita
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Correspondence to Kae Okoshi.

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Okoshi, K., Kobayashi, K., Kinoshita, K. et al. Health risks associated with exposure to surgical smoke for surgeons and operation room personnel. Surg Today 45, 957–965 (2015). https://doi.org/10.1007/s00595-014-1085-z

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