Pollutants Resulting from Intraabdominal Tissue Combustion

  • Douglas E. Ott


Chemical changes occurring in the abdominal cavity can have direct effects by contact or through peritoneal absorption. Local and global homeostasis is influenced by the unique chemical circumstances of each event. Through its large surface area and proficient absorptive capacity, the peritoneum sustains normal physiologic activities and transfers large quantities of substances that can range from normal constituents to noxious toxins. Laparoscopy exposes the peritoneum to rapid stretching, sustained pressure, a gaseous distending medium, and the changes that occur within the abdominal cavity as a result of access, gas delivery, surgery, irrigation, instrumentation, and energy sources. Electrosurgery, laser, or harmonic scalpel devices used for their desired intentional tissue effects (vaporization, ablation, and coagulation) also can have unintended consequences: aerosol production, dissipation of straying energy, and unintended tissue injury.


Pulse Oximetry Hydrogen Cyanide COHb Level Arch Environ Health Smoke Absorption 
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© Springer Science+Business Media New York 2000

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  • Douglas E. Ott

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