Abstract
Background
Exposure to surgical smoke during electrosurgery may be harmful to theatre personnel. This study quantified toxic compounds present and we were particularly interested in isolating toluene, ethylbenzene and xylene due to their putative carcinogenic effects.
Methods
A variety of surgical procedures were studied. Smoke samples emitted during electrosurgery were collected in charcoal tubes and analysed by gas chromatography coupled with mass spectrometry.
Results
Surgery involving mainly thermal decomposition of adipose tissue produced greater quantities of aldehydes and lower concentrations of toluene. In contrast, smoke generated during epidermal tissue ablation produced higher levels of toluene, ethyl benzene and xylene.
Conclusion
This study demonstrated the presence of irritant, carcinogenic and neurotoxic compounds in electrosurgical smoke. This may have considerable implications for the health and safety of all involved in surgical practice, as exposure to these compounds pose potential risks to health.
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References
Barrett WL, Garber SM (2003) Surgical smoke––a review of the literature. Surg Endosc 17(6):979–987
Pillinger SH, Delbridge L, Lewis DR (2003) Randomized clinical trial of suction versus standard clearance of the diathermy plume. Br J Surg 90(9):1068–1071
Hensman C, Baty D, Willis RG, Cuschieri A (1998) Chemical composition of smoke produced by high-frequency electrosurgery in a closed gaseous environment. Surg Endosc 12(8):1017–1019
Wenig BL, Stenson KM, Wenig BM, Tracey D (1993) Effects of plume produced by the Nd:YAG laser and electrocautery on the respiratory system. Laser Surg Med 13(2):242–245
Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A (2006) Surgical smoke and infection control. J Hosp Infect 62(1):1–5
Tomita Y, Mihashi S, Nagata K, Ueda S, Fujiki M, Hirano M, Hirohata T (1981) Mutagenicity of smoke condensates induced by CO2-laser irradiation and electrocauterization. Mutat Res 89(2):145–149
Stankiewicz BA, Hutchins JC, Thomson R, Briggs DE, Evershed RP (1997) Assessment of bog-body tissue preservation by pyrolysis-gas chromatography/mass spectrometry. Rapid Commun Mass Spectrom 11(17):1884–1890
Scott E, Beswick A, Wakefield K (2004) The hazards of diathermy plume. Part 2. Producing quantified data. Br J Perioper Nurs;14(10):452, 454–456
Wu JS, Luttmann DR, Meininger TA, Soper NJ (1997) Production and systemic absorption of toxic byproducts of tissue combustion during laparoscopic surgery. Surg Endosc 11(11):1075–1079
DeHaan JD, Brien DJ, Large R (2004) Volatile compounds from the combustion of human and animal tissue. Sci Justice 44(4):223–236
Evershed RP, Dudd SN, Copley MS, Berstan R, Stott AW, Mottram H, Buckley SA, Crossman Z (2002) Chemistry of archeological animal fats. Acc Chem Res 35(8):660–668
Darrall KG, Figgins JA, Brown RD, Phillips GF (1998) Determination of benzene and associated volatile compounds in mainstream cigarette smoke. Analyst 123(5):1095–1101
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O.S. Al Sahaf and I. Vega-Carrascal contributed equally to this work. Aspects of this work were presented at the 31st Sir Peter Freyer Memorial Lecture and Surgical Symposium (Irish J Med Sci 2006; 175(3)S1:87).
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Al Sahaf, O.S., Vega-Carrascal, I., Cunningham, F.O. et al. Chemical composition of smoke produced by high-frequency electrosurgery. Ir J Med Sci 176, 229–232 (2007). https://doi.org/10.1007/s11845-007-0068-0
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DOI: https://doi.org/10.1007/s11845-007-0068-0