scholarly journals Prospective Randomized Study Evaluating the Usefulness of a Surgical Smoke Evacuation System in Operating Rooms for Breast Surgery

2020 ◽  
Author(s):  
Yutaka Tokuda ◽  
Takuho Okamura ◽  
Miki Maruta ◽  
Mutsuko Orita ◽  
Miyuki Noguchi ◽  
...  
Keyword(s):  
Operating Room ◽  
Surgical Procedures ◽  
Randomized Study ◽  
Personal Exposure ◽  
Prospective Randomized Study ◽  
Surgical Smoke ◽  
Volatile Organic ◽  
Smoke Evacuation ◽  
Exposure Levels ◽  
Evacuation System

Abstract Background: No prospective evaluation of surgical smoke evacuation systems has yet been conducted anywhere in the world. A prospective randomized study was conducted to clarify the usefulness of a surgical smoke evacuation system in terms of reducing the quantity of environmental pollutants found in operating room air and reducing the occupational exposure of doctors and nurses involved in surgical procedures to surgical smoke, volatile organic compounds, formaldehyde, etc. Methods: Operating room environment conditions with and without the use of a surgical smoke evacuation system were measured, and the personal exposure levels of doctors and nurses involved in surgical procedures were also surveyed. Use of the evacuation system was determined randomly, and the procedures involved were breast-conserving surgery and mastectomy, which were treated as stratification factors. Results: The average total volatile organic compound concentration in the operating room was significantly lower when the evacuation system was used compared with when it was not used. The findings were similar for formaldehyde concentration. Multiple regression analysis for healthcare professionals’ personal exposure levels showed that the evacuation system was a factor that significantly impacted their formaldehyde and acetaldehyde personal exposure levels, which were greatly reduced by the use of the system. Conclusion: This study’s findings demonstrate the effectiveness of the evacuation systems, which should increase awareness that their benefits take priority over the drawbacks. Trial Registration: The study was conducted after explaining to participants that it was a study of operating room environments in which their participation was voluntary and obtaining their consent. The study was also approved by the Tokai University Hospital clinical research review committee (no. 5R-022) and registered with the UMIN registry　(UMIN000029092) on 13, September, 2017-　retrospectively registered, http://www.umin.ac.jp/ctr/UMIN000029092.

scholarly journals Prospective Randomized Study Evaluating the Usefulness of a Surgical Smoke Evacuation System in Operating Rooms for Breast Surgery

2020 ◽  
Author(s):  
Yutaka Tokuda ◽  
Takuho Okamura ◽  
Miki Maruta ◽  
Mutsuko Orita ◽  
Miyuki Noguchi ◽  
...  
Keyword(s):  
Operating Room ◽  
Surgical Procedures ◽  
Randomized Study ◽  
Personal Exposure ◽  
Prospective Randomized Study ◽  
Surgical Smoke ◽  
Volatile Organic ◽  
Smoke Evacuation ◽  
Exposure Levels ◽  
Evacuation System

Abstract Background No prospective evaluation of surgical smoke evacuation systems has yet been conducted anywhere in the world. A prospective randomized study was conducted to clarify the usefulness of a surgical smoke evacuation system in terms of reducing the quantity of environmental pollutants found in operating room air and reducing the occupational exposure of doctors and nurses involved in surgical procedures to surgical smoke, volatile organic compounds, formaldehyde, etc. Methods Operating room environment conditions with and without the use of a surgical smoke evacuation system were measured, and the personal exposure levels of doctors and nurses involved in surgical procedures were also surveyed. Use of the evacuation system was determined randomly, and the procedures involved were breast-conserving surgery and mastectomy, which were treated as stratification factors. Results The average total volatile organic compound concentration in the operating room was significantly lower when the evacuation system was used compared with when it was not used. The findings were similar for formaldehyde concentration. Multiple regression analysis for healthcare professionals’ personal exposure levels showed that the evacuation system was a factor that significantly impacted their formaldehyde and acetaldehyde personal exposure levels, which were greatly reduced by the use of the system. Conclusion This study’s findings demonstrate the effectiveness of the evacuation systems, which should increase awareness that their benefits take priority over the drawbacks.

Prospective Randomized Study Evaluating the Usefulness of a Surgical Smoke Evacuation System in Operating Rooms

2020 ◽  
Author(s):  
Yutaka Tokuda ◽  
Takuho Okamura ◽  
Miki Maruta ◽  
Mutsuko Orita ◽  
Miyuki Noguchi ◽  
...  
Keyword(s):  
Operating Room ◽  
Surgical Procedures ◽  
Randomized Study ◽  
Personal Exposure ◽  
Prospective Randomized Study ◽  
Surgical Smoke ◽  
Volatile Organic ◽  
Smoke Evacuation ◽  
Exposure Levels ◽  
Evacuation System

Abstract Background No prospective evaluation of surgical smoke evacuation systems has yet been conducted anywhere in the world. A prospective randomized study was conducted to clarify the usefulness of a surgical smoke evacuation system in terms of reducing the quantity of environmental pollutants found in operating room air and reducing the occupational exposure of doctors and nurses involved in surgical procedures to surgical smoke, volatile organic compounds, formaldehyde, etc.Methods Operating room environment conditions with and without the use of a surgical smoke evacuation system were measured, and the personal exposure levels of doctors and nurses involved in surgical procedures were also surveyed. Use of the evacuation system was determined randomly, and the procedures involved were breast-conserving surgery and mastectomy, which were treated as stratification factors.Results The average total volatile organic compound concentration in the operating room was significantly lower when the evacuation system was used compared with when it was not used. The findings were similar for formaldehyde concentration. Multiple regression analysis for healthcare professionals’ personal exposure levels showed that the evacuation system was a factor that significantly impacted their formaldehyde and acetaldehyde personal exposure levels, which were greatly reduced by the use of the system.Conclusion This study’s findings demonstrate the effectiveness of the evacuation systems, which should increase awareness that their benefits take priority over the drawbacks.

scholarly journals The Dangers of Electrosurgical Smoke to Operating Room Personnel: A Review

2017 ◽  
Vol 65 (11) ◽  
pp. 517-526 ◽  
Author(s):  
Kevin Bree ◽  
Spencer Barnhill ◽  
William Rundell
Keyword(s):  
Operating Room ◽  
Health Care Providers ◽  
Responsibility To Protect ◽  
Care Providers ◽  
Operating Room Personnel ◽  
Surgical Smoke ◽  
The United Kingdom ◽  
Smoke Evacuation ◽  
Harmful Effects

A 2007 study in the United Kingdom showed that three of 98 surgeons surveyed admitted using dedicated smoke extractors; 72% of respondents believed inadequate precautions were in place to protect staff from the potential dangers of electrosurgical smoke. Surgical smoke contains harmful chemicals (e.g., hydrogen cyanide, acetylene, and butadiene) that can circumvent standard masks used in the operating room (OR). In addition, bacteria and viruses can be transmitted through this smoke. The topic of electrosurgical smoke is important to occupational health nurses not only because of their responsibility to protect workers, but also because they, like other health care providers, may be exposed to smoke routinely. The authors of this review recommend the regular use of smoke evacuation in ORs and avoidance of electrosurgery whenever possible to protect OR personnel from the potential long-term harmful effects of electrosurgical smoke.

scholarly journals P-227NOVEL POROUS POLYPROPYLENE DISSECTOR WITH SURGICAL SMOKE EVACUATION SYSTEM

2016 ◽  
Vol 23 (suppl 1) ◽  
pp. i61.1-i61
Author(s):  
Junichi Shimada ◽  
K. Ito ◽  
S. Okada ◽  
K. Abe ◽  
M. Inoue
Keyword(s):  
Surgical Smoke ◽  
Smoke Evacuation ◽  
Evacuation System

Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty

2016 ◽  
Vol 1 (2) ◽  
pp. 49-51
Author(s):  
Abhinav Srivastava ◽  
Akanksha Yadav
Keyword(s):  
Comparative Study ◽  
Nasal Obstruction ◽  
Surgical Procedures ◽  
Nasal Septum ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty

ABSTRACT Nasal obstruction due to deviated nasal septum (DNS) is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. This prospective, randomized study was conducted on 50 patients with symptomatic DNS, 25 of whom underwent conventional septoplasty, and the rest underwent endoscopic septoplasty. It was found that it is easier to correct posterior deviations and isolated spurs with endoscopic septoplasty with less complications and good results. How to cite this article Yadav A, Mohan C, Srivastava A. Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty. Int J Adv Integ Med Sci 2016;1(2):49-51.

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