Liu Yi, Song Yizuo, Hu Xiaoli, Yan Linzhi, Zhu Xueqiong
Department of obstetrics and gynecology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
J Cancer. 2019 Jun 2;10(12):2788-2799. doi: 10.7150/jca.31464. eCollection 2019.
Surgical smoke is the gaseous by-product produced by heat generating devices in various surgical operations including laser conization and loop electrosurgical procedures that often are performed by gynecologists. Surgical smoke contains chemicals, blood and tissue particles, bacteria, and viruses, which has been shown to exhibit potential risks for surgeons, nurses, anesthesiologists, and technicians in the operation room due to long term exposure of smoke. In this review, we describe the detailed information of the components of surgical smoke. Moreover, we highlight the effects of surgical smoke on carcinogenesis, mutagenesis, and infection in gynecologists. Furthermore, we discussed how to prevent the surgical smoke via using high-filtration masks and smoke evacuation systems as well as legal guidelines for protection measures among the gynecologists.
手术烟雾是在包括激光锥切术和环形电外科手术等各种外科手术中,由发热设备产生的气态副产品,这些手术通常由妇科医生进行。手术烟雾含有化学物质、血液和组织颗粒、细菌及病毒,长期接触烟雾已表明会给手术室中的外科医生、护士、麻醉师和技术人员带来潜在风险。在本综述中,我们描述了手术烟雾成分的详细信息。此外,我们强调了手术烟雾对妇科医生致癌、致突变和感染方面的影响。此外,我们还讨论了如何通过使用高效过滤口罩和烟雾排放系统来预防手术烟雾,以及针对妇科医生保护措施的法律指南。