Departament of Breast Surgery, Instituto de OncoMastologia, São Paulo, Brazil.
Departament of Breast Surgery, Hospital Beneficência Portuguesa, São Paulo, Brazil.
J Surg Oncol. 2020 Oct;122(5):844-847. doi: 10.1002/jso.26133. Epub 2020 Jul 30.
Smoke is generated by energy-based surgical instruments. The airborne by-products may have potential health implications.
We developed a simple way to use de conventional surgical evacuator coupled with de electrosurgical pen attached to a 14G bladder catheter for open surgery. It was used in ten prospective patients with breast cancer.
We notice a high reduction in surgical smoke during all breast surgery. A questionnaire was used for all participants of the surgery to answer the impression that they had about the device. The subjective impression was that the surgical smoke in contact whit the surgical team was reduced by more than 95%.
Surgical smoke is the gaseous by-product produced by heat-generating devices in various surgical procedures. Surgical smoke may contain chemicals particles, bacteria, and viruses that are harmful and increase the risk of infection for surgeons and all the team in the operation room due to long term exposure of smoke mainly in coronavirus disease 2019 age. The adapted device described is a very simple and cheaper way to use smoke evacuators attached with the monopolar electrosurgical pen to reduce smoke exposure to the surgical team worldwide.
能量外科器械会产生烟雾，这些空气传播的副产品可能对健康有潜在影响。
我们开发了一种简单的方法，将传统的外科吸引器与连接到 14G 膀胱导管的电外科笔一起用于开放式手术。该方法在十名乳腺癌患者中进行了前瞻性研究。
我们注意到在所有乳腺癌手术中，手术烟雾的量都有显著减少。我们使用问卷让所有手术参与者回答他们对该设备的印象。主观印象是，与手术团队接触的手术烟雾减少了 95%以上。
手术烟雾是各种手术过程中产生的热产生设备的气态副产品。手术烟雾可能含有有害的化学颗粒、细菌和病毒，由于长期暴露于烟雾中，特别是在 2019 年冠状病毒病期间，这会增加外科医生和手术室所有团队感染的风险。所描述的改良设备是一种非常简单且更经济的方法，用于将烟雾吸引器与单极电外科笔一起使用，以减少手术团队暴露于烟雾中的风险。
