Department of Operating Room, Faculty Member of Paramedical School, Jahrom University of Medical Sciences, Jahrom, Iran.
Department of Operating Room, Sabzevar University of Medical Sciences, Sabzevar, Iran.
BMC Surg. 2024 Aug 9;24(1):227. doi: 10.1186/s12893-024-02514-z.
During surgical procedures, heat-generating devices are widely used producing surgical smoke (SS). Since the SS can transmit infectious viruses, this systematic review was designed to investigate the potential viruses transmitted through SS.
PubMed, Scopus, Web of Science, ProQuest, and Embase databases, along with Cochran Library, and Google Scholar search engine were searched systematically (by April 21, 2024). No language, place, and time restrictions were considered. All studies evaluating the SS and virus transmission, and whole investigations regarding the viral infections transmitted through SS were totally considered inclusion criteria. Besides, non-original, qualitative, case reports, case series, letters to the editor, editorial, and review studies were excluded from the analysis. This study was conducted in accordance with the PRISMA 2020 statement.
Twenty-six eligible studies were selected and reviewed for data extraction. The results showed that the SS contains virus and associated components. Six types of viruses or viral components were identified in SS including papillomavirus (HPV, BPV), Human Immunodeficiency Virus (HIV), varicella zoster, Hepatitis B (HBV), SARS-CoV-2, and Oral poliovirus (OPV), which are spread to surgical team through smoke-producing devices.
Since the studies confirm the presence of viruses, and viral components in SS, the potential risk to the healthcare workers, especially in operating room (OR), seems possible. Thus, the adoption of protective strategies against SS is critical. Despite the use of personal protective equipment (PPE), these viruses could affect OR personnel in surgical procedures.
在外科手术过程中，广泛使用发热装置来产生手术烟雾（SS）。由于 SS 可以传播传染性病毒，因此本系统评价旨在研究通过 SS 传播的潜在病毒。
系统检索了 PubMed、Scopus、Web of Science、ProQuest 和 Embase 数据库以及 Cochrane 图书馆和 Google Scholar 搜索引擎（截至 2024 年 4 月 21 日）。不考虑语言、地点和时间限制。所有评估 SS 和病毒传播的研究以及关于通过 SS 传播的病毒感染的全面调查均被视为纳入标准。此外，非原始、定性、病例报告、病例系列、给编辑的信、社论和综述研究均被排除在分析之外。本研究按照 PRISMA 2020 声明进行。
选择了 26 项符合条件的研究进行数据提取。结果表明，SS 中含有病毒和相关成分。在 SS 中鉴定出六种类型的病毒或病毒成分，包括乳头瘤病毒（HPV、BPV）、人类免疫缺陷病毒（HIV）、水痘带状疱疹病毒、乙型肝炎病毒（HBV）、SARS-CoV-2 和口服脊髓灰质炎病毒（OPV），它们通过产生烟雾的装置传播到手术团队。
由于研究证实了 SS 中存在病毒和病毒成分，因此对医护人员（尤其是在手术室（OR））存在潜在风险似乎是可能的。因此，采用针对 SS 的保护策略至关重要。尽管使用了个人防护设备（PPE），但这些病毒可能会影响手术过程中的 OR 人员。
