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Health risk to medical personnel of surgical smoke produced during laparoscopic surgery

100%

Dobrogowski M., Wesolowski W., Kucharska M., Paduszyńska K., Dworzyńska A., Szymczak W., Sapota A., Pomorski L.

International Journal of Occupational Medicine and Environmental Health

2015

vol. 28

issue 5

831-840

Objectives During laparoscopic cholecystectomy, the removal of the gall bladder, pyrolysis occurs in the peritoneal cavity. Chemical substances which are formed during this process escape into the operating room through trocars in the form of surgical smoke. The aim of this study was to identify and quantitatively measure a number of selected chemical substances found in surgical smoke and to assess the risk they carry to medical personnel. Material and Methods The study was performed at the Maria Skłodowska-Curie Memorial Provincial Specialist Hospital in Zgierz between 2011 and 2013. Air samples were collected in the operating room during laparoscopic cholecystectomy. Results A complete qualitative and quantitative analysis of the air samples showed a number of chemical substances present, such as aldehydes, benzene, toluene, ethylbenzene, xylene, ozone, dioxins and others. Conclusions The concentrations of these substances were much lower than the hygienic standards allowed by the European Union Maximum Acceptable Concentration (MAC). The calculated risk of developing cancer as a result of exposure to surgical smoke during laparoscopic cholecystectomy is negligible. Yet it should be kept in mind that repeated exposure to a cocktail of these substances increases the possibility of developing adverse effects. Many of these compounds are toxic, and may possibly be carcinogenic, mutagenic or genotoxic. Therefore, it is necessary to remove surgical smoke from the operating room in order to protect medical personnel.

Анализ Эколого-Экономической Эфективности Существующих Способов Утилизации Твердых Бытовых Отходов

84%

Voloshyn O.

MIND Journal

2017

issue 4

1-14

Nowadays, achieving of sustainable development became impossible without effective, both from an environmental and from an economic view, solution of the problem of recycling of solid waste. The paper gives an overview of the ecological and economic efficiency of the main existing methods for utilization of solid domestic waste, namely, incineration in combustion plants, biothermal composting, pyrolysis, plasma gasification, use of combined methods. The essence of the widespread methods of utilization of solid domestic waste, their scope. The main drawbacks of the existing methods of solid domestic waste utilization were also outlined: such incineration in combustion plants is the most appropriate from the economic point of view, but poorly solves the problem of environmental pollution, because a significant part of harmful substances do not burn at temperatures used in incineration plants and the process is accompanied by a significant amount of emissions of harmful substances and carbon dioxide into the atmosphere; when using a biothermal composting, debris, with all heavy metal impurities, radioactive and other possible harmful substances, is just applied to the fields as a fertilizer or in a greenhouse as a biofuel; when pyrolysis is used, the unit's capacity for the process to dispose of household waste cannot be large; to carry out the process of pyrolysis of such low-calorific fuel as solid household waste, considerable additional energy resources are required, which causes high operating costs; the process of plasma combustion to neutralize domestic waste is quite energy intensive, which is why it is not currently self-supporting at the moment.

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1 International Journal of Occupational Medicine and Environmental Health

1 MIND Journal

1 2017

1 2015

1 Dobrogowski M.

1 Dworzyńska A.

1 Kucharska M.

1 Paduszyńska K.

1 Pomorski L.

1 Sapota A.

1 Szymczak W.

1 Voloshyn O.

1 Wesolowski W.

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Health risk to medical personnel of surgical smoke produced during laparoscopic surgery

Анализ Эколого-Экономической Эфективности Существующих Способов Утилизации Твердых Бытовых Отходов