• Arch Orthop Trauma Surg · Dec 2023

    Review

    Surgical smoke and the orthopedic surgeon: a non-systematic review of the hazards and strategies for mitigating risk.

    • Ryan LeDuc, Carlo Eikani, Brooke Dickens, Adam Schiff, and Nicholas Brown.
    • Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S 1St Ave, Suite 1700, Maywood, IL, 60153, USA. ryan.leduc@luhs.org.
    • Arch Orthop Trauma Surg. 2023 Dec 1; 143 (12): 697569816975-6981.

    IntroductionSurgical smoke generated through the use of electrical surgical devices poses a risk to the surgeon, medical personnel in the operating room, and the patient by exposing them to environmentally hazardous particulate matter. Previous investigation has shown that surgical smoke leads to an increased risk of pulmonary conditions, circulatory disorders, and irritation of the eyes, nose, and throat. Transmission of infectious disease can occur through inhalation of viral particles, and the presence of carcinogens are also of major concern. The deleterious effects of surgical smoke are well documented in several subspecialties, namely dermatology and general surgery, but there has been little discussion on the topic amongst orthopedic surgeons.MethodsA non-systematic review of the literature was completed with the aim of identifying the major categories of adverse health effects associated with surgical smoke inhalation and offering recommendations to reduce these hazards in the orthopedic surgical community.ResultsThree primary categories of risk associated with surgical smoke inhalation were identified: inflammation, viral/bacterial transmission, and carcinogenicity. In addition, strategies for mitigating risk and best practice recommendations were explored.ConclusionSurgical smoke is an under-recognized occupational hazard within the orthopedic surgery literature. There are several strategies which can be employed to reduce risk. Further investigation is needed to understand the long-term impact of these risks, as well as what can be done to improve the practicality and compliance with protective measures.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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