1. Chemical Composition of Gases Surgeons Are Exposed to During Endoscopic Urological Resections
- Author
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Weston, Robin, Stephenson, Richard N., Kutarski, Paul W., and Parr, Nigel J.
- Subjects
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SURGEONS , *ENDOSCOPIC surgery , *SURGICAL excision , *ANALYTICAL chemistry , *GAS chromatography , *VOLATILE organic compounds , *CARBON monoxide , *UROLOGISTS - Abstract
Objectives: To identify any potentially harmful chemical constituents of the gaseous plume produced from urological endoscopic diathermy. Methods: Chemical analysis was performed on the gaseous plume produced from prostatic resections and vaporizations using gas chromatography with mass spectroscopy and high-performance liquid chromatography using ultraviolet and visible light detection. In addition, carbon monoxide levels were analyzed using a portable catalytic flammable gas sensor. Results: This study identified a cocktail of volatile organic hydrocarbons produced during these procedures, some of which are known carcinogens. The most significant finding being high levels of carbon monoxide. Conclusions: From this preliminary study, we advocate the use of smoke evacuator systems for all urologists regularly performing these procedures, and suggest that further research is required to investigate potential long-term complications to the urologist. [Copyright &y& Elsevier]
- Published
- 2009
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