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Low-cost, safe, and effective smoke evacuation device for surgical procedures in the COVID-19 age.
Andrade, Wesley Pereira; Gonçalves, Graziella Galvão; Medeiros, Luciana Cortelazzi; Araujo, Danielle Cristina Miyamoto; Pereira, Gisele Tolaini Gomes; Moraes, Daniela Martins Pereira; Spencer, Ranyell M S S B.
  • Andrade WP; Departament of Breast Surgery, Instituto de OncoMastologia, São Paulo, Brazil.
  • Gonçalves GG; Departament of Breast Surgery, Hospital Beneficência Portuguesa, São Paulo, Brazil.
  • Medeiros LC; Departament of Breast Surgery, Hospital Oswaldo Cruz, São Paulo, Brazil.
  • Araujo DCM; Departament of Breast Surgery, Hospital Paulistano, São Paulo, Brazil.
  • Pereira GTG; Departament of Breast Surgery, Hospital Santa Catarina, São Paulo, Brazil.
  • Moraes DMP; Departament of Breast Surgery, Instituto de OncoMastologia, São Paulo, Brazil.
  • Spencer RMSSB; Departament of Breast Surgery, Instituto de OncoMastologia, São Paulo, Brazil.
J Surg Oncol ; 122(5): 844-847, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-690213
ABSTRACT

BACKGROUND:

Smoke is generated by energy-based surgical instruments. The airborne by-products may have potential health implications.

METHODS:

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.

RESULTS:

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%.

CONCLUSIONS:

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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Electrosurgery / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: J Surg Oncol Year: 2020 Document Type: Article Affiliation country: Jso.26133

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Electrosurgery / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: J Surg Oncol Year: 2020 Document Type: Article Affiliation country: Jso.26133