alexa Chemical composition of gases surgeons are exposed to during endoscopic urological resections.


Journal of Clinical Toxicology

Author(s): Weston R, Stephenson RN, Kutarski PW, Parr NJ

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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.

This article was published in Urology. and referenced in Journal of Clinical Toxicology

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