Human papillomavirus DNA in CO₂ laser‐generated plume of smoke and its consequences to the surgeon

Is It Time for a More Systematic Approach to the Hazards of Surgical Smoke?: Reconsidering the Evidence

“…Furthermore, differing methods of capturing surgical smoke might also be an issue. An experiment by Ferenczy, Bergeron, and Richart (1990) to trap HPV DNA revealed no viable samples in surgical smoke, whereas other studies were able to do so. According to Ferenczy et al (1990), this might be due to the type of capture method used in the experiment.…”

“…An experiment by Ferenczy, Bergeron, and Richart (1990) to trap HPV DNA revealed no viable samples in surgical smoke, whereas other studies were able to do so. According to Ferenczy et al (1990), this might be due to the type of capture method used in the experiment. Further to this point, Brandon and Young (1997) believed that point-oforigin suction might only clear 50% of surgical smoke because of suction blockage or ineffective orientation of the suction device, resulting in inaccurate capture and measurement of smoke exposure.…”

“…HPV DNA was not detected on the surgical smoke Ferenczy, et al 1990 Study looked at the release of human papilloma virus (HPV) in surgical smoke during laser procedures for genital HPV (n=110). Laser smoke was collected in vacuum tubes.…”

Current Attitudes and Practices Towards Diathermy Smoke

“…Despite most research suggesting that this is inadequate, unless used in laparoscopic cases where the smoke is contained. 6 However, one study using specifically designed pencil diathermy with in-built channel for smoke extraction, a filter and wall-mounted suction (set to 30 l/min) 13 showed significantly reduced quantity of smoke reaching the surgeon, improved view and reduced noxious smell. Another theatre-based study, to establish health and safety guidelines for surgical smoke, failed to identify any biological or chemical hazards in significant quantities in the theatre environment during selected operations.…”

Carbon Dioxide Laser Resurfacing of Rhytides and Photodamaged Skin

“…HIV proviral DNA has been found in laser plume but it is unclear whether the isolated particles are capable of producing infection [9]. Human papilloma virus has also been documented in the CO 2 laser plume [10,11].…”