Plume Generated by Different Electrosurgical Techniques: An In Vitro Experiment on Human Skin.

IF 2.2 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2022-09-01 DOI:10.1097/DSS.0000000000003518

Alexandria M Riopelle, Christian T Potter, Daehee Jeong, Carl F Schanbacher

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引用次数: 0

Abstract

Background: Plume generated by electrosurgical techniques is a health hazard to patients and dermatologists.

Objective: To compare the particle concentration generated by various energy devices used in dermatologic surgery.

Materials and methods: Five surgical techniques were tested on human tissue samples in a closed chamber. A particle counter, positioned at a fixed point 20 cm away from the sample, recorded the concentrations of aerosolized particles generated over 7 particle sizes (0.3, 0.5, 0.7, 1, 2.5, 5, and 10 μm).

Results: Monopolar electrocoagulation created the greatest concentration of particles followed by electrocautery, electrodesiccation, electrofulguration, and bipolar electrocoagulation. Bipolar electrocoagulation created 80 times fewer 0.3 μm particles and 98 times fewer 0.5 μm particles than monopolar electrocoagulation. Across all electrosurgical techniques, the greatest concentrations of particles generated were of the 0.3 and 0.5 μm particle size.

Conclusion: Bipolar electrocoagulation created the lowest concentration of particulate matter. Given the noxious and hazardous nature of surgical plume, the bipolar forceps offer surgeons a safer method of performing electrical surgery for both the surgical staff and the patient.

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不同电手术技术对人体皮肤产生的羽流的体外实验。

背景:电外科技术产生的羽流危害患者和皮肤科医生的健康。目的:比较皮肤科手术中使用的各种能量装置产生的颗粒浓度。材料和方法:在封闭的室内对人体组织样本进行了五种手术技术的试验。在距离样品20cm的固定点上安装了一个粒子计数器，记录了7种粒径(0.3、0.5、0.7、1、2.5、5和10 μm)的雾化颗粒浓度。结果:单极电凝产生的颗粒浓度最高，其次是电灼、电干燥、电灼和双极电凝。与单极电凝相比，双极电凝产生的0.3 μm粒子数量减少80倍，0.5 μm粒子数量减少98倍。在所有电手术技术中，产生的颗粒浓度最高的是0.3和0.5 μm的颗粒大小。结论:双极电凝产生的颗粒物浓度最低。考虑到手术羽流的有毒和危险性质，双极钳为外科医生和患者提供了一种更安全的电手术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.