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Surgical plume in dermatology: an insidious and often overlooked hazard

T Searle1, F R Ali2,3, F Al-Niaimi3,4

  • 1University of Birmingham Medical School, Birmingham, UK.

Clinical and Experimental Dermatology
|August 12, 2020
PubMed

Insights

Surgical plume from lasers and electrosurgery poses toxic, infectious, and carcinogenic risks to dermatologists. This article details these hazards and preventative measures, especially crucial during the COVID-19 pandemic.

Area of Science:

  • Dermatology
  • Occupational Health
  • Laser Surgery

Background:

  • Surgical plume generated during dermatologic procedures presents significant occupational hazards.
  • These fumes contain toxic, infectious, and carcinogenic components.
  • The COVID-19 pandemic heightened concerns regarding airborne transmission of infectious agents.

Purpose of the Study:

  • To outline the specific risks associated with surgical plume in dermatologic surgery.
  • To discuss the potential health hazards, including toxic, infectious, and carcinogenic effects.
  • To review and recommend preventative strategies for mitigating exposure.

Main Methods:

  • Literature review of studies on surgical plume composition and effects.
  • Analysis of occupational risks in dermatologic surgery.
  • Discussion of established and emerging safety protocols.

Main Results:

  • Surgical plume contains a complex mixture of chemicals and biological material.
  • Exposure is linked to respiratory issues, infections, and potential long-term carcinogenic effects.
  • Effective ventilation and personal protective equipment are key to risk reduction.

Conclusions:

  • Dermatologists must be aware of and mitigate surgical plume risks.
  • Implementing comprehensive safety measures is essential for protecting healthcare professionals.
  • Further research into plume mitigation technologies is warranted.

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