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2020 ; 34
(8
): 3298-3305
Nephropedia Template TP
gab.com Text
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The risk of COVID-19 transmission by laparoscopic smoke may be lower than for
laparotomy: a narrative review
#MMPMID32458289
Mintz Y
; Arezzo A
; Boni L
; Baldari L
; Cassinotti E
; Brodie R
; Uranues S
; Zheng M
; Fingerhut A
Surg Endosc
2020[Aug]; 34
(8
): 3298-3305
PMID32458289
show ga
BACKGROUND: Surgical smoke is a well-recognized hazard in the operating room. At
the beginning of the COVID-19 pandemic, surgical societies quickly published
guidelines recommending avoiding laparoscopy or to consider open surgery because
of the fear of transmission of SARS-CoV-2 through surgical smoke or aerosol. This
narrative review of the literature aimed to determine whether there are any
differences in the creation of surgical smoke/aerosol between laparoscopy and
laparotomy and if laparoscopy may be safer than laparotomy. METHODS: A literature
search was performed using the Pubmed, Embase and Google scholar search engines,
as well as manual search of the major journals with specific COVID-19 sections
for ahead-of-print publications. RESULTS: Of 1098 identified articles, we
critically appraised 50. Surgical smoke created by electrosurgical and ultrasonic
devices has the same composition both in laparoscopy and laparotomy. SARS-CoV-2
has never been found in surgical smoke and there is currently no data to support
its virulence if ever it could be transmitted through surgical smoke/aerosol.
CONCLUSION: If laparoscopy is performed in a closed cavity enabling containment
of surgical smoke/aerosol, and proper evacuation of smoke with simple measures is
respected, and as long as laparoscopy is not contraindicated, we believe that
this surgical approach may be safer for the operating team while the patient has
the benefits of minimally invasive surgery. Evidence-based research in this field
is needed for definitive determination of safety.
|*Cautery
[MESH]
|*Smoke
[MESH]
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/*transmission
[MESH]
|Humans
[MESH]
|Infection Control/methods
[MESH]
|Infectious Disease Transmission, Patient-to-Professional/*prevention & control
[MESH]
free
free
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