Aerosols, airflow, and airspace contamination during laparoscopy

Br J Surg. 2021 Sep 27;108(9):1022-1025. doi: 10.1093/bjs/znab114.

Abstract

Laparoscopic surgery has been undermined throughout the COVID-19 pandemic by concerns that it may generate an infectious risk to the operating team through aerosolization of peritoneal particles. There is anyway a need for increased awareness and understanding of the occupational hazard for surgical teams regarding unfiltered escape of pollutants generated by surgical smoke and other microbials. Here, the aerosol-generating nature of this access modality was confirmed through repeatable real-time methodology both qualitatively and quantitively to inform best practice and additional engineering solutions to optimize the operating room environment.

Plain language summary

Laparoscopic surgery has been undermined throughout the COVID-19 pandemic by concerns that it may generate an infectious risk to the operating team through aerosolization of peritoneal particles. There is anyway a need for increased awareness and understanding of the occupational hazard for surgical teams regarding unfiltered escape of pollutants generated by surgical smoke and other microbials. Here, the aerosol-generating nature of this access modality was confirmed through repeatable real-time methodology both qualitatively and quantitively to inform best practice and additional engineering solutions to optimize the operating room environment.

Publication types

  • Video-Audio Media

MeSH terms

  • Aerosols
  • Air Pollutants, Occupational / adverse effects
  • Air Pollutants, Occupational / analysis*
  • Air Pollution, Indoor / adverse effects
  • Air Pollution, Indoor / analysis*
  • Air Pollution, Indoor / prevention & control
  • Humans
  • Infection Control / instrumentation
  • Infection Control / methods*
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control*
  • Laparoscopy / instrumentation
  • Laparoscopy / methods*
  • Operating Rooms
  • Smoke / analysis
  • Ventilation*

Substances

  • Aerosols
  • Air Pollutants, Occupational
  • Smoke