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Bhattacharya, Kaushik
- An Occupational Hazard for the Surgeons
Authors
1 Specialist Surgery, CAPFs Composite Hospital BSF Kadamtala, Siliguri 734011, West Bengal, India, IN
2 Consultant Plastic and Reconstructive Surgeon, Anandaloke Multispeciality Hospital, Siliguri 734001, West Bengal, India, IN
Source
The Indian Practitioner, Vol 75, No 2 (2022), Pagination: 23-25Abstract
It is not well known that “surgical smoke” generated from using electrocautery, lasers and harmonic scalpels during surgery is as harmful as cigarette smoking. The combustion by-products of the surgical plume, have substances like hydrocarbons, nitriles and hydrogen cyanide that have proven carcinogenic potential. Prolonged exposure to it has shown to cause headaches, rhinitis, weakness, dermatitis and even pneumonia. Smaller particles are a chemical hazard and larger particles are more of a biological hazard. Therefore, effective measures must be taken by the operation theatre personnel and by the management of hospitals to decrease the exposure to surgical smoke and thereby reduce it’s dangerous after effects.
Keywords
Surgical smoke, surgical plume, electrocautery, suction evacuationReferences
- Hill DS, O’Neill JK, Powell RJ, Oliver DW. Surgical smoke - a health hazard in the operating theatre: a study to quantify exposure and a survey of the use of smoke extractor systems in UK plastic surgery units. J Plast Reconstr Aesthet Surg. 2012 Jul;65(7):911-6. doi: 10.1016/j.bjps.2012.02.012. Epub 2012 Mar 23.
- NIOSH, Health Hazard Evaluation Report. HETA 85-126- 1932, 1988. p.2.
- Mintz Y, Arezzo A, Boni L, Baldari L, Cassinotti E, Brodie R, Uranues S, Zheng M, Fingerhut A. The risk of COVID-19 transmission by laparoscopic smoke may be lower than for laparotomy: a narrative review. Surg Endosc. 2020 Aug;34(8):3298-3305. doi: 10.1007/s00464-020-07652-y. Epub 2020 May 26.
- Baggish MS, Baltoyannis P, Sze E. Protection of the rat lung from the harmful effects of laser smoke. Lasers in surgery and medicine. 1988;8(3):248-53.
- Okoshi K, Kobayashi K, Kinoshita K, Tomizawa Y, Hasegawa S, Sakai Y. Health risks associated with exposure to surgical smoke for surgeons and operation room personnel. Surg Today. 2015 Aug;45(8):957-65. doi: 10.1007/s00595- 014-1085-z. Epub 2014 Nov 25.
- Ball K. Update for nurse anesthetists. Part 1. The hazards of surgical smoke. AANA J. 2001;69:125–32.
- Hallmo P, Naess O. Laryngeal papillomatosis with human papillomavirus DNA contracted by a laser surgeon. Eur Arch Otorhinolaryngol. 1991;248(7):425-7. doi: 10.1007/BF01463570.
- Robertson-More C, Wu T. A knowledge gap unmasked: viral transmission in surgical smoke: a systematic review. Surg Endosc. 2021 Jun;35(6):2428-2439. doi: 10.1007/s00464-020- 08261-5. Epub 2021 Jan 25.
- Karjalainen M, Kontunen A, Saari S, Rönkkö T, Lekkala J, Roine A, Oksala N. The characterization of surgical smoke from various tissues and its implications for occupational safety. PLoS One. 2018 Apr 12;13(4):e0195274. doi: 10.1371/ journal.pone.0195274.
- Liu Y, Song Y, Hu X, Yan L, Zhu X. Awareness of surgical smoke hazards and enhancement of surgical smoke prevention among the gynaecologists. J Cancer. 2019 Jun 2;10(12):2788-2799. doi: 10.7150/jca.31464.
- Bree K, Barnhill S, Rundell W. The Dangers of Electrosurgical Smoke to Operating Room Personnel: A Review. Workplace Health Saf. 2017 Nov;65(11):517-526. doi: 10.1177/2165079917691063. Epub 2017 Apr 17.
- Abbas A, Altaf S, Javeed F, Umerani MS, Rizvi SRK. Surgical Smoke – Do we know enough about it ? Jornalul de Chirugie 2020;16:1-4.
- Thamboo A, Lea J, Sommer DD, Sowerby L, Abdalkhani A, Diamond C, Ham J, Heffernan A, Cai Long M, Phulka J, Wu YQ, Yeung P, Lammers M. Clinical evidence based review and recommendations of aerosol generating medical procedures in otolaryngology - head and neck surgery during the COVID-19 pandemic. J Otolaryngol Head Neck Surg. 2020 May 6;49(1):28. doi: 10.1186/s40463-020-00425-6.
- Kirschbaum S, Hommel H, Strache P, Horn R, Falk R, Perka C. Laminar air flow reduces particle load in TKA-even outside the LAF panel: a prospective, randomized cohort study. Knee Surg Sports Traumatol Arthrosc. 2021 Nov;29(11):3641- 3647. doi: 10.1007/s00167-020-06344-3. Epub 2020 Nov 9.
- Mowbray NG, Ansell J, Horwood J, Cornish J, Rizkallah P, Parker A, Wall P, Spinelli A, Torkington J. Safe management of surgical smoke in the age of COVID-19. Br J Surg. 2020 Oct;107(11):1406-1413. doi: 10.1002/bjs.11679. Epub 2020 May 3
- Steege AL, Boiano JM, Sweeney MH. Second hand smoke in the operating room? Precautionary practices lacking for surgical smoke. Am J Ind Med. 2016 Nov;59(11):1020-1031. doi: 10.1002/ajim.22614. Epub 2016 Jun 10.
- Mani G, Surgical smoke: A silent hazard in healthcare. Al Ameen J Med Sci 2020;13(4): 309-312.
- Omicron COVID-19 - A Variant of Concern for the Health Care workers
Authors
1 CAPFs Composite Hospital BSF Kadamtala, Specialist Surgery, Siliguri, West Bengal, India, IN
2 Consultant Plastic and Reconstructive Surgeon, Anandaloke Multispeciality Hospital, Siliguri, West Bengal, India., IN
Source
The Indian Practitioner, Vol 75, No 1 (2022), Pagination: 7-10Abstract
The third wave of COVID-19 due to the Omicron variant has started in India. Being highly infective, there is an exponential increase in the number of daily cases. At this time, urgent steps are needed to minimise community transmission and thereby, protect healthcare workers (HCW) from being infected, which could result in disastrous consequences for the ultimate management of seriously ill patients. Apart from observing Covid appropriate behaviour, we have measures such as vaccines, targeted antivirals and monoclonal antibodies to prevent serious disease, whose efficacy need to be established. Systematic planning, adequate stock of oxygen, essential drugs like steroids and blood thinners will go a long way in tiding over this third wave too.
Keywords
COVID-19, Pandemic, Vaccination, Molnupiravir, OmicronReferences
- Asset publishing [Internet] UK Health Security Agency [cited 2021 Dec 10]. Available from : https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1044481/Technical-Briefing-31-Dec-2021- Omicron_severity_update.pdf
- World Health Organisation [Internet] Enhancing Readiness for Omicron (B.1.1.529): Technical Brief and Priority Actions for Member States [ cited 2021 Dec 17]. Available from: https:// www.who.int/docs/default-source/coronaviruse/20211217-global-technical-brief-and-priority-action-on-omicron_latest-2.pdf?sfvrsn=bdd8297c_12
- Pandemic Response Task Force [internet]. Covid 19: Workers need respirators. Available from: https://www.acgih.org/covid-19-fact-sheet-worker-resp/
- NDTV Coronavirus [Internet]. WHO Warns Against “Blanket” Omicron Travel Bans As Nations Shut Borders [cited 2021 Dec 1]. Available from:https://www.ndtv.com/ world-news/coronavirus-who-warns-against-blanket-omicron-travel-bans-as-nations-shut-borders-2631480
- Jayk Bernal A, Gomes da Silva MM, Musungaie DB, et al.Molnupiravir for oral treatment of Covid-19 in nonhospitalized patients. N Engl J Med. 2021 Dec. doi: 10.1056/ NEJMoa2116044.
- Economic Times [Internet]. Covid antiviral drug Molnupiravir has ‘major safety concerns’, says ICMR [ cited 2022 Jan 6]. Available from:https://economictimes.indiatimes.com/industry/healthcare/biotech/pharmaceuticals/ covid-antiviral-drug-molnupiravir-has-major-safety-concerns-icmr/articleshow/88715891.cms?from=mdr
- Mahase E. Covid-19: Pfizer’s paxlovid is 89% effective in patients at risk of serious illness, company reports BMJ.2021;375:n2713. doi:10.1136/bmj.n2713
- European Pharmaceutical Review [Internet] Ronapreve™ reduces COVID-19 viral load within seven days [cited 2021Sept 30]. Available from:https://www.europeanpharmaceuticalreview.com/news/163468/ronapreve-reduces-covid19-viral-load-within-seven-days/
- Roche. Ronapreve does not retain neutralising activity against the Omicron variant [Internet]. 2021 [cited 2021 Dec 17]. Available from: https://www.roche.com/ dam/jcr:dfe6dcb4-d787-45d6 9b1dffc17d667e4c/2021216_Roche%20statement%20on%20Ronapreve%20Omicron.pdf
- The Hindu [Internet]. ICMR approves India-made kit to detect Omicron [cited 2022 Jan 4]. Available from:https://www.thehindu.com/news/national/icmr-approves-india-madekit-to-detect-omicron/article38112784.ece
- Kandeel M, Mohamed MEM, Abd El-Lateef HM,Venugopala KN, El-Beltagi HS. Omicron variant genome
- evolution and phylogenetics. J Med Virol. 2021 Dec 10. doi:10.1002/jmv.27515. Epub ahead of print.
- India.com [Internet]. Ensure No Gap in Oxygen Supply: WithOmicron Cases Rising, States, UTs Asked to Stay Prepared to Deal with Emergency [cited 2021 Dec 16]. Available from:https://www.india.com/news/india/ensure-no-gap-inoxygen-supply-with-omicron-cases-rising-states-uts-askedto-stay-prepared-to-deal-with-emergency-5141607/
- Bhattacharya K, Bhattacharya N. Pandemic profiteering during the second wave of Covid-19. Indian Journal of Medical Ethics(2021) online. DOI: https://doi.org/10.20529/IJME.2021.087,
- Deccan Herald [Internet]. Omicron led surge will be ‘very fast’ warns WHO expert [cited 2022 Jan 1]. Available from: https://www.deccanherald.com/national/omicron-ledsurge-will-be-very-fast-warns-who-expert-1066789.html
- COVIDSurg Collaborative. Projecting COVID-19 disruption to elective surgery. Lancet. 2021 Dec 16;S0140-6736(21)02836- 1. doi: 10.1016/S0140-6736(21)02836-1. Epub ahead of print.
- First Post [Internet]. How to combat pandemic fatigue in 2022? Stop doomscrolling, seek help and maintain hope. [cited 2022 Jan 3]. Available from :https://www.firstpost. com/health/how-to-combat-pandemic-fatigue-in-2022-stopdoomscrolling-seek-help-and-maintain-hope-10253111.html
- Washington Post. [Internet]. First they ran short of PPE, then ventilators. Now, the shortage is hospital staff.[cited 2021 Dec 30]. Available from: https://www.washingtonpost.com/ health/2021/12/30/hospitals-staffing-shortages-omicron/
- Are Surgeons Prepared for the Third Wave of Covid-19?
Authors
1 Specialist Surgery CAPFs Composite Hospital BSF Kadamtala, Siliguri, West Bengal, IN
2 Consultant Plastic and Reconstructive Surgeon Anandaloke Multispeciality Hospital, Siliguri, West Bengal, IN
Source
The Indian Practitioner, Vol 74, No 7 (2021), Pagination: 7-8Abstract
With the second wave of COVID-19 hitting countries like India, the surgical community is fighting to evade getting infected by the virus as well as to continue giving surgical treatment to all the needy patients who need emergent surgical intervention. India faced few challenging problems during the second wave of COVID-19 like lack of hospital beds, live-saving medicines, and oxygen for all types of patients in this pandemic. With the third wave of covid being expected to hit India in October 2021, the surgeons need to make some homework.Keywords
Pandemic, vaccination, covid-19, second waveReferences
- IMA Flags 800 doctor deaths in second wave. [Internet]. The Indian Express. Available from: https://indianexpress. com/article/india/ima-flags-800-doctor-deaths-in-secondwave7383639/
- Myles PS, Wallace S, Story DA, Brown W, Cheng AC, Forbes A, Sidiropoulos S, Davidson A, Tan N, Jeffreys A, Hodgson R, Scott DA, Radnor J. COVID-19 risk in elective surgery during a second wave: a prospective cohort study. ANZ J Surg. 2021 Jan;91(1-2):22-26. Epub 2021 Jan 21.
- Chang J, Wignadasan W, Kontoghiorghe C, Kayani B, Singh S, Plastow R, Magan A, Haddad F. Restarting elective orthopaedic services during the COVID-19 pandemic: Do patients want to have surgery? Bone Jt Open. 2020 Nov 1;1(6):267-271.
- Tay KJD, Lee YHD. Trauma and orthopaedics in the COVID-19 pandemic: breaking every wave. Singapore Med J. 2020 Aug;61(8):396-398. Epub 2020 Apr 21.
- Rajgor HD, Rajgor AD, Sidhu MS; Khan SA, Hossain F, Moores TS. Is Surgical Training Prepared for the “Second Wave” of COVID-19? A Collaborative Perspective, Annals of Surgery: March 2021; 2(1) - p e045.
- The Discovery of Pancreatic duct – Johann Georg Wirsung
Authors
1 1Specialist Surgery, CAPFs Composite Hospital BSF Kadamtala, Siliguri, West Bengal, IN
2 Stanley Medical College, Chennai, Tamil Nadu, IN
Source
The Indian Practitioner, Vol 74, No 12 (2021), Pagination: 32-34Abstract
The discovery of the pancreatic duct revolves around the Professor of Anatomy from the University of Padua, Johann Georg Wirsung (1598-1649). His mysterious murder remains unresolved and one of the most intriguing aspect in the history of surgery. It is a past which has all the ingredients of a brutal murder, along with drama, accusation of plagiarism and a shady interpersonal rivalry with controversy. The discovery of Wirsung duct engraved on the copper plate by Wirsung himself is one of the wonders of clinical surgery.Keywords
Pancreatic duct, chyle, Chronic pancreatitis, spleenReferences
- Gamba A, Ongaro G. “Anatomes peritissimus”: Johann Georg Wirsung’s unknown experiments on the circulation of the blood. Physis Riv Int Stor Sci. 1993;30(2-3):231-42. PubMed PMID: 11639902.
- Cecka F, Jon B, Kaska M. Was the Wirsung duct discovery facilitated by intraoperative alcohol consumption in 17th century, Italy ?. Pancreaticology 2013 Sept;3(13):S42.
- Howard JM, Hess W, Traverso W. Johann Georg Wirsüng (1589-1643) and the pancreatic duct: the prosector of Padua, Italy. J Am Coll Surg. 1998 Aug;187(2):201-11. DOI: 10.1016/ s1072-7515(98)00136-7. PubMed PMID: 9704970.
- Bassi C, Malleo G. The unsolved mystery of Johann Georg Wirsung and of (his?) pancreatic duct. Surgery. 2011 Jan; 149(1):153-5. DOI: 10.1016/j.surg.2010.07.049. Epub 2010 Sep 1. PubMed PMID: 20813389.
- Flati G, Andrén-Sandberg A. Wirsung and Santorini: the men behind the ducts. Pancreatology. 2002;2(1):4-11. DOI: 10.1159/000049441. PubMed PMID:12120005.