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Risk of Virus Contamination Through Surgical Smoke During Minimally Invasive Surgery: A Systematic Review of the Literature on a Neglected Issue Revived in the COVID-19 Pandemic Era
- Source :
- European Urology Focus
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Context The coronavirus disease 2019 (COVID-19) pandemic raised concerns about the safety of laparoscopy due to the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diffusion in surgical smoke. Although no case of SARS-CoV-2 contagion related to surgical smoke has been reported, several international surgical societies recommended caution or even discouraged the use of a laparoscopic approach. Objective To evaluate the risk of virus spread due to surgical smoke during surgical procedures. Evidence acquisition We searched PubMed and Scopus for eligible studies, including clinical and preclinical studies assessing the presence of any virus in the surgical smoke from any surgical procedure or experimental model. Evidence synthesis We identified 24 studies. No study was found investigating SARS-CoV-2 or any other coronavirus. About other viruses, hepatitis B virus was identified in the surgical smoke collected during different laparoscopic surgeries (colorectal resections, gastrectomies, and hepatic wedge resections). Other clinical studies suggested a consistent risk of transmission for human papillomavirus (HPV) in the surgical treatments of HPV-related disease (mainly genital warts, laryngeal papillomas, or cutaneous lesions). Preclinical studies showed conflicting results, but HPV was shown to have a high risk of transmission. Conclusions Although all the available data come from different viruses, considering that the SARS-CoV-2 virus has been shown in blood and stools, the theoretical risk of virus diffusion through surgical smoke cannot be excluded. Specific clinical studies are needed to understand the effective presence of the virus in the surgical smoke of different surgical procedures and its concentration. Meanwhile, adoption of all the required protective strategies, including preoperative patient nasopharyngeal swab for COVID-19, seems mandatory. Patient summary In this systematic review, we looked at the risk of virus spread from surgical smoke exposure during surgery. Although no study was found investigating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or any other coronavirus, we found that the theoretical risk of virus diffusion through surgical smoke cannot be excluded.
- Subjects :
- covid-19
minimally invasive surgery
smoke
surgical
virus
colectomy
condylomata acuminata
coronavirus infections
gastrectomy
hepatectomy
humans
laryngeal neoplasms
minimally invasive surgical procedures
pandemics
papilloma
papillomavirus infections
pneumonia
viral
risk
sars-cov-2
warts
betacoronavirus
hepatitis b virus
infectious disease transmission
patient-to-professional
laparoscopy
papillomaviridae
viruses
medicine.medical_treatment
030232 urology & nephrology
Disease
medicine.disease_cause
COVID-19
Minimally invasive surgery
Surgical
Virus
Genital warts
0302 clinical medicine
Pandemic
Colectomy
Coronavirus
COVID-19, Minimally invasive surgery, smoke, Surgical, Virus, Colectomy, Condylomata Acuminata, Coronavirus Infections, Gastrectomy, Hepatectomy, Humans, Laryngeal Neoplasms, Minimally Invasive Surgical Procedures, Pandemics, Papilloma, Papillomavirus Infections, Pneumonia, Viral, Risk, Warts, Betacoronavirus, Hepatitis B virus, Infectious Disease Transmission, Patient-to-Professional, Laparoscopy, Papillomaviridae, Smoke
Transmission (medicine)
virus diseases
030220 oncology & carcinogenesis
medicine.medical_specialty
Infectious Disease Transmission, Patient-to-Professional
Urology
Pneumonia, Viral
Context (language use)
Article
03 medical and health sciences
medicine
Intensive care medicine
business.industry
medicine.disease
Pneumonia
business
Subjects
Details
- ISSN :
- 24054569
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- European Urology Focus
- Accession number :
- edsair.doi.dedup.....b9f6edd99c61cef54806011c5783a568