Autor: Wesołowski, Lech. - Katalog OPAC zbiorów

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Tytuł:: Szkolenie w pułku artylerii mieszanej
Autorzy:: Wesołowski, Lech.
Powiązania:: Przegląd Wojsk Lądowych 1997, nr 12, s. 14-15
Data publikacji:: 1997
Tematy:: Pułk artylerii mieszanej szkolenie
Dostawca treści:: Bibliografia CBW

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Skocz do pozycji: 2.

Tytuł:: Chemical composition of surgical smoke formed in the abdominal cavity during laparoscopic cholecystectomy – Assessment of the risk to the patient
Autorzy:: Dobrogowski, Miłosz
Wesołowski, Wiktor
Kucharska, Małgorzata
Sapota, Andrzej
Pomorski, Lech
Powiązania:: https://bibliotekanauki.pl/articles/2178841.pdf
Data publikacji:: 2014-05-17
Wydawca:: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:: risk factor
surgical smoke
xenobiotics
absorbtion
urine analysis
laparoscopy
Opis:: Objectives: The aim of this study was to assess the exposure of patients to organic substances produced and identified in surgical smoke formed in the abdominal cavity during laparoscopic cholecystectomy. Material and Methods: Identification of these substances in surgical smoke was performed by the use of gas chromatography-mass spectrometry (GC-MS) with selective ion monitoring (SIM). The selected biomarkers of exposure to surgical smoke included benzene, toluene, ethylbenzene and xylene. Their concentrations in the urine samples collected from each patient before and after the surgery were determined by SPME-GC/MS. Results: Qualitative analysis of the smoke produced during laparoscopic procedures revealed the presence of a wide variety of potentially toxic chemicals such as benzene, toluene, xylene, dioxins and other substances. The average concentrations of benzene and toluene in the urine of the patients who underwent laparoscopic cholecystectomy, in contrast to the other determined compounds, were significantly higher after the surgery than before it, which indicates that they were absorbed. Conclusions: The source of the compounds produced in the abdominal cavity during the surgery is tissue pyrolysis in the presence of carbon dioxide atmosphere. All patients undergoing laparoscopic procedures are at risk of absorbing and excreting smoke by-products. Exposure of the patient to emerging chemical compounds is usually a one-time and short-term incident, yet concentrations of benzene and toluene found in the urine were significantly higher after the surgery than before it.
Źródło:: International Journal of Occupational Medicine and Environmental Health; 2014, 27, 2; 314-325
1232-1087
1896-494X
Pojawia się w:: International Journal of Occupational Medicine and Environmental Health
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Health risk to medical personnel of surgical smoke produced during laparoscopic surgery
Autorzy:: Dobrogowski, Miłosz
Wesolowski, Wiktor
Kucharska, Małgorzata
Paduszyńska, Katarzyna
Dworzyńska, Agnieszka
Szymczak, Wiesław
Sapota, Andrzej
Pomorski, Lech
Powiązania:: https://bibliotekanauki.pl/articles/2177163.pdf
Data publikacji:: 2015-07-29
Wydawca:: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:: smoke
exposure
volatile organic compounds
dioxins
health risk
laparoscopic cholecystectomy
pyrolysis
Opis:: Objectives During laparoscopic cholecystectomy, the removal of the gall bladder, pyrolysis occurs in the peritoneal cavity. Chemical substances which are formed during this process escape into the operating room through trocars in the form of surgical smoke. The aim of this study was to identify and quantitatively measure a number of selected chemical substances found in surgical smoke and to assess the risk they carry to medical personnel. Material and Methods The study was performed at the Maria Skłodowska-Curie Memorial Provincial Specialist Hospital in Zgierz between 2011 and 2013. Air samples were collected in the operating room during laparoscopic cholecystectomy. Results A complete qualitative and quantitative analysis of the air samples showed a number of chemical substances present, such as aldehydes, benzene, toluene, ethylbenzene, xylene, ozone, dioxins and others. Conclusions The concentrations of these substances were much lower than the hygienic standards allowed by the European Union Maximum Acceptable Concentration (MAC). The calculated risk of developing cancer as a result of exposure to surgical smoke during laparoscopic cholecystectomy is negligible. Yet it should be kept in mind that repeated exposure to a cocktail of these substances increases the possibility of developing adverse effects. Many of these compounds are toxic, and may possibly be carcinogenic, mutagenic or genotoxic. Therefore, it is necessary to remove surgical smoke from the operating room in order to protect medical personnel.
Źródło:: International Journal of Occupational Medicine and Environmental Health; 2015, 28, 5; 831-840
1232-1087
1896-494X
Pojawia się w:: International Journal of Occupational Medicine and Environmental Health
Dostawca treści:: Biblioteka Nauki

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