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.

European Urology Focus
Nicola PavanResearch Urology Network (RUN)

Abstract

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. To evaluate the risk of virus spread due to surgical smoke during surgical procedures. 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. 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 ...Continue Reading

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Citations

Nov 5, 2020·Asian Journal of Endoscopic Surgery·Adianto NugrohoErrawan Wiradisuria
Apr 3, 2021·Annals of Surgical Oncology·Bilal Alkhaffaf, Mohamed Alasmar
Apr 7, 2021·Laryngoscope Investigative Otolaryngology·Henry T HoffmanMatt Nonnenmann
May 14, 2021·Urologia·Vincenzo FicarraVincenzo Mirone
Oct 7, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Imad MattaZaki Sleiman
Nov 2, 2021·ANZ Journal of Surgery·David A WattersGraeme Campbell
Nov 4, 2021·Surgical Endoscopy·Daniel RobertsonTim Horeman

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Methods Mentioned

BETA
genotyping
PCR

Software Mentioned

Scopus

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