Reducing Dust Using the Electrocautery pencil with Suction Combined with the Infusion Catheter in Mastectomy

Hou, Ming-Feng; Lin, Gau-Tyan; Tang, Chao-Shun; Chu, Ying-Lan; Liu, Hsiu-Chin; Huang, Tsung-Jen; Chao, Yu-Ying; Yang, Chun-Yuh
September 2002
American Surgeon;Sep2002, Vol. 68 Issue 9, p808
Academic Journal
The dust from the vaporized tissue released during a mastectomy presents a hazard to the patients and the operating room personnel. More dust has been noted using the conventional electrocautery pencil in dissecting breast tissue than with the metal knife used in the past. It is very important to reduce the hazardous dust released during mastectomy. For this study 80 patients undergoing mastectomy for breast cancer from March to June 2001 were divided into two groups: 1) those whose dissections were performed with a combination of an electrocautery pencil and suction with an intravenous infusion catheter (40 cases) and 2) those whose dissections were performed with the conventional method in which the electrocautery pencil was handled by the surgeon and the metal suction tube was used separately by an assistant (40 cases). During mastectomy the personal air sampler was affixed to the operator's neck to collect the dust from the vaporized tissue. The concentrations of the total dust were significantly lower in the combined electrocautery-suction method (mean 5.56 ± 3.26 µg/m³) than in the conventional method (mean 34.81 ± 4.83 µg/m³) during mastectomy (P < 0.05). Although the operating time and blood loss were less in the combined method than in the conventional method this difference was not statistically significant (P > 0.05). The combined method of using the electrocautery pencil for dissecting breast tissue along with the intravenous infusion catheter reduced the concentrations of the total dust from the vaporized tissue plume. Furthermore this method reduces the hazards of dust to the surgeons and operating room personnel. Additionally the cost of this combined method is lower than that of the conventional method.


Related Articles

  • Drive-through mastectomies a problem.  // H&HN: Hospitals & Health Networks;12/05/96, Vol. 70 Issue 23, p84 

    Focuses on the issue of outpatient mastectomies in the United States as practiced by health maintenance organizations to drive down costs. Pledge of the American Association of Health plans to pay for hospital stays after mastectomies if a woman and her doctor deem it necessary; Efforts of...

  • Dueling studies. Gardner, Jonathan // Modern Healthcare;05/26/97, Vol. 27 Issue 21, p36 

    Discusses two studies released by the American College of Surgeons (ACS) and Milliman & Robertson, which offer conflicting views on the length of hospital stays for mastectomy patients. ACS' support of mandated stays for patients.

  • Mastectomy stay bill is introduced. Fisher, Mary Jane // National Underwriter / Life & Health Financial Services;2/10/97, Vol. 101 Issue 6, p2 

    Cites the State of the Union address of American President Bill Clinton, and Senator Alfonse M. D'Amato's introduction of a bipartisan bill, in relation to their addressing the issue of drive-through mastectomies. Comments from D'Amato; Examination of the bill proposed by D'Amato.

  • N.J. bill mandates hospital stay for mastectomies. Schmitt, Frederick // National Underwriter / Life & Health Financial Services;12/23/96, Vol. 100 Issue 52, p5 

    States that the length of stay in a hospital in New Jersey after a mastectomy will be outlawed if legislation under consideration in 1996 becomes law. Requirement of the bill for patient care following breast surgery; Other benefits of the proposal; What bill is aimed to protect.

  • Too many mastectomies?  // U.S. News & World Report;4/8/96, Vol. 120 Issue 14, p62 

    Offers research as of April 8, 1996 which suggests that women may needlessly be undergoing disfiguring breast surgery to counteract precancerous cells in the milk ducts. The condition known as ductal carcinoma in situ; Findings in the previous week's issue of the `Journal of the American...

  • Bill would limit quick mastectomies.  // H&HN: Hospitals & Health Networks;02/20/97, Vol. 71 Issue 4, p47 

    Reports on Senator Alfonse D'Amato's introduction of a bill that would prohibit insurers and health maintenance organizations from requiring that mastectomies be done on an outpatient basis. Mandate to make health plans cover reconstructive breast surgery, follow-up care and second-opinions by...

  • `Drive by' mastectomies to be banned. Josefson, Deborah // BMJ: British Medical Journal (International Edition);01/11/97, Vol. 314 Issue 7074, p92 

    Reports that legislation is being drafted in New York to outlaw outpatient mastectomies on both state and federal level. Effects of the law on health maintenance organizations and insurers; Payment for breast reconstruction.

  • Carole Morin. Morin, Carole // New Statesman;10/25/96, Vol. 125 Issue 4307, p53 

    Focuses on mastectomy. Social aspects; Health concerns.

  • My detachable breast. Yapa, Chelika S. // Glamour;Jan98, Vol. 96 Issue 1, p182 

    Opinion. Discusses an individual's life after a mastectomy. How the individal coped with the reality of the surgery.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics