Studies on the transmission of viral disease via the CO2 laser plume and ejecta. 1990

P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
Department of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia.

While recent reports have noted the presence of viral DNA sequences in the laser plume, no significant effort has been made to study transmission of the virus in vivo via airborne laser debris. Studies were undertaken to identify potential hazards to operating room occupants in gynecologic laser surgery. ACO2 laser in the continuous wave mode using a power density of 666 W/cm2 was fired through a 5-cm metal cylinder at virus-infected tissues. Airborne particulate debris, 100-200 microns, was removed from the cylinder's inner surfaces. In one instance, deposition of the debris was found on the surgeon's eyeglasses 1 m from the site of impact despite the use of a smoke evacuator. The first set of studies involved confirmed human papillomavirus (HPV) lesions of the human female lower genital tract. Specimens were collected for electron microscopy and Southern Blot viral hybridization. Additional cervical electron microscopy specimens were recovered from the speculum during pulsed CO2 laser treatment at 13 W average power during conization. Electron microscopy of the vulvar debris revealed only anucleate keratinized squamous epithelial cells. Cervical specimens demonstrated similar cells with nearly instantaneous vaporization of intracellular water and apparent condensation of cellular carbon. HPV Southern Blot testing revealed insufficient quantities of DNA for that technique. The second set of studies involved bovine papillomavirus lesions from dairy cattle. The debris was transmitted to susceptible animals. The bovine studies failed to demonstrate the transmission of disease in vivo.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008397 Masks Devices that cover the nose and mouth to maintain aseptic conditions often for the prevention of the spread of infections (e.g. COVID19) or to administer inhaled anesthetics or other gases. Mask
D009873 Operating Rooms Facilities equipped for performing surgery. Operating Room,Room, Operating,Rooms, Operating
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D002577 Uterine Cervical Diseases Pathological processes of the UTERINE CERVIX. Cervix Diseases,Cervical Disease, Uterine,Cervical Diseases, Uterine,Cervix Disease,Disease, Cervix,Disease, Uterine Cervical,Diseases, Cervix,Diseases, Uterine Cervical,Uterine Cervical Disease
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001706 Biopsy Removal and pathologic examination of specimens from the living body. Biopsies
D014412 Tumor Virus Infections Infections produced by oncogenic viruses. The infections caused by DNA viruses are less numerous but more diverse than those caused by the RNA oncogenic viruses. Fibroma, Shope,Papilloma, Shope,Infections, Tumor Virus,Infection, Tumor Virus,Shope Fibroma,Shope Papilloma,Tumor Virus Infection
D016273 Occupational Exposure The exposure to potentially harmful chemical, physical, or biological agents that occurs as a result of one's occupation. Exposure, Occupational,Exposures, Occupational,Occupational Exposures

Related Publications

P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
October 2002, Archives of dermatology,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
October 2010, Science (New York, N.Y.),
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
March 2024, Nature,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
August 1997, American journal of ophthalmology,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
January 2012, PloS one,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
January 1993, Lasers in surgery and medicine,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
March 2009, Optics letters,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
May 1998, Annales de dermatologie et de venereologie,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
January 1997, Annales de dermatologie et de venereologie,
P M Wisniewski, and M J Warhol, and R F Rando, and T V Sedlacek, and J E Kemp, and J C Fisher
April 1987, Obstetrics and gynecology,
Copied contents to your clipboard!