Authors :
Jumanto; Supangat; Almunawir
Volume/Issue :
Volume 7 - 2022, Issue 4 - April
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3Lmtxzs
DOI :
https://doi.org/10.5281/zenodo.6496777
Abstract :
Surgical smokes are the result effect of
using an electrosurgical instrument. Surgical smokes may
distract the surgical team’s concentration directly by
disturbing surgical area field view and the smell. The
chemical contaminants as the result of this procedure
may give indirect impact on long-term health effect
especially for some organs include eye, respiration and
also the possibility of malignancies. This study aims to
analyze the quantity level of formaldehyde after using the
modification of Heat and Moisture Exchangers (HME)
filter in breast cancer surgery.
Method: This study used quasi-experimental posttest only
group design with purposive sampling. The total sample
in this research was 60 samples of breast cancer tissue
specimens for surgical smokes analyze that was divided
into 3 groups of HME filtration type, HME 1, HME 2 and
HME 3. The quantity level of formaldehyde after
filtration was analyzed with Kruskal Wallis test.
Results: The highest level of formaldehyde value in the
HME 1 is 24.98 ppm, the lowest 7.97ppm (mean=
11.29ppm). In the HME 2 filter, the highest formaldehyde
value is 13.98ppm, and the lowest 4.97ppm (mean=
7.38ppm). Meanwhile, in the HME 3 filter, the highest
formaldehyde value of 11.98ppm, and the lowest 1.99ppm
(mean= 4.88ppm). There is difference result in each
groups of filter modification method (p value= 0.000 or
0,0001).
Conclusion: Modified filter of HME can be used as filter
of surgical smokes as the result of the used electrosurgery
instrument.
Keywords :
Breast Cancer, Electrosurgical, Formaldehyde, Heat and Moisture Exchanger Filter, Surgical Smokes.
Surgical smokes are the result effect of
using an electrosurgical instrument. Surgical smokes may
distract the surgical team’s concentration directly by
disturbing surgical area field view and the smell. The
chemical contaminants as the result of this procedure
may give indirect impact on long-term health effect
especially for some organs include eye, respiration and
also the possibility of malignancies. This study aims to
analyze the quantity level of formaldehyde after using the
modification of Heat and Moisture Exchangers (HME)
filter in breast cancer surgery.
Method: This study used quasi-experimental posttest only
group design with purposive sampling. The total sample
in this research was 60 samples of breast cancer tissue
specimens for surgical smokes analyze that was divided
into 3 groups of HME filtration type, HME 1, HME 2 and
HME 3. The quantity level of formaldehyde after
filtration was analyzed with Kruskal Wallis test.
Results: The highest level of formaldehyde value in the
HME 1 is 24.98 ppm, the lowest 7.97ppm (mean=
11.29ppm). In the HME 2 filter, the highest formaldehyde
value is 13.98ppm, and the lowest 4.97ppm (mean=
7.38ppm). Meanwhile, in the HME 3 filter, the highest
formaldehyde value of 11.98ppm, and the lowest 1.99ppm
(mean= 4.88ppm). There is difference result in each
groups of filter modification method (p value= 0.000 or
0,0001).
Conclusion: Modified filter of HME can be used as filter
of surgical smokes as the result of the used electrosurgery
instrument.
Keywords :
Breast Cancer, Electrosurgical, Formaldehyde, Heat and Moisture Exchanger Filter, Surgical Smokes.