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J Cutan Aesthet Surg. 2019 Jan-Mar;12(1):1-7. doi: 10.4103/JCAS.JCAS_177_18.

Surgical Smoke in Dermatology: Its Hazards and Management.

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Consultant Dermatologist, Dr. KN Barua Institute of Dermatological Sciences, Guwahati, Assam, India.
Director and Consultant Dermatologist, Venkat Charmalaya-Center for Advance Dermatology and Post Graduate Training, Bengaluru, Karnataka, India.


Surgical plume with vaporized tissue particles, pathogens, and toxic gases emanating during dermatosurgical procedures is an occupational hazard to the dermatosurgeon, and protective measures must be taken to prevent their inhalation. Smoke evacuators are devices that capture and filter the plume generated during electrosurgical procedures or laser procedures, thereby maintaining a safe environment for the surgical team and the patient. A smoke evacuation system should be appropriately selected depending on the need of the facility. The objective of this article is to outline the health hazards of the smoke by-product of electrosurgery and lasers and provide details about safety measures and smoke evacuation systems.


Filters; Surgical smoke is a biochemical hazard comparable to chronic second-hand smoking. Constant exposure can result in serious health issues for the doctor, supportive staff, and patient. Despite conclusive evidence, smoke evacuators are seldom used in a dermatology clinic. The importance of smoke evacuation is probably underemphasized and should be strictly implemented in dermatology clinics for a safe working environment.; hazards; smoke evacuators; surgical smoke

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