HYGIENIC ASSESSMENT OF X-RAY AND LASER RADIATION AT SURGEONS’ WORKPLACES
Introduction. Modern surgery is a complex, multifaceted area of medicine that plays an important role in the struggle for health, working capacity and human life. In recent years, in surgery, much attention has been paid to the improvement and development of new surgical equipment, including that based on ionizing and non-ionizing radiation, its application range being widened, which allows patients being provided with high-tech and less traumatic procedures. However, the use of such equipment resulted in the appearance of new adverse occupational factors of ionizing and non-ionizing nature at the workplaces of surgical team members, which can have a negative effect on the personnel. Material and methods. Data of x-ray and laser radiation level studies at the workplaces of medical personnel in modern operating rooms are reported. Results. Total normalized power of the effective x-ray dose during the use of x-ray surgical unit at the workplaces of surgical teams in most cases was revealed not to exceed allowable dose rate, while in the process of certain procedures, such as vessel embolization, it can exceed allowable levels. The total annual effective radiation exposure dose of x-ray surgery teams depends on the number of performed operations, their type, complexity, and can exceed a basic radiation dose limit for A and B group personnel. The intensity of diffusely reflected laser radiation at workplaces of surgeons can significantly exceed maximum allowable levels, sometimes up to 600 times. Discussion. Considering an ever-gaining use of high-tech equipment generating laser and X-ray radiation and increasing number of exposed medical personnel, hygienic assessment of these radiation levels at workplaces of surgical team members and development of measures to improve working conditions is an important issue for maintaining workers’ health. Conclusion. To assess the occupational risk degree to the health of surgeons it is necessary to conduct in-depth studies of their health status.
About the authorsMalkova Natalia Yu.
Health care in Russia 2015: stat.compilation. Мoscow: Rosstat; 2015: 174 (in Russian).
Kostylev V.A., Narkevich B.Ya. Medical physics. Moscow: Meditsina; 2008: 464 (in Russian).
Radiology and radiation therapy at the threshold of the third millennium. Ed. by М.М. Vlasova; Saint-Petersburg: NORMA; 2003: 468. (in Russian).
Bokeriya L.A., Alekyan B.G. The state of X-ray endovascular diagnosis and treatment of diseases of the heart and blood vessels in Russian Federation (2015 г.). Endovaskulyarnaya khirurgiya. 2016; 3(2): 5-21. (in Russian).
Petreev I.V., Ryazanov V.V., Mavrenkov E.M., Tsvetkov S.V. Irradiation doses of surgeons performing interventional diagnostic and treatment methods at medical institutions of the Ministry of Defense of Russian Federation. Vestnik Rossiyskoy Voenno-meditsinskoy akademii. 2010; 2 (30): 167-9 (in Russian).
Tsvetkov S.V., Urkenov E.Zh., Ryazanov V.V. Features of radiation safety in health care facilities. Actual problems of general and military hygiene (Aktual’nye problemy obshchey i voennoy gigieny: materialy Vserossiyskoy nauchno-prakticheskoy konferentsii). Saint-Petersburg: VMedA; 2011: 154-5. (in Russian).
Giordano B.D., Baumhauer J.F., Morgan T.L., Rechtine II G.R. Patient and Surgeon Radiation Exposure: Comparison of Standard and Mini-C-Arm Fluoroscopy. J Bone Joint Surg Am. 2009; 91: 297-304.
Petreev I.V., Tsvetkov S.V., Mavrenkov E.M. Study of radiation doses in surgeons performing diagnostic and therapeutic procedures using interventional methods. Topical issues of radiation hygiene (Aktual’nye voprosy radiatsionnoy gigieny). Saint-Petersburg; 2010: 115. (in Russian).
Kesavachandran Ch. N., Haamann F., Nienhaus A. Radiation exposure of eyes, thyroid gland and hands in orthopaedic staff: a systematic review. European Journal of Medical Research; 2012: 1-10.
Miller D.L., Vano E., Bartal G, Balter S., Dixon R., Padovani R., Schueler B., Cardella J.F., Baere T. Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology. Cardiovasc Intervent Radiol. 2010; 33: 230-9.
Moore C., Heeckt P. Reducing Radiation Risk in Orthopaedic Trauma Surgery. Bone & Joint Science. 2011; 02 (07): 1-8.
Singer G. Occupational Radiation Exposure to the Surgeon. Journal of the American Academy of Orthopaedic Surgeons. 2005; 13 (1): 69-76.
Baltrukova T.B., Ivanova O.I., Kol’tsov D.S. Hygienic assessment of the neuro-emotional stress of radiologists. Gigiena i sanitariya [Hygiene and Sanitation, Russian journal]. 2017; 96 (4): 383-6. (in Russian).
Baltrukova T.B., Kol’tsov D.S. Hygienic assessment of irradiation of vascular surgery department personnel during angioplasty of the femoral arteries. Preventive medicine-2016 (Profilakticheskaya meditsina-2016: materialy Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem). Saint-Petersburg: SZGMU im. I. I. Mechnikova; 2016; 1: 280-2. (in Russian).
Tsvetkov S.V., Petreev I.V. Optimization of radiation safety in large medical and preventive treatment facilities. Voenno-meditsinskiy zhurnal. 2011; 9: 42-8. (in Russian).
Barkovskiy A.N., Baryshkov N.K., Bratilova A.A., Bruk G.Ya., Vorob’ev B.F., Kormanovskaya T.A., Repin L.V., Romanovich I.K., Titova T.N., Stepanov V.S., Tsov’yanov A.G., Sivenkov A.G. Doses of exposure of the population of the Russian Federation in 2016. Information digest. Saint-Petersburg; 2017: 78. (in Russian).
Romanovich I.K. Medical radiation exposure of the population: problems, tasks and their solutions. Topical issues of radiation safety in medicine (Aktual’nye voprosy obespecheniya radiatsionnoy bezopasnosti v meditsine: tez. dokl. nauch.-prakt. konf. Saint-Petersburg; 2007: 3-7. (in Russian).
Geynits A.V., Tsyganova G.I., Bazaitova L.V., Kartusova L.N. Current research areas and trends in the development of laser medicine. Lasers and Health - 99 (Lazery i zdorov’e - 99: materialy mezhdunar. Kongressa). Мoscow; 1999: 3-6. (in Russian).
Malyshev A.F., Malyshev A.I. Issues of diagnosis and treatment of malignant tumors. 2nd Far Eastern Oncological Conference. Tez. dokl. 2-y Dal’nevostochnoy onkologicheskaya konferentsii. Vladivostok; 2000: 194-7. (in Russian).
Golov V.S., Domanov M.S., Lysogorov O.S., Pechenin Yu.V. Laser surgical installation on a CO2 laser with enhanced capabilities. Biomed. radioelektron. 2000; 12: 31-4. (in Russian).
Chunikhin A.A., Bazikyan E.A., Syrnikova N.V., Chobanyan A.G. Laboratory evaluation of the physical and photochemical properties of a new nanosecond semiconductor medical laser generator. Byulleten’ meditsinskikh internet-konferentsiy. 2015; 5 (11): 1368-70. (in Russian).
Abdrashitov Kh.Z., Nartaylakov M.A., Sokolov V.P., Dautov S.B. Mini-laparatomic laser resection of the stomach according to Billroth-1 with a compression laterolateral gastroduodenoanastomosis. Lasers and Health - 99 (Lazery i zdorov’e - 99: materialy mezhdunar. Kongressa). Мoscow; 1999: 7-8. (in Russian).
Babayanov B.R., Tatzhibaev B.R. CO2 laser in purulent wound surgery. Proceedings of the 8th International Congress of the European Medical Laser Association (EMLA) and the 1st Congress of the Russian Medical Laser Association (RMLA) (Proceedings of the 8th International Congress of the European Medical Laser Association (EMLA) and the 1st Congress of the Russian Medical Laser Association (RMLA)). Kazan’; 2001: 52-3. (in Russian).
Dobro L.F., Bogatov N.M., Suprunov V.V. Lasers in medicine. Krasnodar: Kuban State University; 2011:80 (in Russian).
Ushkova I.N., Mal’kova N.Yu. The state of vision function of persons exposed to radiation of lasers of different wavelengths. Meditsina truda i promyshlennaya ekologiya. 1998; 11: 30-2. (in Russian).
Baltrukova T.B., D’yakonova-D’yachenkova T.B. Evaluation of radio-anxiety of graduates of medical universities. Radiatsionnaya gigiena. 2012; 5 (1): 25-8. (in Russian).
D’yakonova-D’yachenkova T.B., Sysoev V.N., Apchel V.Ya., Kornilova A.A., Darinskiy Yu.A. Radio-anxiety as one of the prerequisites for the development of disadaptation of radiologists-interns in the education process. Vestnik Rossiyskoy Voenno-meditsinskoy akademii. 2013; 1 (41): 180-3. (in Russian).
Shcherbakov I.A. Lasers in modern clinical practice. Vestnik Rossiyskoy Akademii Nauk. 2017; 87 (3): 204-12 (in Russian).
Kochiev D.G., Naryshkin S.A., Teodorovich O.V., Shcherbakov I.A. Methods and technologies of photonics in endosurgery. Optika i spektroskopiya. 2015; 3: 424-9 (in Russian).
Vishnyakova N.M., Kal’nitskiy S.A. Analysis of X-ray diagnostic equipment in Russian Federation. Radiatsionnaya gigiena. 2010; 3 (2): 33-8. (in Russian).
Golikov V.Yu., Sarycheva S.S., Ballonov M.I., Kal’nitskiy S.A. Assessment of doses of radiation exposure doses to patients during interventional radiological studies. Radiatsionnaya gigiena. 2009; 2 (3): 26-31. (in Russian).
Izmerov N. F. Health of the employable population of Russia. Meditsina truda i promyshlennaya ekologiya. 2003; 5:29- 33 (in Russian).
Izmerov N.F. Suvorov G.A. Physical factors of working and natural environment. Moscow.: Meditsina. 2003: 560. (in Russian).
Ham William T. Jr. Pulsed C02-laser corneal injury thresholds I T. Jr. Ham William, H.A. Mueller II Health Phys. 1986; 50 (4): 551-2.
Rockwell R.J. Analysing laser hazards. An introduction to exposure hazards and the evaluation of nominal hazards sones I R. J. Rockwell II Laser and Applie. 1986; 5 (5): 97-103.
- Refbacks are not listed
Контент доступен под лицензией Creative Commons Attribution 3.0 License.