evacuation technology in all of the
main operating rooms.
Given the benefits of using
bovies like the E-SEP for everyone
in the OR, why are surgical pencils
not more widely adopted by the
surgeons performing the roughly
20. 4 million surgeries each year
that involve electrocautery?
The answer is that many surgeons are averse to change, especially when it concerns how we
perform surgical procedures. Given
that surgeons are responsible for
the well-being of our patients, it
is understandable that change is
difficult for us to accept in some
However, the use of surgical pencils is an instance where
change is necessary. If surgeons
display leadership on this issue —
such as talking about the dangers
of surgical smoke or sharing posi-
tive experiences from using bovies
in surgeries — it will motivate other
surgeons and healthcare workers
to consider adopting smoke-evacu-
ation into ORs nationwide.
• Carbon Monoxide
• Hydrogen cyanide
• Polycyclic aromatic
G. Thomas Ruiz, MD, has practiced obstetrics and gynecology
in Orange County, Calif., for more
than 20 years.
EXAMPLES OF CHEMICALS IN SMOKE PLUME