Risk of papillomavirus infection in carbon dioxide laser treatment of genital lesions

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    Previous case studies suggest the potential risk of HPV transmission via surgical smoke.5–7 Given that HPV is a local tissue virus, and the nature of surgeries investigated by existing studies involved close proximity of the surgeons to the operating field, the transferability of such evidence to transmission of COVID-19 is highly questionable.50,51 Hepatitis B Virus, one of the few viruses which has been detected in surgical smoke, has been shown to tolerate higher electro-surgical temperatures than coronaviruses.52,53

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    In another survey, Lobraico et al [22] reported that the overall incidence of HPV-related lesions was 3.2% among laser surgeons treating verrucae with the CO2 laser, with the highest incidence being observed for hand lesions in dermatologists (15.2%). In the vast majority of the other reports aiming at the evaluation of the presence of HPV in surgical smoke, HPV was identified in most of the dermatology and gynecology reports [15,25,26,36,37]. Only three small studies failed to identify the virus in surgical byproducts [14,20,21].

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