Utility of insufflation filters in laparoscopic surgery.
OBJECTIVE
To determine whether filters, regularly used as part of the insufflator tubing during laparoscopic surgery, trap microbial and particulate matter from CO2 tanks, thus preventing passage from one patient to another.


METHODS
A total of 67 used filters were collected from 17 CO2 tanks and six insufflation machines at three local hospitals, and sterile unused filters were used as controls. The used filters were distributed equally and sequentially into three groups: Group I-viewed under a dissecting microscope for particulate matter; group II-examined by mass spectrometry for contamination with oils and other impurities; group III-incubated on sheep blood agar plates and evaluated for growth of microorganisms.


RESULTS
Negative. Used filters were indistinguishable by all parameters from controls.


CONCLUSIONS
This limited study suggests filters now used in laparoscopic surgery fail to trap microbes or particulate matter. The question remains whether tank waste is absent or these filters fail to trap waste matter.
Department of Surgery, 2150 Pennsylvania Avenue, NW, Suite 6-B, The George Washington University Medical Center, Washington DC 20037, USA.
S M
SM
Frankel
R L
RL
Fitzgerald
J M
JM
Sackier
D001419:Bacteria / Q000254:growth & development; D002849:Chromatography, Gas; D004867:Equipment Design; D005374:Filtration / Q000295:instrumentation; D006801:Humans; D020706:Laparoscopes; D011028:Pneumoperitoneum, Artificial / Q000295:instrumentation*