Effectiveness of Surgical Excision Following Plutonium-contaminated Wounds: Inferences from Historical Cases.
| Autor: | Poudel D; Radiation Protection Division, Los Alamos National Laboratory, Los Alamos, NM., Dumit S, Klumpp JA |
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| Jazyk: | angličtina |
| Zdroj: | Health physics [Health Phys] 2023 Jun 01; Vol. 124 (6), pp. 462-474. Date of Electronic Publication: 2023 Mar 07. |
| DOI: | 10.1097/HP.0000000000001686 |
| Abstrakt: | Abstract: As with any medical treatment, the decision to excise a wound contaminated with actinides is a risk-benefit analysis. The potential benefits of surgical excision following such contaminated wounds are reduction in the probability of stochastic effects, avoidance of local effects, and psychological comfort knowing that radioactive material deposited in the wound is prevented from being systemic. These benefits should be balanced against the potential risks such as pain, numbness, infection, and loss of function due to excision. To that end, the responsibility of an internal dosimetrist is to provide advice to both the patient and the treating physician about the likely benefits of excision that include, but not limited to, averted doses. This paper provides a review of the effectiveness of surgical excisions following plutonium-contaminated wounds and finds that excisions are highly effective at removing plutonium from wounds and at averting the doses they would have caused. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 Health Physics Society.) |
| Databáze: | MEDLINE |
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