ABSTRACT
The presence of papillomavirus DNA in the plume generated by lasers and electrosurgical instruments, and on the walls of the surgical suite, as well the anecdotal reports of hand and nasopharyngeal warts in surgical operators argue for the use of smoke aspiration systems and of protective garments, including goggles, mask, gloves, and gown, when using these instruments for the treatment of Human papillomavirus-associated lesions. Disposable equipment should be discarded after a single use. Chris Meijer and his colleagues at VU Medical Center in Amsterdam did a very informative study in which they randomized evenly 125 couples to condom use or not. In 1944, Hans H. Biberstein described autogenous vaccination for the treatment of genital warts. In this approach, lesions from the patient are used, usually after grinding and filtering, as a therapeutic vaccine to treat the patient’s remaining lesions. This approach was later shown to have some success in treating or preventing bovine papillomas and cottontail rabbit papillomavirus-induced papillomas.
