Journal of pediatric surgery · 2025
Optimizing Proper Waste Management in Pediatric Surgery: An Observational Study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Landry Émilie Kate, Lemoine Caroline P
Аннотация
BACKGROUND: Operating rooms (OR) are responsible for the majority of waste production in hospitals. Proper waste management including recycling is a sustainable initiative with no direct cost increase. We assessed the impact of our current institutional OR recycling program in selected general pediatric surgery procedures and estimated the potential impact of optimizing waste management.
METHODS: A prospective observational study was performed by weighing waste and recycling generated by seven pediatric surgery interventions: inguinal (open/laparoscopic) and umbilical hernia repair, orchiopexy and laparoscopic interventions for undescended testis, laparoscopic appendectomy, and circumcision. Laparoscopic and open approaches were compared using non-parametric testing (p < 0.05 considered significant).
RESULTS: The weight of landfill waste, recycling, and potentially recyclable items generated by 37 interventions was measured. Landfill waste mostly included disposable gowns and drapes. The mean proportion of recycling per procedure was 14.8 % (12.3-21.0). Laparoscopic procedures generated significantly more recycling (p < 0.001), potentially recyclable items (p < 0.001), and landfill waste (p < 0.001). When extrapolated on a yearly basis, our current recycling program generates 384 kg of recycling for selected procedures (n = 947), equivalent to 1076 kg carbon dioxide equivalent (CO2e) emissions savings from redirected landfill waste. With optimized waste management, 1633 kg CO2e savings could be estimated annually.
CONCLUSION: Proper waste management redirects significant amounts of waste away from the landfill and could be further increased by optimizing OR recycling practices. Laparoscopy generates more recyclable items than open procedures as it requires more material overall. Recycling must be part of a larger climate-smart initiative to achieve a sustainable pediatric surgery OR.
TYPE OF STUDY: Observational.
LEVEL OF EVIDENCE: III.
METHODS: A prospective observational study was performed by weighing waste and recycling generated by seven pediatric surgery interventions: inguinal (open/laparoscopic) and umbilical hernia repair, orchiopexy and laparoscopic interventions for undescended testis, laparoscopic appendectomy, and circumcision. Laparoscopic and open approaches were compared using non-parametric testing (p < 0.05 considered significant).
RESULTS: The weight of landfill waste, recycling, and potentially recyclable items generated by 37 interventions was measured. Landfill waste mostly included disposable gowns and drapes. The mean proportion of recycling per procedure was 14.8 % (12.3-21.0). Laparoscopic procedures generated significantly more recycling (p < 0.001), potentially recyclable items (p < 0.001), and landfill waste (p < 0.001). When extrapolated on a yearly basis, our current recycling program generates 384 kg of recycling for selected procedures (n = 947), equivalent to 1076 kg carbon dioxide equivalent (CO2e) emissions savings from redirected landfill waste. With optimized waste management, 1633 kg CO2e savings could be estimated annually.
CONCLUSION: Proper waste management redirects significant amounts of waste away from the landfill and could be further increased by optimizing OR recycling practices. Laparoscopy generates more recyclable items than open procedures as it requires more material overall. Recycling must be part of a larger climate-smart initiative to achieve a sustainable pediatric surgery OR.
TYPE OF STUDY: Observational.
LEVEL OF EVIDENCE: III.