Rationalising surgical instruments in tonsillectomy: a pilot study to reduce greenhouse gas emissions and costs.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2024-10-21 DOI:10.1017/S0022215124001129

Justin Jui Yuan Yeo, Keshav Kumar Gupta, Zahir Mughal, Chaitanya Bhatt

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引用次数: 0

Abstract

Objective: The healthcare industry is estimated to contribute 4.4 per cent of global greenhouse gas emissions. This pilot study aimed to investigate the impact of rationalising surgical instruments in tonsillectomy trays on greenhouse gas emissions and costs.

Method: We conducted a prospective observational study over a six-month period. All patients who underwent tonsillectomy were included. The instruments used during the procedure and their frequency of use were counted, with the operating surgeon being unaware of the study.

Results: During the 6-month timeframe, 46 tonsillectomies were performed. From the standard tonsillectomy tray containing 38 pieces, 9 pieces were never used. The removal of unused reusable instruments resulted in an estimated total reduction of 594 g of carbon dioxide equivalents and a saving of €9.63 per operation.

Conclusion: Rationalising the contents of the surgical instrument tray can have a positive environmental impact by reducing greenhouse gas emissions. There are also pecuniary benefits for the National Health Service because of the potential for cost savings.

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扁桃体切除术中手术器械的合理化：减少温室气体排放和成本的试点研究。

目标：据估计，医疗保健行业的温室气体排放量占全球温室气体排放量的4.4%。本初步研究旨在探讨扁桃体切除术中手术器械的合理化对温室气体排放和成本的影响。方法：我们进行了为期六个月的前瞻性观察研究。所有接受扁桃体切除术的患者均被纳入研究。在外科医生不知情的情况下，计算了手术过程中使用的器械及其使用频率。结果：6个月时间内，共行扁桃体切除术46例。标准扁桃体切除托盘38片，其中9片未使用。移除未使用的可重复使用仪器后，估计总共减少了594克二氧化碳当量，每次操作节省了9.63欧元。结论：理顺手术器械托盘的内容物可以减少温室气体的排放，对环境产生积极的影响。由于有可能节省费用，国民保健服务也有经济上的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.