Perspectives on disposable and reusable surgical materials in laparoscopic surgery: a global survey amongst surgeons.

Abstract

Background: Surgical practices generate substantial waste due to disposable materials. Reusable alternatives have the potential to substantially reduce emissions, yet their implementation has been slow. This study investigates reasons for this by examining surgeons' perspectives on using disposable and reusable materials during laparoscopic cholecystectomy (LC).

Materials and methods: A survey, containing both quantitative and qualitative questions, targeted surgeons' perceptions of sustainable healthcare in general and reusable versus disposable instruments (trocars, clip applicators, drapes, and gowns) in LC. Quantitative data was analyzed by experience level, hospital type, and WHO-regions.

Conclusion: The survey was completed by 594 surgeons from 75 countries. While 82.3% supported reducing surgery's environmental impact, only 48.7% considered sustainability when selecting instruments. Limited availability of reusables was a major issue, with only 52.3% having access to reusable trocars, and fewer than 30% to reusable drapes and gowns. Availability was reported to be lower in Europe compared to other WHO-regions. Availability, cost-effectiveness, and quality are reported as necessary factors for transitioning to reusable materials.

Interpretation: Surgeons are willing to use more reusable surgical materials in LC, but limited access and quality issues are major concerns. These findings offer valuable international insights into the current use of reusables, empowering surgeons to advocate for improved access and quality while driving the development and adoption of sustainable surgical practices.