Namburar Sathvik, Pillai Manju, Varghese George, Thiel Cassandra, Robin Alan L
Johns Hopkins University, Baltimore, MD, USA.
Aravind Eye Care System, Madurai, India.
Am J Ophthalmol Case Rep. 2018 Oct 10;12:87-90. doi: 10.1016/j.ajoc.2018.10.002. eCollection 2018 Dec.
We measured waste from glaucoma surgeries at an eye care facility in Southern India and compared these results to a community hospital in the United States.
The waste produced in the glaucoma operating room at Aravind Eye Hospital, Madurai, India from June 22 to July 15, 2015 was weighed and compared to the waste produced in the glaucoma surgical clinic in a Baltimore-area community hospital from one day of surgeries in August 2015.
The average waste produced per trabeculectomy at Aravind was 0.5 ± 0.2 kg, compared to an average of 1.4 ± 0.4 kg per trabeculectomy (p < 0.05) at the Baltimore-area hospital. Waste from device surgeries and trabeculectomy with phacoemulsification was also quantified at Aravind, with averages of 0.4 ± 0.2 kg and 0.7 ± 0.2 kg respectively.
The amount of waste per trabeculectomy at the Aravind Eye Hospital was significantly lower than the waste per trabeculectomy in the Baltimore-area hospital, even though the used and the apparent complication rates between Aravind and American eye hospital are comparable. Given efforts to decrease the environmental impact of health care, it is necessary to examine the waste produced from surgeries to determine if policy and legal changes in the United States could decrease surgical waste while not affecting the surgical complication rate.
我们测量了印度南部一家眼科护理机构青光眼手术产生的废物，并将这些结果与美国一家社区医院进行了比较。
对印度马杜赖阿拉文德眼科医院青光眼手术室在2015年6月22日至7月15日期间产生的废物进行称重，并与巴尔的摩地区一家社区医院青光眼手术诊所2015年8月一天手术产生的废物进行比较。
阿拉文德医院每例小梁切除术产生的平均废物量为0.5±0.2千克，而巴尔的摩地区医院每例小梁切除术的平均废物量为1.4±0.4千克（p<0.05）。阿拉文德医院还对器械手术和超声乳化小梁切除术产生的废物进行了量化，平均分别为0.4±0.2千克和0.7±0.2千克。
尽管阿拉文德医院与美国眼科医院的使用情况和明显并发症发生率相当，但阿拉文德眼科医院每例小梁切除术产生的废物量明显低于巴尔的摩地区医院。鉴于努力减少医疗保健对环境的影响，有必要检查手术产生的废物，以确定美国的政策和法律变化是否可以在不影响手术并发症发生率的情况下减少手术废物。
