Queen Mary University of London, UK.
Hand (N Y). 2023 Jul;18(5):849-853. doi: 10.1177/15589447211054134. Epub 2021 Nov 5.
Climate change is a major public health threat worldwide. Operating theaters are responsible for extensive waste production due to the resource-intensive nature of surgery, including hand surgery.
An online literature search was performed to ascertain the approaches that surgeons may undertake to positively impact the environment.
Surgeons can make hand surgery more carbon neutral through various measures that have been categorized as pre-, intra-, and postoperative interventions. With all changes, the aims are to minimize waste and costs while optimizing patient outcomes.
Administrative obstacles to implementing pro-climate hospital changes may be overcome by also considering likely cost benefits with many environmentally friendly measures. New measures in hand surgery should consider patient safety, clinical efficacy, cost effectiveness, and the environmental impact.
气候变化是全球主要的公共卫生威胁。由于手术（包括手外科手术）具有资源密集型的特点，手术室产生了大量的废物。
进行了在线文献检索，以确定外科医生可以采取哪些措施来积极影响环境。
外科医生可以通过各种措施使手外科手术更加碳中和，这些措施可分为术前、术中和术后干预措施。所有的改变旨在尽量减少浪费和成本，同时优化患者的结果。
通过同时考虑许多环保措施可能带来的成本效益，可以克服实施有利于气候的医院变革的行政障碍。手外科的新措施应考虑患者安全、临床疗效、成本效益和环境影响。
