St Michaels Hospital, Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada.
Laryngoscope. 2024 Feb;134(2):803-806. doi: 10.1002/lary.31005. Epub 2023 Sep 2.
With vast improvements in imaging and endoscopic technology, there has been a massive shift towards in office procedures for various laryngeal disorders with significant health system and patient benefits. Another benefit which has yet to be investigated is the potential environmental effects and waste reduction of in-office laryngeal procedures over traditional operating room surgery.
The purpose of this study is to perform a waste audit and compare the results between operating room and in-office laser laryngeal surgery.
Ten cases of in-office and operating room laser laryngeal surgery, performed for recurrent respiratory papillomatosis, were subjected to a waste audit with four waste streams identified. Recyclable, general waste, anesthesia source and sharps. All waste was included from the time of case preparation to termination.
The cases were extremely homogeneous in the waste produced. The mean waste total produced for the operating room laser surgery was 2972 g of which 18% was recoverable/recyclable. Contamination rate was very low. Recycling was performed very well by nursing/prep staff; however, anesthesia was not recovering 13% of potential materials. The in-office waste produced was approximately one tenth of the operating room waste with almost all delegated into general waste. Potentially divertible/recyclable materials accounted for 38% of the waste in-office procedures.
In-office laryngeal procedures produce 13% of waste compared to surgery performed for similar pathology. These procedures are cost effective, safe and have been demonstrated to enhance environmental sustainability.
NA Laryngoscope, 134:803-806, 2024.
随着成像和内镜技术的巨大进步，各种喉科疾病的门诊治疗已大规模转向，这对医疗体系和患者都有显著的益处。另一个尚未被研究的益处是，与传统手术室手术相比，门诊喉部手术具有潜在的环境效益和减少浪费。
本研究旨在进行废物审计，并比较手术室和门诊激光喉科手术的结果。
对 10 例因复发性呼吸道乳头瘤病而行门诊和手术室激光喉科手术的病例进行了废物审计，确定了 4 种废物流：可回收物、一般废物、麻醉源和锐器。所有废物均包括从病例准备到终止的时间。
手术产生的废物非常相似。手术室激光手术产生的平均废物总量为 2972 克，其中 18%是可回收/可重复使用的。污染率非常低。护理/准备人员的回收工作做得非常好；然而，麻醉并未回收 13%的潜在材料。门诊产生的废物约为手术室废物的十分之一，几乎全部归入一般废物。潜在的可转移/可回收材料占门诊手术废物的 38%。
与类似病理的手术相比，门诊喉部手术产生的废物减少了 13%。这些手术具有成本效益、安全，并已被证明可增强环境可持续性。
无。喉镜，134：803-806，2024。
