Mastronardi Manuela, Bortul Marina, Dragani Francesca, Biloslavo Alan, de Manzini Nicolò, Palmisano Silvia
Department of Medicine, Surgery and Healthcare Sciences, University of Trieste, Strada Di Fiume 447, 34149, Trieste, Italy.
SSD Breast Unit, Cattinara University Hospital, ASUGI, Trieste, Italy.
Surg Endosc. 2025 Feb;39(2):1323-1332. doi: 10.1007/s00464-024-11502-6. Epub 2025 Jan 6.
Climate change poses significant challenges to global health, exacerbated by healthcare systems' carbon footprint and waste generation. Surgical activities contribute to these impacts, necessitating sustainable practices to mitigate environmental harm. This study aims to assess the feasibility and effectiveness of a recycling program in reducing waste, carbon emissions, and disposal costs in the operating rooms (ORs).
The study was conducted from June 2023 to April 2024, focusing on 2 elective surgery ORs. A recycling program was implemented in four phases: Preliminary Monitoring Phase (Months 1-3), Data Analysis, Planning and Preparation (Months 4-6), Program Implementation (Months 7-18), and Monitoring (monthly).
Initial data collection revealed substantial waste production and associated emissions and costs in both ORs. Through the implementation of the recycling protocol, we successfully recycled a total of 2548.7 kg of waste, representing 21.80% of the total waste generated. This effort resulted in a reduction of CO2 equivalent by 5133.25 kg (11.56%) and achieved cost savings of €2203.30 (13.47%).
Implementing recycling practices in ORs is feasible and effective in reducing environmental impact and costs associated with waste disposal. The findings underscore the importance of structured recycling initiatives in healthcare settings to achieve sustainable practices and mitigate climate impact.
气候变化给全球健康带来重大挑战,而医疗系统的碳足迹和废物产生使这一挑战更加严峻。外科手术活动加剧了这些影响,因此需要采取可持续的做法来减轻环境危害。本研究旨在评估一项回收计划在减少手术室废物、碳排放和处置成本方面的可行性和有效性。
该研究于2023年6月至2024年4月进行,重点关注两个择期手术的手术室。回收计划分四个阶段实施:初步监测阶段(第1 - 3个月)、数据分析、规划与准备(第4 - 6个月)、计划实施(第7 - 18个月)以及监测(每月)。
初始数据收集显示,两个手术室均产生了大量废物以及相关排放和成本。通过实施回收方案,我们成功回收了总计2548.7千克废物,占总产生废物的21.80%。这一举措使二氧化碳当量减少了5133.25千克(11.56%),并节省了2203.30欧元的成本(13.47%)。
在手术室实施回收做法在减少与废物处置相关的环境影响和成本方面是可行且有效的。研究结果强调了在医疗环境中开展结构化回收举措对于实现可持续做法和减轻气候影响的重要性。