PMID- 38114651
OWN - NLM
STAT- MEDLINE
DCOM- 20240221
LR  - 20240221
IS  - 2731-698X (Electronic)
IS  - 2731-6971 (Linking)
VI  - 95
IP  - 3
DP  - 2024 Mar
TI  - [Sustainable waste management in general surgical operations].
PG  - 229-234
LID - 10.1007/s00104-023-02012-7 [doi]
AB  - BACKGROUND AND OBJECTIVE OF THE STUDY: Hospitals, especially surgical 
      departments, are among the largest producers of waste in Germany. Data on waste 
      management in the operating room (OR) are largely lacking. The aim of this study 
      was to assess and discuss the possibilities of reducing waste and recovering 
      recyclable materials in general surgery against the background of current 
      practice. METHODOLOGY: Surgical departments throughout Germany were surveyed on 
      waste management. First, the theoretical waste separation possibilities for 
      laparoscopic appendectomy were determined. Subsequently, a simple system for the 
      separation of recyclables was established and practically tested in 
      35 operations. These were compared with 35 appendectomies without separation. 
      RESULTS: Only 25.7% of hospitals perform waste separation. Theoretically, 20.7% 
      of waste can be recycled, in practice up to 18.9%. Paper, cardboard and plastics, 
      especially polyethylene terephthalate (PET) and high-density polyethylene (HDPE) 
      were separated. This leads to a significant reduction in residual waste without 
      extending the operation time. DISCUSSION: Separation of recyclables can 
      contribute to more sustainable waste management in the OR. High-value recyclables 
      can be recycled and the residual waste mass can be significantly reduced. This is 
      possible without special effort and does not delay the processes in the OR. The 
      opportunities for this have hardly been used in Germany to date.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, 
      ein Teil von Springer Nature.
FAU - Reinisch-Liese, Alexander
AU  - Reinisch-Liese A
AD  - Zentrum fur Allgemeine, Viszerale und Onkologische Chirurgie, Klinikum 
      Wetzlar-Braunfels, Forsthausstr. 1, 35647, Wetzlar, Deutschland. 
      alexander_reinisch@hotmail.com.
FAU - Liese, Juliane
AU  - Liese J
AD  - Klinik fur Allgemein-, Viszeral-, Thorax- und Transplantationschirurgie, 
      Universitatsklinikum Giessen, Giessen, Deutschland.
FAU - Ulrich, Frank
AU  - Ulrich F
AD  - Zentrum fur Allgemeine, Viszerale und Onkologische Chirurgie, Klinikum 
      Wetzlar-Braunfels, Forsthausstr. 1, 35647, Wetzlar, Deutschland.
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Nachhaltiges Abfallmanagement bei allgemeinchirurgischen Operationen.
DEP - 20231219
PL  - Germany
TA  - Chirurgie (Heidelb)
JT  - Chirurgie (Heidelberg, Germany)
JID - 9918383081906676
RN  - 0 (Plastics)
SB  - IM
MH  - *Refuse Disposal
MH  - *Waste Management
MH  - Recycling
MH  - Plastics
MH  - Operating Rooms
OTO - NOTNLM
OT  - Appendectomy
OT  - Conserving resources
OT  - Recyclables
OT  - Recycling
OT  - Waste disposal
EDAT- 2023/12/20 06:42
MHDA- 2024/02/21 11:16
CRDT- 2023/12/19 23:45
PHST- 2023/11/17 00:00 [accepted]
PHST- 2024/02/21 11:16 [medline]
PHST- 2023/12/20 06:42 [pubmed]
PHST- 2023/12/19 23:45 [entrez]
AID - 10.1007/s00104-023-02012-7 [pii]
AID - 10.1007/s00104-023-02012-7 [doi]
PST - ppublish
SO  - Chirurgie (Heidelb). 2024 Mar;95(3):229-234. doi: 10.1007/s00104-023-02012-7. 
      Epub 2023 Dec 19.