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Related Experiment Video

Updated: Feb 20, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Operating room waste: disposable supply utilization in neurointerventional procedures.

Luigi Rigante1, Walid Moudrous2, Joost de Vries2

  • 1Neurosurgery Department, Radboud University Medical Center, Geert Grooteplein 8, Nijmegen, 6525, GA, The Netherlands. luigirigante@gmail.com.

Acta Neurochirurgica
|October 26, 2017
PubMed
Summary

Hospital operating rooms generate significant waste, impacting costs and the environment. This study quantizes endovascular surgical waste, revealing high costs associated with unused disposable neurointerventional supplies.

Keywords:
AngiographyCostNeurosurgeryOperating roomsSupplySurgery

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Area of Science:

  • Healthcare Management
  • Environmental Health
  • Medical Economics

Background:

  • Operating rooms contribute significantly to hospital waste (70%), escalating healthcare expenses and posing environmental risks.
  • Endovascular treatments for cerebrovascular conditions are increasingly common, with associated product costs substantially affecting overall care expenses.
  • This investigation focuses on quantifying the costs of endovascular surgical waste within a specific healthcare institution.

Purpose of the Study:

  • To determine the financial impact of unused disposable supplies in endovascular procedures.
  • To analyze the types and costs of surgical waste generated during neurointerventional procedures.
  • To identify key cost drivers within endovascular surgical waste.

Main Methods:

  • Data collected from 53 consecutive endovascular procedures (May-December 2016) at Radboud UMC Nijmegen.
  • Unused disposable supplies (opened but not utilized) were cataloged by two observers for each case.
  • Costs were determined from the supply catalog and summed to calculate total unused supply expenses per procedure.

Main Results:

  • Total interventional waste amounted to €27,299.53 (mean €515.09 per procedure).
  • Unused disposable supplies significantly contributed to costs in interventional procedures (mean €676.49 per case), particularly in aneurysm standard coiling (€1061.55 per case).
  • Disposable neurointerventional products constituted 95% of the total surgical waste costs.

Conclusions:

  • Neurointerventional waste significantly impacts the total care costs for patients with cerebrovascular diseases.
  • High waste may stem from the need to anticipate potential emergencies in neurointervention.
  • Implementing operator preference cards and educating staff on responsible disposable material use can mitigate these costs.