Related Experiment Video
Updated: Jun 10, 2025
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Rationalising surgical instruments in tonsillectomy: a pilot study to reduce greenhouse gas emissions and costs
Justin Jui Yuan Yeo1, Keshav Kumar Gupta1, Zahir Mughal1
1The Dudley Group NHS Foundation Trust, Russells Hall Hospital, Pensnett Road, Dudley, DY1 2HQ, UK.
Objective:
The healthcare industry is estimated to contribute 4.4 per cent of global greenhouse gas emissions. This pilot study aimed to investigate the impact of rationalising surgical instruments in tonsillectomy trays on greenhouse gas emissions and costs.
Method:
We conducted a prospective observational study over a six-month period. All patients who underwent tonsillectomy were included. The instruments used during the procedure and their frequency of use were counted, with the operating surgeon being unaware of the study.
Results:
During the 6-month timeframe, 46 tonsillectomies were performed. From the standard tonsillectomy tray containing 38 pieces, 9 pieces were never used. The removal of unused reusable instruments resulted in an estimated total reduction of 594 g of carbon dioxide equivalents and a saving of €9.63 per operation.
Conclusion:
Rationalising the contents of the surgical instrument tray can have a positive environmental impact by reducing greenhouse gas emissions. There are also pecuniary benefits for the National Health Service because of the potential for cost savings.
