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Optimizing Proper Waste Management in Pediatric Surgery: An Observational Study.

Émilie Kate Landry¹, Caroline P Lemoine¹

¹Division of Pediatric Surgery, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montréal, Canada.

Journal of Pediatric Surgery

|February 9, 2025

Summary

Hospital operating rooms generate significant waste. Implementing and optimizing recycling programs in pediatric surgery can reduce landfill waste and carbon emissions, promoting sustainability without increased costs.

Keywords:

Environmental impact Greenhouse gases Medical waste management Operating room Pediatric surgery Recycling

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Area of Science:

Environmental Science
Healthcare Management
Surgical Waste Management

Background:

Operating rooms (ORs) are major contributors to hospital waste generation.
Implementing effective waste management, including recycling, is a sustainable practice with potential cost savings.
Assessing current OR recycling programs is crucial for identifying optimization opportunities.

Purpose of the Study:

To evaluate the impact of an institutional OR recycling program in pediatric surgery.
To estimate the potential benefits of optimizing waste management practices.
To compare waste and recycling generated by open versus laparoscopic surgical approaches.

Main Methods:

A prospective observational study was conducted, weighing waste and recycling from seven pediatric surgery interventions.
Data were collected from 37 individual procedures.
Non-parametric testing was used to compare open and laparoscopic approaches.

Main Results:

The mean recycling proportion per procedure was 14.8%.
Laparoscopic procedures generated significantly more recycling, potentially recyclable items, and landfill waste compared to open procedures.
The current program saves 1076 kg CO2e annually, with potential for 1633 kg CO2e savings through optimization.

Conclusions:

Proper OR waste management significantly diverts waste from landfills.
Optimizing recycling practices can further increase waste diversion and sustainability in pediatric surgery.
Recycling initiatives are essential components of climate-smart healthcare strategies.