Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

175
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
175
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

145
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
145

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Female sex is associated with improved survival after perioperative immunotherapy in resectable non-small cell lung cancer.

Journal of thoracic disease·2026
Same author

Small patients, high stakes: The challenge of autonomy in pediatric surgery.

American journal of surgery·2026
Same author

What Price Proximal Control? Left Recurrent Laryngeal Nerve Injury in Open Thoracoabdominal Aortic Aneurysm Repair.

The Annals of thoracic surgery·2026
Same author

Indocyanine Green Fluorescence for Intraoperative Tumor Identification During Resection of Pediatric and Adolescent Intra-Abdominal Malignancy: A Prospective Multi-Institutional Observational Study.

Journal of the American College of Surgeons·2026
Same author

Antenatal and Postnatal Management of Sacrococcygeal Teratoma.

NeoReviews·2026
Same author

Nighttime Transfer out of Surgical ICU Are Associated With Higher Readmission.

The American surgeon·2026

Related Experiment Video

Updated: Sep 11, 2025

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

3.0K

Instrument Tray Standardization for Pediatric Laparoscopic Appendectomy: A Sustainability Initiative.

William G Lee1, Shannon T Wong-Michalak1, Vikram Krishna1

  • 1Division of Pediatric Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

The Journal of Surgical Research
|August 14, 2025
PubMed
Summary

Standardizing surgical instrument trays for pediatric appendectomies significantly reduced the carbon footprint per case. This initiative lowers instrument use, contributing to environmental sustainability in surgery.

Keywords:
Carbon footprintClimate changeInstrument standardizationPediatric laparoscopic appendectomyPediatric surgeryQuality improvementSustainability

More Related Videos

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
13:38

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

Published on: June 24, 2022

5.5K
Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
08:12

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique

Published on: February 2, 2022

2.1K

Related Experiment Videos

Last Updated: Sep 11, 2025

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

3.0K
Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
13:38

Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique

Published on: June 24, 2022

5.5K
Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
08:12

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique

Published on: February 2, 2022

2.1K

Area of Science:

  • Environmental Science
  • Surgical Innovation
  • Pediatric Surgery

Background:

  • Healthcare contributes significantly to greenhouse gas emissions, with surgical instruments being a major factor.
  • High use of disposable and energy-intensive reusable instruments drives emissions.
  • Instrument standardization's environmental impact remains understudied.

Purpose of the Study:

  • To assess the association between instrument carbon emissions and tray standardization for pediatric laparoscopic appendectomy.
  • To quantify the environmental impact of optimizing instrument sets in surgery.

Main Methods:

  • A standardized instrument tray was developed and implemented at a tertiary academic medical center.
  • A retrospective cohort study compared outcomes before and after standardization for pediatric laparoscopic appendectomies.
  • Key outcomes included carbon footprint, instrument usage, cost, and procedure time.

Main Results:

  • The carbon footprint per case decreased by 33% after standardization (113.2 to 75.5 kg CO2e).
  • Significant reductions were observed in the number of disposable instruments, reusable instruments, and instrument trays used per case.
  • No significant changes were found in total procedure time or instrument-based cost.

Conclusions:

  • Instrument tray standardization effectively reduces the carbon footprint in pediatric laparoscopic appendectomy.
  • Optimizing instrument variability offers significant environmental benefits in pediatric surgery.
  • This approach highlights a pathway toward more sustainable surgical practices.