泌尿器科手术当前内镜技术对环境的影响:对可重复使用与一次性使用的内镜进行系统审查
Arthur Peyrottes1, Thibaut Long-Depaquit2,3, Benjamin Pradère4
1Department of Urology, Service d'urologie Et de Transplantation Rénale, St. Louis Hospital, University of Paris, 1 Avenue Claude Vellefaux, 75010, Paris, France. arthur.peyrottes@aphp.fr.
World journal of urology
|December 5, 2024
概括
泌尿器内镜对环境的影响各不相同. 虽然一次性囊泡镜可以减少浪费,但可重复使用的囊泡镜可以减少浪费.
科学领域:
- 医疗保健中的环境科学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 可持续的医疗实践 可持续的医疗实践
背景情况:
- 泌尿器内镜手术对环境有影响.
- 评估这种影响对于可持续的医疗保健至关重要.
研究的目的:
- 系统地审查和综合有关泌尿器内镜环境方面的文献.
- 确定减少影响的关键领域.
主要方法:
- 在PubMed/Medline和Web of Science进行全面的文献搜索,截至2024年1月.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 在不同程序中,环境足迹不同;一次性囊泡镜可能会减少废物,但由于再加工的变化,它在可重复使用的环境上缺乏明确的优势.
- 尿路透镜显示可用于一次性和可重复使用的望远镜的可比碳足迹.
- 通过尿道切除膀瘤的日常手术显著减少碳排放;用于前列腺手术的一次性微创手术设备显示出足迹差异,需要回收和制造改进.
结论:
- 评估一次性使用设备,优化可重复使用范围的再处理,重新考虑布和尽量减少住院时间等策略是必要的,以减少对环境的影响.
- 呼吁行业对医疗保健产品和服务进行标准化的环境审计,以支持基于证据的决策.
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