McMaster University

McMaster University

Environmental impact of hip arthroscopy for femoroacetabular impingement

We are pleased to share with you a recent publication in The Journal of Hip Preservation Surgery. This publication is entitled "The direct environmental impact of hip arthroscopy for femoroacetabular impingement: a surgical waste audit of five cases".

Please find access to the full-version of the article click here.

de SA D, Stephens K, Kuang M, Simunovic S, Karlsson J, Ayeni OR. The direct environmental impact of hip arthroscopy for femoroacetabular impingement: a surgical waste audit of five cases. J Hip Preserv Surg. 2016. [Epub ahead of print] DOI:10.1093/jhps/hnv085

Abstract

Health care facilities produce significant waste (2200 kg/bed/year) creating 2% of greenhouse gas emissions and 1% total solid waste nationwide, with 20–70% of waste coming from operating rooms. We performed a waste audit of hip arthroscopy for femoroacetabular impingement (FAI) to understand its environmental impact and identify areas for greening practices. A waste audit of five hip arthroscopy procedures for FAI was performed. All waste was collected and separated into six waste streams in real time: (i) normal/landfill waste; (ii) recyclable cardboards and plastics; (iii) biohazard waste; (iv) sharp items; (v) linens and (vi) sterile wrapping. The surgical waste (except laundered linens) from five FAI surgeries totaled 47.4 kg, including 21.7 kg (45.7%) of biohazard waste, 11.7 kg (24.6%) of sterile wrap, 6.4 kg (13.5%) of normal/landfill waste, 6.4 kg (13.5%) of recyclable plastics and 1.2 kg (2.6%) of sharp items. An average of 9.4 kg (excluding laundered linens) of waste was produced per procedure. Given the considerable biohazard waste produced by FAI procedures, additional recycling programs, continued adherence to proper waste segregation and an emphasis on ‘green outcomes’ is encouraged to demonstrate environmental responsibility and effectively manage and allocate finite resources.


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