The participation of the surgical block in the recycling of its supplies
A participação do bloco cirúrgico na reciclagem de seus insumos
Palavras-chave:
Hospital waste, Recycling, Surgical wasteResumo
Health services contribute as a potential source of waste generation, with a large volume of supplies that are discarded in the preparation of the operating room. Thus, the objective of this study was to analyze the advances on the recycling of supplies discarded in the operating room (OR) and in the material sterilization center (CME). A bibliometric analysis was performed with data collection in the Web of Science database, in articles published from 2018 to 2023. The following keywords were used: hospital waste; recycling and surgical waste. Sixteen articles were found. The studies showed that negative characteristics are attributed to hospital waste for causing damage to public health and the environment, and that this contributes to the segregation and improper disposal of this waste. More studies are needed to evaluate the probability of reuse or recycling to mitigate the damage to public health and the negative impacts on the environment. The CC and the CME may contribute when properly selected and segregated. It is also worth noting that there are limitations of studies in Brazil.
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Referências
ALI, M.; WANG, W.; CHAUDHRY, N.; GENG, Y. Hospital waste management in developing countries: A mini review. Waste Management & Research, vol. 35, no. 6, pp. 581-592, 2017.
ARAÚJO, C. A. A. Bibliometria: evolução histórica e questões atuais. Em Questão, vol. 12, no. 1, pp. 11-32, 2006.
BABU, M.A.; DALENBERG, A.K.; GOODSELL, G.; HOLLOWAY, A.B.; BELAU, M.M.; LINK, M.J. Greening the operating room: results of a scalable initiative to reduce waste and recover supply costs. Neurosurgery, vol. 85, no. 3, pp. 432-437, 2019.
BELOEIL, H.; ALBALADEJO, P. Initiatives to broaden safety concerns in anaesthetic practice: the green operating room. Best Practice & Research: Clinical Anaesthesiology, vol. 35, no. 1, pp. 83-91, 2021.
BUI, T-D.; TSENG, J-W.; TSENG, M-L.; LIM, M. Opportunities and challenges for solid waste reuse and recycling in emerging economies: a hybrid analysis, 2022.Resources, Conservation and Recycling, vol. 177, pp. 105968, 2022.
CHIU, C. K.; CHAN, C. Y. W.; CHEUNG, J. P. Y.; CHEUNG, P. W. H.; ABD GANI, S. M.; KWAN, M. K. Personal protective equipment usage, recycling and disposal among spine surgeons: an Asia Pacific Spine Society survey. Journal of Orthopaedic Surgery (Hong Kong), vol. 29, no. 1, pp. 2309499020988176. 2021.
COATES, V., FAROOQUE, M., KLAVANS, R., LAPID, K., LINSTONE, H. A., PISTORIUS, C. & PORTER, A. L. On the future of technological forecasting. Technological Forecasting and Social Change, vol. 67, no. 1, pp. 1-17, 2001.
GUSELNIKOVA, O.; SEMYONOV, O.; KIRGINA, M.; IVANOV, A.; ZINOVIEV, A.; POSTNIKOV, P. Polymer waste surgical masks decorated by superhydrophobic metal-organic frameworks towards oil spills clean-up. Journal of Environmental Chemical Engineering, vol. 10, no. 2, pp. 107105, 2021.
HARDING, C.; VAN LOON, J.; MOONS, I.; DE WIN, G.; DU BOIS, E. Design opportunities to reduce waste in operating rooms. Sustainability, vol. 13, no. 4, pp. 2207, 2021.
IVANOVIC, T.; MEISEL, H.J.; SOM, C.; NOWACK, B. Material flow analysis of single-use plastics in healthcare: a case study of a surgical hospital in Germany. Resources, Conservation and Recycling, vol. 185, pp. 106425, 2022.
KHAN B. A.; CHENG L.; KHAN A. A.; AHMED H. Healthcare waste management in Asian developing countries: a mini review. Waste Management & Research, vol. 37, vo. 9, pp. 863-875, 2019.
LEE S. M.; LEE, D. Effective medical waste management for sustainable green healthcare. International Journal of Environmental Research and Public Health, vol. 19, no. 22, pp. 14820, 2022.
MINAYO, Maria Cecília de Souza (org.). Pesquisa Social. Teoria, método e criatividade. 18 ed. Petrópolis: Vozes, 2001.
MA, Y.Y.; HAN, S. Discussion: Carbon neutral hand surgery: simple changes to reduce carbon footprint. Plastic Surgery, 2022. (in press). https://doi.org/10.1177/22925503221101953
PATRICIO, K. P.; AMORIM, A. R.; BORGES, B. Z. R. O descarte incorreto de resíduos sólidos em um centro cirúrgico: um problema ambiental, econômico e social. Engenharia Sanitária e Ambiental, vol. 27, no. 3, pp. 617-623, 2022.
PEGG, M.; RAWSON, R.; OKERE, U. Operating room waste management: a case study of primary hip operations at a leading national health service hospital in the United Kingdom. Journal of Health Services Research & Policy, vol. 27, no. 4, pp. 255-260, 2022.
PEREIRA, L. R., NUNES, J. F., ANDRADE, R. D. Resíduos de serviços de saúde: uma reflexão sobre seu gerenciamento e os riscos associados. Brazilian Journal of Health Review, vol. 4, no. 3, pp. 9988-9999, 2021.
RAMOS, T.; CHRISTENSEN, T.B.; OTURAI, N.; SYBERG, K. Reducing plastic in the operating theatre: Towards a more circular economy for medical products and packaging. Journal of Cleaner Production, vol. 383, pp. 135379, 2023.
RIZAN, C.; LILLYWHITE, R.; REED, M.; BHUTTA, M.F. Minimising carbon and financial costs of steam sterilisation and packaging of reusable surgical instruments. British Journal of Surgery, vol. 109, no. 2, pp. 200-210, 2022.
RIZAN, C.; REED, M.; BHUTTA, M.F. Environmental impact of personal protective equipment distributed for use by health and social care services in England in the first six months of the COVID-19 pandemic. Journal of the Royal Society of Medicine, vol. 114, no. 5, pp. 250-263, 2021.
RYAN, M. T.; MALMROSE, J.; RILEY, C. A.; TOLISANO, A. M. Operating room waste generated across otolaryngology cases. Military Medicine, 2021. (in press). https://doi.org/10.1093/milmed/usab548
SANABRIA, A.; KOWALSKI, L. P.; NIXON, I. J.; SHAHA, A.; DE BREE, R.; MAKITIE, A. A.; RINALDO, A.; FERLITO, A. Considerations for environmentally sustainable head and neck surgical oncology practice. American Journal of Otolaryngology, vol. 41, no. 6, pp. 102719, 2020.
VAN STRATEN, B; DANKELMAN, J.; VAN DER EIJK, A; HOREMAN, T. A circular healthcare economy; a feasibility study to reduce surgical stainless steel waste. Sustainable Production and Consumption, vol. 27, pp. 169-175, 2021a.
VAN STRATEN, B.; VAN DER HEIDEN, D. R.; ROBERTSON, D.; RIEKWEL, C.; JANSEN, F. W.; VAN DER ELST, M; HOREMAN, T. Surgical waste reprocessing: Injection molding using recycled blue wrapping paper from the operating room. Journal of Cleaner Production, vol. 322, pp. 129121, 2021b.
VOUDRIAS, E. A. Healthcare waste management from the point of view of circular economy. Waste Management, vol. 75, pp. 1-2, 2018.
WU, S.; CERCEO, E. Sustainability initiatives in the operating room. Joint Commission Journal on Quality and Patient, vol. 47, no. 10, pp. 663-672, 2021.