Evidence map›Paper›PMID 40668508›Full record

ArticleUpdates in surgery2025

Green operating room project in a multidisciplinary Surgical Unit.

Giulia Osella, Nicola Leone, Mariachiara Benedetto, Eugenia Lavorini, Luca Petruzzelli, Alberto Arezzo, Mario Morino

Abstract read
In one paragraph

Article in Updates in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Giulia OsellaDepartment of Surgery, Annunziata hospital, Savigliano, Cuneo, Italy.
Nicola LeoneDepartment of Surgical Sciences, University of Torino, C.so Dogliotti 14, 10126, Turin, Italy. n.leone@unito.it.ORCID http://orcid.org/0009-0002-0189-3747
Mariachiara BenedettoDepartment of Surgery, Annunziata hospital, Savigliano, Cuneo, Italy.
Eugenia LavoriniDepartment of Surgery, Azienda ospedaliera-universitaria Careggi, Florence, Italy.
Luca PetruzzelliDepartment of Surgery, Annunziata hospital, Savigliano, Cuneo, Italy.
Alberto ArezzoDepartment of Surgical Sciences, University of Torino, C.so Dogliotti 14, 10126, Turin, Italy.
Mario MorinoDepartment of Surgical Sciences, University of Torino, C.so Dogliotti 14, 10126, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The climate emergency requires effective measures to reduce the environmental impact of the healthcare system. Approximately 20% of medical waste originates from operating rooms. Proper waste segregation, along with adherence to a correct definition of biohazardous waste, are good practice procedures in the operating unit that ensure waste reduction. This study aims to assess the effectiveness of waste segregation in a multispecialty Surgical Unit. During a 3-week observational period, compared with a subsequent 3-week experimental period, counts of paper and plastic bags and the number and weight of biohazardous waste were recorded. The experimental period incorporated heightened waste sorting attention and introduced new criteria for surgical uniform disposal. While no significant differences in paper and plastic bag production were observed between the two periods, there was a non-statistically significant reduction in numbers and weight of biohazardous waste (p = 0.22; p = 0.16 respectively). Multiple regression analysis revealed a statistically significant 20 kg reduction in biohazardous waste over 3 weeks, with the same number of surgical procedures performed (p<0.05), resulting in 3.7 kg of biohazardous waste per surgical procedure. This reduction increased to 24 kg in the second period under the same number and type of interventions (p<0.05). Notably, General Surgery, Urology, Otolaryngology, and Orthopedics were identified as the surgical branches with the highest biohazardous waste production. In particular, orthopedic procedures generated 9.35 kg of hazardous medical waste per intervention, with statistical significance (p = 0.006). A careful separate collection of waste in the operating room, focusing on limiting biohazardous waste production, could be an important tool for reducing environmental impact and fostering economic savings. A good practice involves finding tailored solutions through teamwork as demonstrated by the present study.

Indexed as

Medical WasteMedical Waste DisposalOperating RoomsHumansMedical WasteMedical Waste DisposalGreenGreen projectMedical wasteSustainabilitySustainable surgery

Identifiers

PMID40668508
PMCPMC12630172

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.