Evidence map›Paper›PMID 41120492›Full record

ArticleScientific reports2025

A life cycle assessment of disposing intra-operative collected fluids, a comparative study between the Neptune 3 versus canister drainage.

L Droog, J van der Sijp, T Hoppe, J Huegel, L Tariq, T Horeman, Bart van Straten

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 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
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0citing papers in PubMed
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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.

L DroogLeiden University & Delft University of Technology, Industrial Ecology, Leiden, The Netherlands.
J van der SijpHaaglanden Medical Center, The Hague, The Netherlands.
T HoppeOLVG Hospital, Amsterdam, The Netherlands.
J HuegelStryker Instruments, Portage, MI, USA.
L TariqStryker European Regional Headquarters, Amsterdam, The Netherlands.
T HoremanDelft University of Technology, Delft, The Netherlands.
Bart van StratenDelft University of Technology, Delft, The Netherlands. b.j.vanstraten@tudelft.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Neptune 3 drainage system is developed as an alternative to canister systems for collecting surgical fluids in the operating room. This study investigates the difference in the environmental impact between Neptune 3 and canister systems, evaluating all individual stages of the product life cycle of the Neptune and canisters. Using the RECIPE model, 17 impact categories (midpoints) were defined and results were aggregated into three endpoint categories (human health, ecosystems, resources). The volume of waste was varied in a setup in a hospital in the Netherlands and included different fluid volume collection scenarios performed over seven years: high-volume (2.0-24 L waste) and low-volume (0.1-0.5 L waste). In both high and low volume procedures, Neptune 3 has a lower environmental impact compared to canisters for global warming (15-89% reduction), ozone formation terrestrial ecosystems & human health (24-91% reduction), fossil resource scarcity (36-92% reduction) and water consumption (44-106% reduction). In high volume scenarios (5 + Liters) Neptune also has a lower impact in stratospheric ozone depletion, fine particulate matter formation, terrestrial acidification for the high volume scenarios (5 L or more). In the case of ionizing radiation, freshwater eutrophication, and human carcinogenic toxicity the Neptune has a lower impact only in the very large volume procedures (10 + Liter). By aggregating the mid-point results to end-point results, it is observed that the Neptune system is beneficial for resources in each scenario, and for human health and ecosystems for procedures with larger volumes. Results from this LCA demonstrate that the Neptune 3 system is environmentally beneficial compared to canisters. This study provides valuable information for policymakers and hospital decisionmakers to treat their surgical waste in an environmentally friendly way.

Indexed as

DrainageWaste Disposal, FluidEcosystemHumansNetherlandsOperating RoomsCanistersCircular economyClimate changeLife cycle assessmentNeptune 3Sustainable

Identifiers

PMID41120492
PMCPMC12540994

What OpenQuestion holds

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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.