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    Por favor, use este identificador para citar o enlazar este ítem:http://uvadoc.uva.es/handle/10324/44979

    Título
    Life cycle assessment of a disposable and a reusable surgery instrument set for spinal fusion surgeries
    Autor
    Leiden, Alexander
    Cerdas, Juan Felipe
    Noriega González, David CésarAutoridad UVA
    Beyerlein, Jörg
    Herrmann, Christoph
    Año del Documento
    2020
    Editorial
    Elsevier
    Descripción
    Producción Científica
    Documento Fuente
    Resources, Conservation and Recycling, 2020, vol. 156. 8 p.
    Résumé
    The worldwide increasing wealth and increased life expectancy of humans has led to an increase in the number of medical procedures and surgeries. Surgeries are complex medical procedures which contribute to a significant share of the total environmental impact of the healthcare system. Among other important sources of environmental impacts from surgeries, material consumption due to required instrumentation accounts for up to 65 % of greenhouse gas emissions from surgeries. This study investigates how a disposable and a reusable surgery instrument sets for lumbar fusion surgeries contribute to the environmental impact and which system is more advantageous for the environment. For lumbar fusion surgeries, reusable and disposable instrumentation and implant sets are commercially available. Both sets are capable to support a one level lumbar fusion surgery. The reusable set is comprehensive and fully opened before the surgery, while the disposable system comes in a modular box system, and the boxes are opened on demand during the surgery. To compare the environmental impact of these different configurations, a comparative Life Cycle Assessment (LCA) was performed to assess the overall environmental impacts of both alternatives. One of the key findings is that the selected cleaning and sterilization process for reusable instruments is responsible for up to 90 % of the greenhouse gas emissions and decides which system is advantageous from an environmental perspective. Reducing the number of instruments to be cleaned and sterilized for a surgery should be the focus for future surgery instruments development from an environmental perspective.
    Palabras Clave
    Surgery instruments
    Instrumentos quirúrgicos
    Spinal fusion
    Fusión espinal
    ISSN
    0921-3449
    Revisión por pares
    SI
    DOI
    10.1016/j.resconrec.2020.104704
    Version del Editor
    https://www.sciencedirect.com/science/article/pii/S0921344920300264?via%3Dihub
    Propietario de los Derechos
    © 2020 Elsevier
    Idioma
    eng
    URI
    http://uvadoc.uva.es/handle/10324/44979
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
    Aparece en las colecciones
    • CFC - Artículos de Revista [38]
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    Nombre:
    Life-cycle-assessment.pdf
    Tamaño:
    1.379Mo
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    Attribution-NonCommercial-NoDerivatives 4.0 InternacionalExcepté là où spécifié autrement, la license de ce document est décrite en tant que Attribution-NonCommercial-NoDerivatives 4.0 Internacional

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