scholarly journals Environmental impact and life cycle financial cost of hybrid (reusable/single-use) instruments versus single-use equivalents in laparoscopic cholecystectomy

2021 ◽  
Author(s):  
Chantelle Rizan ◽  
Mahmood F. Bhutta
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Life Cycle ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Carbon Footprint ◽  
Surgical Instruments ◽  
Financial Cost ◽  
Laparoscopic Instruments ◽  
Single Use ◽  
Hybrid Instruments

Abstract Background Hybrid surgical instruments contain both single-use and reusable components, potentially bringing together advantages from both approaches. The environmental and financial costs of such instruments have not previously been evaluated. Methods We used Life Cycle Assessment to evaluate the environmental impact of hybrid laparoscopic clip appliers, scissors, and ports used for a laparoscopic cholecystectomy, comparing these with single-use equivalents. We modelled this using SimaPro and ReCiPe midpoint and endpoint methods to determine 18 midpoint environmental impacts including the carbon footprint, and three aggregated endpoint impacts. We also conducted life cycle cost analysis of products, taking into account unit cost, decontamination, and disposal costs. Results The environmental impact of using hybrid instruments for a laparoscopic cholecystectomy was lower than single-use equivalents across 17 midpoint environmental impacts, with mean average reductions of 60%. The carbon footprint of using hybrid versions of all three instruments was around one-quarter of single-use equivalents (1756 g vs 7194 g CO2e per operation) and saved an estimated 1.13 e−5 DALYs (disability adjusted life years, 74% reduction), 2.37 e−8 species.year (loss of local species per year, 76% reduction), and US $ 0.6 in impact on resource depletion (78% reduction). Scenario modelling indicated that environmental performance of hybrid instruments was better even if there was low number of reuses of instruments, decontamination with separate packaging of certain instruments, decontamination using fossil-fuel-rich energy sources, or changing carbon intensity of instrument transportation. Total financial cost of using a combination of hybrid laparoscopic instruments was less than half that of single-use equivalents (GBP £131 vs £282). Conclusion Adoption of hybrid laparoscopic instruments could play an important role in meeting carbon reduction targets for surgery and also save money.

scholarly journals Environmental impact and life cycle financial cost of hybrid (reusable/ single-use) instruments versus single-use equivalents in laparoscopic cholecystectomy

2021 ◽  
Author(s):  
Chantelle Rizan ◽  
Mahmood F Bhutta
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Life Cycle ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Carbon Footprint ◽  
Surgical Instruments ◽  
Laparoscopic Instruments ◽  
Life Years ◽  
Single Use ◽  
Hybrid Instruments

ABSTRACTBackgroundHybrid surgical instruments contain both single-use and reusable components, potentially bringing together advantages from both approaches.MethodsWe used Life Cycle Assessment to evaluate environmental impact of hybrid laparoscopic clip appliers, scissors and ports used for a laparoscopic cholecystectomy, comparing these with single-use equivalents. We modelled this using SimaPro to determine 18 midpoint environmental impacts including the carbon footprint, and three aggregated endpoint impacts. We also conducted life cycle cost analysis, taking into account unit cost, decontamination, and disposal costs.FindingsThe environmental impact of using hybrid instruments for a laparoscopic cholecystectomy was lower than single-use equivalents across 17 midpoint environmental impacts, with mean average reductions of 60%, and costing less than half that of single-use equivalents (GBP £131 versus £282). The carbon footprint of using hybrid versions of all three instruments was around one-quarter of single-use equivalents (1,756 g versus 7,194 g CO2e per operation), and saved an estimated 1.13 e-5 DALYs (disability associated life years, 74% reduction), 2.37 e-8 species.year (loss of local species per year, 76% reduction), and US $ 0.6 in impact on resource depletion (78% reduction). Scenario modelling indicated environmental performance of hybrid instruments was better even given low number of reuses of instruments, decontamination with separate packaging of certain instruments, decontamination using fossil-fuel rich energy sources, or changing carbon intensity of instrument transportation.InterpretationAdoption of hybrid laparoscopic instruments could play an important role in meeting carbon reduction targets for surgery, whilst saving money.FundingThis work was funded by Surgical Innovations Ltd who manufacture hybrid laparoscopic instruments.

scholarly journals Reducing the Environmental Impact of Sterilization Packaging for Surgical Instruments in the Operating Room: A Comparative Life Cycle Assessment of Disposable versus Reusable Systems

2021 ◽  
Vol 14 (1) ◽  
pp. 430
Author(s):  
Herman J. Friedericy ◽  
Cas W. van Egmond ◽  
Joost G. Vogtländer ◽  
Anne C. van der Eijk ◽  
Frank Willem Jansen
Keyword(s):  
Life Cycle Assessment ◽  
Life Cycle ◽  
Environmental Impact ◽  
Carbon Footprint ◽  
The United States ◽  
Global Scale ◽  
Indicator System ◽  
Surgical Instruments ◽  
Point Of Use ◽  
Break Even Point

The widespread use of single-use polypropylene packaging for sterilization of surgical instruments (blue wrap) results in enormous environmental pollution and plastic waste, estimated at 115 million kilograms on a yearly basis in the United States alone. Rigid sterilization containers (RSCs) are a well-known alternative in terms of quality and price. This paper deals with two research questions investigating the following aspects: (A) the environmental advantage of RCS for high volumes (5000 use cycles) in big hospitals, and (B) the environmental break-even point of use-cycles for small hospitals. An in-depth life cycle assessment was used to benchmark the two systems. As such a benchmark is influenced by the indicator system, three indicator systems were applied: (a) carbon footprint, (b) ReCiPe, and (c) eco-costs. The results are as follows: (1) the analyzed RSC has 85% less environmental impact in carbon footprint, 52% in ReCiPe, and 84.5% in eco-costs; and (2) an ecological advantage already occurs after 98, 228, and 67 out of 5000 use cycles, respectively. Given these two alternative packaging systems with comparable costs and quality, our results show that there are potentially large environmental gains to be made when RSC is preferred to blue wrap as a packaging system for sterile surgical instruments on a global scale.

scholarly journals Analysis of the Characteristics of Environmental Impacts According to the Cut-Off Criteria Applicable to the Streamlined Life Cycle Assessment (S-LCA) of Apartment Buildings in South Korea

2021 ◽  
Vol 13 (5) ◽  
pp. 2898
Author(s):  
Rakhyun Kim ◽  
Myung-Kwan Lim ◽  
Seungjun Roh ◽  
Won-Jun Park
Keyword(s):  
Life Cycle Assessment ◽  
Life Cycle ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Impact Analysis ◽  
Impact Categories ◽  
Environmental Impact Analysis ◽  
Apartment Buildings ◽  
Environmental Impact Categories ◽  
Weight Percentile

This study analyzed the characteristics of the environmental impacts of apartment buildings, a typical housing type in South Korea, as part of a research project supporting the streamlined life cycle assessment (S-LCA) of buildings within the G-SEED (Green Standard for Energy and Environmental Design) framework. Three recently built apartment building complexes were chosen as study objects for the quantitative evaluation of the buildings in terms of their embodied environmental impacts (global warming potential, acidification potential, eutrophication potential, ozone layer depletion potential, photochemical oxidant creation potential, and abiotic depletion potential), using the LCA approach. Additionally, we analyzed the emission trends according to the cut-off criteria of the six environmental impact categories by performing an S-LCA with cut-off criteria 90–99% of the cumulative weight percentile. Consequently, we were able to present the cut-off criterion best suited for S-LCA and analyze the effect of the cut-off criteria on the environmental impact analysis results. A comprehensive environmental impact analysis of the characteristics of the six environmental impact categories revealed that the error rate was below 5% when the cut-off criterion of 97.5% of the cumulative weight percentile was applied, thus verifying its validity as the optimal cut-off criterion for S-LCA.

Der Umsatz-Nachhaltigkeitsindex*/The Turnover-Sustainability-Index

2016 ◽  
Vol 106 (03) ◽  
pp. 136-140
Author(s):  
R. Miehe ◽  
M. Wiedenmann ◽  
T. Prof. Bauernhansl
Keyword(s):  
Life Cycle Assessment ◽  
Life Cycle ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Sustainability Index ◽  
Behavior Based ◽  
Comparative Examination

Die Ökobilanz hat sich als Instrument zur Bewertung der Umweltauswirkungen von Produkten und Prozessen durchgesetzt. Dennoch stellt ihre Durchführung Nutzer immer wieder vor Herausforderungen. Der Fachartikel präsentiert einen Ansatz für eine vergleichende Betrachtung der ökologischen Auswirkungen des unternehmerischen Handelns auf Basis der jeweiligen Unternehmens- und Branchenumsätze. Der Umsatz-Nachhaltigkeitsindex soll als Konzept für ein Benchmark für Unternehmen einer Branche dienen.   Life Cycle Assessment has prevailed as an instrument to evaluate the environmental impact of products and processes. Its execution, however, poses a challenge to operators. In this paper, we present an approach for a comparative examination of environmental impacts of industrial behavior based on the turnover of companies and their equivalent sectors. The Turnover-Sustainability-Index serves as a benchmark for companies within a sector.

scholarly journals Reuse of Barley Straw for Handmade Paper Production

2021 ◽  
Author(s):  
Alma Delia Delia Román Gutiérrez ◽  
Juan Hernandez Avila ◽  
Antonia Karina Vargas M. ◽  
Eduardo Cerecedo Saenz ◽  
Eleazar Salinas-Rodríguez
Keyword(s):  
Life Cycle ◽  
Environmental Impact ◽  
Environmental Impacts ◽  
Waste Treatment ◽  
Raw Material ◽  
Barley Straw ◽  
Handmade Paper ◽  
Organic Solid Waste ◽  
Organic Solid ◽  
Spent Grain

Usually in the manufacture of beer by fermentation of barley, in both industrialized and developing countries significant amounts of organic solid waste are produced from barley straw. These possibly have an impact on the carbon footprint with an effect on global warming. According to this, it is important to reduce environmental impact of these solid residues, and an adequate way is the recycling using them as raw material for the elaboration of handmade paper. Therefore, it is required to manage this type of waste by analyzing the environmental impact, and thus be able to identify sustainable practices for the treatment of this food waste, evaluating its life cycle, which is a useful methodology to estimate said environmental impacts. It is because of this work shows the main results obtained using the life cycle analysis (LCA) methodology, to evaluate the possible environmental impacts during the waste treatment of a brewery located in the state of Hidalgo, Mexico. The residues evaluated were barley straw, malt residues and spent grain, and at the end, barley straw was selected to determine in detail its environmental impact and its reuse, the sheets analyzed presented a grammage that varies from 66 g/m2 and 143 g/m2, resistance to burst was 117 to 145 kpa, with a crystallinity of 34.4% to 37.1%.

scholarly journals Environmental Impact for 3D Bone Tissue Engineering Scaffolds Life Cycle: An Assessment

2021 ◽  
Vol 12 (5) ◽  
pp. 6504-6515
Keyword(s):  
Tissue Engineering ◽  
Life Cycle Assessment ◽  
Life Cycle ◽  
Environmental Impact ◽  
Bone Tissue Engineering ◽  
Bone Tissue ◽  
Environmental Impacts ◽  
Tissue Engineering Scaffolds ◽  
Industrial Soil ◽  
The Impact

With the development of additive manufacturing technology, 3D bone tissue engineering scaffolds have evolved. Bone tissue engineering is one of the techniques for repairing bone abnormalities caused by a variety of circumstances, such as injuries or the need to support damaged sections. Many bits of research have gone towards developing 3D bone tissue engineering scaffolds all across the world. The assessment of the environmental impact, on the other hand, has received less attention. As a result, the focus of this study is on developing a life cycle assessment (LCA) model for 3D bone tissue engineering scaffolds and evaluating potential environmental impacts. One of the methodologies to evaluating a complete environmental impact assessment is life cycle assessment (LCA). The cradle-to-grave method will be used in this study, and GaBi software was used to create the analysis for this study. Previous research on 3D bone tissue engineering fabrication employing poly(ethylene glycol) diacrylate (PEGDA) soaked in dimethyl sulfoxide (DMSO), and diphenyl (2,4,6-trimethylbenzoyl) phosphine oxide (TPO) as a photoinitiator will be reviewed. Meanwhile, digital light processing (DLP) 3D printing is employed as the production technique. The GaBi program and the LCA model developed to highlight the potential environmental impact. This study shows how the input and output of LCA of 3D bone tissue engineering scaffolds might contribute to environmental issues such as air, freshwater, saltwater, and industrial soil emissions. The emission contributing to potential environmental impacts comes from life cycle input, electricity and transportation consumption, manufacturing process, and material resources. The results from this research can be used as an indicator for the researcher to take the impact of the development of 3D bone tissue engineering on the environment seriously.

scholarly journals An Investigation into the Environmental Impact of Product Recovery Methods to Support Sustainable Manufacturing within Small and Medium-Sized Enterprises (SMEs)

2012 ◽  
pp. 73-90
Author(s):  
Michaela R. Appleby ◽  
Chris G. Lambert ◽  
Allan E. W. Rennie ◽  
Adam B. Buckley
Keyword(s):  
Climate Change ◽  
Life Cycle ◽  
Environmental Impact ◽  
Carbon Footprint ◽  
Sustainable Manufacturing ◽  
Product Recovery ◽  
Waste Hierarchy ◽  
Government Legislation ◽  
Lower Carbon ◽  
Recovery Methods

The effects of climate change and government legislation has changed the way in which manufacturers can dispose of their waste, encouraging SMEs to source alternative disposal methods such as those indicated in the waste hierarchy. It is economically and environmentally beneficial to use product recovery methods to divert waste from landfill. The environmental impact of two product recovery methods, remanufacturing and repairing, has been compared via a carbon footprint calculation for a UK-based SME. The calculation has identified that repairing has a lower carbon footprint than remanufacturing, however this only extends the original life-cycle of the product, whereas remanufacturing provides a new life-cycle and warranty, and therefore seen as the most preferable method of product recovery to support sustainable manufacturing.

Life cycle assessment of organic Parmesan Cheese considering the whole dairy supply chain

2019 ◽  
Author(s):  
Giulia Borghesi ◽  
Giuseppe Vignali
Keyword(s):  
Life Cycle Assessment ◽  
Supply Chain ◽  
Life Cycle ◽  
Environmental Impact ◽  
Carbon Footprint ◽  
Water Consumption ◽  
Organic Agriculture ◽  
Water Footprint ◽  
Dairy Farm ◽  
Parmesan Cheese

Agriculture and food manufacturing have a considerable effect on the environment emissions: holdings and farms play an important role about greenhouse gas emissions and water consumption. This study aims at evaluating the environmental impact of one of the most important Italian DOP product: organic Parmesan Cheese. Environmental performances of the whole dairy supply chain have been assessed according to the life cycle assessment approach (LCA). In this analysis Parmesan Cheese is made from an organic dairy farm in Emilia Romagna, which uses the milk from three different organic livestock productions. Organic agriculture is different from conventional; the major difference is represented by the avoidance of the use of synthetic fertilizers and pesticides made in chemical industry process. Organic agriculture uses organic fertilizers to encourage the natural fertility of the soil respecting the environment and the agro-system. In this case, life cycle approach is used to assess the carbon footprint and the water footprint of organic Parmesan Cheese considering the milk and cheese production. The object at this level is investigating the environmental impact considering the situation before some improvement changes. The functional unit is represented by 1 kg of organic Parmesan Cheese; inventory data refer to the situation in year 2017 and system boundaries consider the inputs related to the cattle and dairy farm until the ripening (included). The carbon footprint is investigated using IPCC 2013 Global Warming Potential (GWP) 100a method, developed by Intergovernmental Panel on Climate Change, and reported in kg of CO2eq. Otherwise, water footprint allows to measure the water consumption and in this work it is assessed using AWARE method (Available Water REmaining).

Investigation of the two-decade environmental impact of large-scale agricultural cultivation and its impact on climate change in the Lajta-Project

2021 ◽  
Author(s):  
András Polgár ◽  
Karolina Horváth ◽  
Imre Mészáros ◽  
Adrienn Horváth ◽  
András Bidló ◽  
...  
Keyword(s):  
Climate Change ◽  
Life Cycle ◽  
Environmental Impact ◽  
Winter Wheat ◽  
Environmental Impacts ◽  
Crop Production ◽  
Large Scale ◽  
Winter Barley ◽  
Cultivated Plants ◽  
Agricultural Activity

<p>Crop production is applied on about half of Hungary’s land area, which amounts to approximately 4.5 million hectares. The agricultural activity has significant environmental impacts.</p><p>Our work aims the time series investigation of the impacts of large-scale agricultural cultivation<strong> </strong>on environment and primarily on climate change in<strong> </strong>the test area by applying environmental life cycle assessment (LCA) method.</p><p>The investigated area of Lajta Project can be found in the triangle formed by the settlements Mosonszolnok, Jánossomorja and Várbalog, in the north-western corner of Hungary, in Győr-Moson-Sopron county. The area has intense agri-environment characteristics, almost entirely lacking of grasslands and meadows.</p><p>We were looking for the answer to the question “To what extent does agricultural activity on this area impact the environment and how can it contribute to climate change during a given period?” The selection of the plants included in the analysis was justified by their significant growing area. We analysed the cultivation data of 5 crops: canola, winter barley, winter wheat, green maize and maize. Material flows of arable crop production technologies were defined in time series by the agricultural parcel register data. These covered the size of the area actually cultivated, the operational processes, records on seeds, fertilizer and pesticide use and harvest data by parcels. The examined environmental inventory database contained also the fuel consumption and lubricating oil usage of machine operations, and the water usage of chemical utilization.</p><p>In the life cycle modelling of cultivation, we examined 13 years of maize, 20 years of green maize, 20 years of winter barley, 18 years of winter wheat and 15 years of canola data calculated on 1 ha unit using GaBi life cycle analysis software.</p><p>In addition, we also calculated by an average cultivation model for all cultivated plants with reference data to 1 ha and 1 year period.</p><p>We applied methods and models in our life cycle impact assessment. According to the values of the impact categories, we set up the following increasing environmental ranking of plant cultivation: (1) canola has minimum environmental impacts followed by (2) green maize and (3) maize with slightly higher values, (4) winter barley has 6 times higher values preceded by (5) winter wheat with a slight difference. The previous environmental ranking of the specific cultivated plants’ contribution was also confirmed as regards the overall environmental impact: canola (1.0%) – green maize (4.9%) – maize (7.1%) – winter barley (43.1%) – winter wheat (44.0%).</p><p>Environmental impact category indicator results cumulated to total cultivation periods and total crop growing areas (quantitative approach) display the specific environmental footprints by crops. Increasing environmental ranking of environmental impacts resulted from cultivating the sample area is the following: (1) canola – (2) maize – (3) green maize – (4) winter barley – (5) winter wheat. The slight difference resulted in the rankings in quantitative approach according to the rankings of territorial approach on the investigated area is due to the diversity of cultivation time factor and the crop-growing parameter of the specific crops.</p><p>Acknowledgement: Our research was supported by the „Lajta-Project”.</p>

scholarly journals Comparative Study on the Environmental Impact of Traditional Clay Bricks Mixed with Organic Waste Using Life Cycle Analysis

2018 ◽  
Vol 10 (8) ◽  
pp. 2917 ◽  
Author(s):  
José Lozano-Miralles ◽  
Manuel Hermoso-Orzáez ◽  
Carmen Martínez-García ◽  
José Rojas-Sola
Keyword(s):  
Life Cycle ◽  
Environmental Impact ◽  
Comparative Study ◽  
Environmental Impacts ◽  
Life Cycle Analysis ◽  
Organic Waste ◽  
Organic Additives ◽  
Promising Alternative ◽  
Clay Bricks ◽  
The Impact

The construction industry is responsible for 40–45% of primary energy consumption in Europe. Therefore, it is essential to find new materials with a lower environmental impact to achieve sustainable buildings. The objective of this study was to carry out the life cycle analysis (LCA) to evaluate the environmental impacts of baked clay bricks incorporating organic waste. The scope of this comparative study of LCA covers cradle to gate and involves the extraction of clay and organic waste from the brick, transport, crushing, modelling, drying and cooking. Local sustainability within a circular economy strategy is used as a laboratory test. The energy used during the cooking process of the bricks modified with organic waste, the gas emission concentrate and the emission factors are quantified experimentally in the laboratory. Potential environmental impacts are analysed and compared using the ReCiPe midpoint LCA method using SimaPro 8.0.5.13. These results achieved from this method are compared with those obtained with a second method—Impact 2002+ v2.12. The results of LCA show that the incorporation of organic waste in bricks is favourable from an environmental point of view and is a promising alternative approach in terms of environmental impacts, as it leads to a decrease of 15–20% in all the impact categories studied. Therefore, the suitability of the use of organic additives in clay bricks was confirmed, as this addition was shown to improve their efficiency and sustainability, thus reducing the environmental impact.

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