Reducing the Preoperative Ecological Footprint in Otolaryngology

2014 ◽  
Vol 151 (5) ◽  
pp. 805-810 ◽  
Author(s):  
Justin T. Lui ◽  
Luke Rudmik ◽  
Derrick R. Randall
Keyword(s):  
Head And Neck ◽  
Operating Room ◽  
Ecological Footprint ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Operative Procedures ◽  
Tertiary Level ◽  
Preoperative Period ◽  
Waste Products ◽  
Set Up

Objectives To (1) evaluate the potential for recycling uncontaminated preoperative waste and (2) identify recycling differences within otolaryngology–head and neck surgery subspecialties. Study Design Prospective study. Setting Three university-affiliated tertiary level hospitals. Subjects Otolaryngology–head and neck surgery operative procedures. Methods A total of 97 operative procedures were evaluated. Preoperative waste products were sorted into recyclable and nonrecyclable materials; intraoperative waste was weighed for volume but not sorted. The preoperative period was defined as the opening of the surgical supply cart for operating room preparation until procedure initiation. Mass and volume of each type of waste were recorded upon the conclusion of the case. Results Approximately 23.1% of total operative waste mass (36.7% by volume) was derived from the preoperative set-up, of which 89.7% was recyclable. Pediatric procedures produced the least recyclable material per operation as a proportion of total waste, which was statistically different than the 2 highest recyclable subspecialties, general and rhinology ( P = .006); the remaining subspecialties did not statistically differ in proportion of recyclable material produced. Conclusion This study identified a source of clean recyclable materials that could eliminate 21% of operating room waste mass.

Para-incisional tattooing with electrocautery

1999 ◽  
Vol 113 (3) ◽  
pp. 244-245 ◽  
Author(s):  
Akhtar Hussain ◽  
Michael S. W. Lee
Keyword(s):  
New York ◽  
Head And Neck ◽  
Operative Procedure ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Operative Procedures ◽  
Royal Infirmary ◽  
Medical College ◽  
Albany Medical College ◽  
Aberdeen Royal Infirmary

AbstractThe authors present a technique using electrocautery diathermy to make surgical tattoos. This method has been used in over 300 patients who underwent head and neck surgery at Aberdeen Royal Infirmary and Albany Medical College, New York, over a period of five years. A wide variety of operative procedures such as total laryngectomies and neck dissections were performed. The electrocautery surgical tattoos have a major advantage of persisting until the end of the operative procedure by which time other types of tattoos have faded. The technique is widely available, inexpensive, and has to date been complication free.

scholarly journals Ménière’s Disease

2016 ◽  
Vol 155 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Matthew G. Crowson ◽  
Kristine Schulz ◽  
Kourosh Parham ◽  
Andrea Vambutas ◽  
David Witsell ◽  
...  
Keyword(s):  
Health Care ◽  
Head And Neck ◽  
Practice Patterns ◽  
Neck Surgery ◽  
Meniere’S Disease ◽  
Head And Neck Surgery ◽  
Operative Procedures ◽  
Ménière’S Disease ◽  
Research Database ◽  
Community Providers

Objective (1) Integrate practice-based patient encounters using the Dartmouth Atlas Medicare database to understand practice treatments for Ménière’s disease (MD). (2) Describe differences in the practice patterns between academic and community providers for MD. Study Design Practice-based research database review. Setting CHEER (Creating Healthcare Excellence through Education and Research) network academic and community providers. Subjects and Methods MD patient data were identified with ICD-9 and CPT codes. Demographics, unique visits, and procedures per patient were tabulated. The Dartmouth Atlas of Health Care was used to reference regional health care utilization. Statistical analysis included 1-way analyses of variance, bivariate linear regression, and Student’s t tests, with significance set at P < .05. Results A total of 2071 unique patients with MD were identified from 8 academic and 10 community otolaryngology–head and neck surgery provider centers nationally. Average age was 56.5 years; 63.9% were female; and 91.4% self-reported white ethnicity. There was an average of 3.2 visits per patient. Western providers had the highest average visits per patient. Midwest providers had the highest average procedures per patient. Community providers had more visits per site and per patient than did academic providers. Academic providers had significantly more operative procedures per site ( P = .0002) when compared with community providers. Health care service areas with higher total Medicare reimbursements per enrollee did not report significantly more operative procedures being performed. Conclusion This is the first practice-based clinical research database study to describe MD practice patterns. We demonstrate that academic otolaryngology–head and neck surgery providers perform significantly more operative procedures than do community providers for MD, and we validate these data with an independent Medicare spending database.

The image‐guided operating room—Utility and impact on surgeon's performance in the head and neck surgery

Head & Neck ◽  
2019 ◽  
Vol 41 (9) ◽  
pp. 3372-3382 ◽  
Author(s):  
Nidal Muhanna ◽  
Catriona M. Douglas ◽  
Michael J. Daly ◽  
Harley H. L. Chan ◽  
Robert Weersink ◽  
...  
Keyword(s):  
Head And Neck ◽  
Operating Room ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Image Guided

A Review of the Use of Avitene in Otolaryngologic Surgery

1980 ◽  
Vol 88 (1) ◽  
pp. 8-9 ◽  
Author(s):  
Leland P. Johnson
Keyword(s):  
American Academy ◽  
Head And Neck ◽  
Operating Room ◽  
Neck Surgery ◽  
Pharmaceutical Products ◽  
Head And Neck Surgery ◽  
University Of Utah ◽  
Sharp Focus ◽  
Coagulation Process ◽  
The University

Chairman's Comments: Control of hemorrhage is a problem familiar to all otolaryngologists, whether the bleeding occurs post-tonsillectomy, from spontaneous epistaxis, or from major head and neck surgery. Operating room aids in obtaining hemostasis include pressure, hot packs (to accelerate the coagulation process), ligatures, hot cautery, electrocoagulation, and a variety of pharmaceutical products. This latter group is reviewed by Leland P. Johnson, MD, from the Division of Otolaryngology at the University of Utah, particularly microfibrillar collagen hemostat (Avitene). Dr Johnson brings the uses and abuses of this expensive but often invaluable material into sharp focus. This information is prepared under the sponsorship of the Committee on Drugs—Otolaryngology of the American Academy of Otolaryngology. George A. Gates, MD

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