Acknowledgement
The Green Surgery Report project team thanks all those who submitted case studies to this online repository, which illustrate examples of real-world change.
We request readers to note that outcomes data have not been verified and some financial and greenhouse gas emission figures are based on projections.
Section 2: Reducing need for Surgical Care
Identifying patients at high risk of fractures
Lean Pathway and Low Carbon Alternatives in Curette and Cautery Skin Surgery
Reducing prescription of Proton Pump Inhibitors
Section 3: Surgical Care Pathways
Carpal tunnel decompression in procedure room
Digital care pathway for total knee replacement
Eliminating unnecessary pre-operative blood test
Omitting routine Group and Save test
Reducing pathology sample transport
Reducing same day surgery cancellations
Section 4: Operating Theatre Energy and Design
Elective theatres shutdown list
Improving laminar flow efficiency
Operating theatres shutdown list
Section 5: Anaesthesia
Cold sticks for spinal/epidural blocks
Decommissioning nitrous oxide manifold
Local anaesthesia for inguinal hernia repair
Section 6: Products used in Surgical Care
Improving sustainability in laparoscopic appendectomy
Introducing reusable surgical caps
Introducing reusable named surgical caps
Optimising reprocessing of reusable linens
Rationalisation of single-use convenience packs
Reducing non-sterile glove use
Reducing single-use instruments in laparoscopic appendectomy
Reducing unnecessary cannulation (Royal Devon and Exeter)
Reducing unnecessary cannulation (Imperial)
Reducing unnecessary patient transfer sheets
Reducing use of harmonic scissors
Reducing waste from pulse lavage systems
Remanufacturing EP catheters (Barts)
Remanufacturing EP catheters (Leeds)
Remanufacturing EP catheters (Royal Devon)
Remanufacturing electrosurgical items