Environmental impacts of surgical procedures: Life cycle assessment of hysterectomy in the United States

Cassandra Lee Thiel, Matthew Eckelman, Richard Guido, Matthew Huddleston, Amy E. Landis, Jodi Sherman, Scott O. Shrake, Noe Copley-Woods, Melissa M. Bilec

Research output: Contribution to journalArticle

Abstract

The healthcare sector is a driver of economic growth in the U.S., with spending on healthcare in 2012 reaching $2.8 trillion, or 17% of the U.S. gross domestic product, but it is also a significant source of emissions that adversely impact environmental and public health. The current state of the healthcare industry offers significant opportunities for environmental efficiency improvements, potentially leading to reductions in costs, resource use, and waste without compromising patient care. However, limited research exists that can provide quantitative, sustainable solutions. The operating room is the most resource-intensive area of a hospital, and surgery is therefore an important focal point to understand healthcare-related emissions. Hybrid life cycle assessment (LCA) was used to quantify environmental emissions from four different surgical approaches (abdominal, vaginal, laparoscopic, and robotic) used in the second most common major procedure for women in the U.S., the hysterectomy. Data were collected from 62 cases of hysterectomy. Life cycle assessment results show that major sources of environmental emissions include the production of disposable materials and single-use surgical devices, energy used for heating, ventilation, and air conditioning, and anesthetic gases. By scientifically evaluating emissions, the healthcare industry can strategically optimize its transition to a more sustainable system.

Original languageEnglish (US)
Pages (from-to)1779-1786
Number of pages8
JournalEnvironmental Science and Technology
Volume49
Issue number3
DOIs
StatePublished - Feb 3 2015

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health care
Environmental impact
Life cycle
environmental impact
life cycle
Inhalation Anesthetics
Operating rooms
Public health
Air conditioning
Surgery
Ventilation
Industry
Robotics
Heating
Economics
anesthetic
air conditioning
industry
Costs
robotics

ASJC Scopus subject areas

  • Chemistry(all)
  • Environmental Chemistry

Cite this

Environmental impacts of surgical procedures : Life cycle assessment of hysterectomy in the United States. / Thiel, Cassandra Lee; Eckelman, Matthew; Guido, Richard; Huddleston, Matthew; Landis, Amy E.; Sherman, Jodi; Shrake, Scott O.; Copley-Woods, Noe; Bilec, Melissa M.

In: Environmental Science and Technology, Vol. 49, No. 3, 03.02.2015, p. 1779-1786.

Research output: Contribution to journalArticle

Thiel, CL, Eckelman, M, Guido, R, Huddleston, M, Landis, AE, Sherman, J, Shrake, SO, Copley-Woods, N & Bilec, MM 2015, 'Environmental impacts of surgical procedures: Life cycle assessment of hysterectomy in the United States', Environmental Science and Technology, vol. 49, no. 3, pp. 1779-1786. https://doi.org/10.1021/es504719g
Thiel, Cassandra Lee ; Eckelman, Matthew ; Guido, Richard ; Huddleston, Matthew ; Landis, Amy E. ; Sherman, Jodi ; Shrake, Scott O. ; Copley-Woods, Noe ; Bilec, Melissa M. / Environmental impacts of surgical procedures : Life cycle assessment of hysterectomy in the United States. In: Environmental Science and Technology. 2015 ; Vol. 49, No. 3. pp. 1779-1786.
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