Considering the Environmental Impact of Cleft Lip and Palate Surgery

Cleft Palate Craniofac J. 2024 Oct 15:10556656241290065. doi: 10.1177/10556656241290065. Online ahead of print.

Abstract

Objective: We sought to calculate the waste generated by cleft lip and palate (CL/P) procedures and to increase awareness of the environmental impact of our speciality.

Design: Waste from 5 CL/P procedures was categorised into 5 streams and weighed. A carbon calculator tool was used to convert weight of waste in to estimated carbon emission over a 12-month period.

Setting: The study was carried out in a university teaching hospital.

Patients and participants: This was an assessment of the waste produced from 5 paediatric CL/P procedures.

Main outcome measures: Weight of waste produced as result of CL/P procedures, measured in kilograms (kg); weight of CO2, measured in kg.

Results: We found that 768.5 kg of surgical waste was generated by CL/P procedures at our centre annually. This equates to 2653 kg of CO2.

Conclusions: This study serves as a reminder of surgeons' responsibility to oversee how the waste we produce is disposed of.

Keywords: cleft lip and palate; evidence-based practice; intervention; surgical technique; team care.