{"id":"https://openalex.org/W4385582425","doi":"https://doi.org/10.2147/rmhp.s415989","title":"Evaluating the Environmental Impact of Single-Use and Multi-Use Surgical Staplers with Staple Line Buttressing in Laparoscopic Bariatric Surgery","display_name":"Evaluating the Environmental Impact of Single-Use and Multi-Use Surgical Staplers with Staple Line Buttressing in Laparoscopic Bariatric Surgery","publication_year":2023,"publication_date":"2023-08-01","ids":{"openalex":"https://openalex.org/W4385582425","doi":"https://doi.org/10.2147/rmhp.s415989","pmid":"https://pubmed.ncbi.nlm.nih.gov/37560134","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10408667"},"language":"en","primary_location":{"id":"doi:10.2147/rmhp.s415989","doi":"https://doi.org/10.2147/rmhp.s415989","is_oa":true,"landing_page_url":"https://doi.org/10.2147/rmhp.s415989","pdf_url":"https://www.dovepress.com/getfile.php?fileID=91743","source":{"id":"https://openalex.org/S2764962273","display_name":"Risk Management and Healthcare Policy","issn_l":"1179-1594","issn":["1179-1594"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Risk Management and Healthcare Policy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.dovepress.com/getfile.php?fileID=91743","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023874059","display_name":"Markus Meissner","orcid":"https://orcid.org/0009-0000-8866-882X","observed_orcids":["https://orcid.org/0009-0000-8866-882X"]},"institutions":[{"id":"https://openalex.org/I4210111478","display_name":"Austrian Institute of Ecology","ror":"https://ror.org/01w723627","country_code":"AT","type":"nonprofit","lineage":["https://openalex.org/I4210111478"]}],"countries":["AT"],"is_corresponding":false,"raw_author_name":"Markus Meissner","raw_affiliation_strings":["Austrian Institute of Ecology, Vienna, Austria"],"raw_orcid":"https://orcid.org/0009-0000-8866-882X","affiliations":[{"raw_affiliation_string":"Austrian Institute of Ecology, Vienna, Austria","institution_ids":["https://openalex.org/I4210111478"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079913690","display_name":"Juliane O. Hafermann","orcid":"https://orcid.org/0009-0004-4595-7794","observed_orcids":["https://orcid.org/0009-0004-4595-7794"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Juliane Hafermann","raw_affiliation_strings":["Coreva Scientific GmbH & Co. KG, Koenigswinter, Germany"],"raw_orcid":"https://orcid.org/0009-0004-4595-7794","affiliations":[{"raw_affiliation_string":"Coreva Scientific GmbH & Co. KG, Koenigswinter, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057406826","display_name":"Ubong Silas","orcid":"https://orcid.org/0000-0002-6922-6599","observed_orcids":["https://orcid.org/0000-0002-6922-6599"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ubong Silas","raw_affiliation_strings":["Coreva Scientific GmbH & Co. KG, Koenigswinter, Germany"],"raw_orcid":"https://orcid.org/0000-0002-6922-6599","affiliations":[{"raw_affiliation_string":"Coreva Scientific GmbH & Co. KG, Koenigswinter, Germany","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067452973","display_name":"Rhodri Saunders","orcid":"https://orcid.org/0000-0003-1463-4656","observed_orcids":["https://orcid.org/0000-0003-1463-4656"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Rhodri Saunders","raw_affiliation_strings":["Coreva Scientific GmbH & Co. KG, Koenigswinter, Germany"],"raw_orcid":"https://orcid.org/0000-0003-1463-4656","affiliations":[{"raw_affiliation_string":"Coreva Scientific GmbH & Co. KG, Koenigswinter, Germany","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5067452973"],"corresponding_institution_ids":[],"apc_list":{"value":2836,"currency":"USD","value_usd":2836},"apc_paid":{"value":2836,"currency":"USD","value_usd":2836},"fwci":0.8558,"has_fulltext":true,"cited_by_count":11,"citation_normalized_percentile":{"value":0.64632381,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":98},"biblio":{"volume":"Volume 16","issue":null,"first_page":"1423","last_page":"1433"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10435","display_name":"Environmental Impact and Sustainability","score":0.38600000739097595,"subfield":{"id":"https://openalex.org/subfields/2305","display_name":"Environmental Engineering"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10435","display_name":"Environmental Impact and Sustainability","score":0.38600000739097595,"subfield":{"id":"https://openalex.org/subfields/2305","display_name":"Environmental Engineering"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T12744","display_name":"Medical Device Sterilization and Disinfection","score":0.16740000247955322,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12920","display_name":"Healthcare and Environmental Waste Management","score":0.16259999573230743,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/laparoscopic-bariatric-surgery","display_name":"laparoscopic bariatric surgery","score":0.9700000286102295},{"id":"https://openalex.org/keywords/sleeve-gastrectomy","display_name":"sleeve gastrectomy","score":0.9990000128746033},{"id":"https://openalex.org/keywords/roux-en-y-gastric-bypass","display_name":"Roux-en-Y gastric bypass","score":1.0},{"id":"https://openalex.org/keywords/surgical-waste","display_name":"surgical waste","score":0.6700000166893005},{"id":"https://openalex.org/keywords/packaging-waste","display_name":"packaging waste","score":0.7319999933242798},{"id":"https://openalex.org/keywords/resource-consumption","display_name":"resource consumption","score":0.6830000281333923},{"id":"https://openalex.org/keywords/greenhouse-gas-emissions","display_name":"greenhouse gas emissions","score":0.9549999833106995},{"id":"https://openalex.org/keywords/surgeon-survey","display_name":"surgeon survey","score":0.578000009059906},{"id":"https://openalex.org/keywords/environmental-impact-of-surgery","display_name":"environmental impact of surgery","score":0.6480000019073486}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5781760811805725},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5737824440002441},{"id":"https://openalex.org/C47737302","wikidata":"https://www.wikidata.org/wiki/Q167336","display_name":"Greenhouse gas","level":2,"score":0.5341600179672241},{"id":"https://openalex.org/C2778586554","wikidata":"https://www.wikidata.org/wiki/Q550141","display_name":"Sleeve gastrectomy","level":5,"score":0.5028571486473083},{"id":"https://openalex.org/C164749845","wikidata":"https://www.wikidata.org/wiki/Q320389","display_name":"Environmental impact assessment","level":2,"score":0.42690038681030273},{"id":"https://openalex.org/C548081761","wikidata":"https://www.wikidata.org/wiki/Q180388","display_name":"Waste management","level":1,"score":0.3954337239265442},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.3244222402572632},{"id":"https://openalex.org/C3019402062","wikidata":"https://www.wikidata.org/wiki/Q1813603","display_name":"Gastric bypass","level":4,"score":0.24405446648597717},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.19434049725532532},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.18517494201660156},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.2147/rmhp.s415989","doi":"https://doi.org/10.2147/rmhp.s415989","is_oa":true,"landing_page_url":"https://doi.org/10.2147/rmhp.s415989","pdf_url":"https://www.dovepress.com/getfile.php?fileID=91743","source":{"id":"https://openalex.org/S2764962273","display_name":"Risk Management and Healthcare Policy","issn_l":"1179-1594","issn":["1179-1594"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Risk Management and Healthcare Policy","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10408667","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10408667","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10408667/pdf/rmhp-16-1423.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Risk Manag Healthc Policy","raw_type":"Text"},{"id":"pmid:37560134","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37560134","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Risk management and healthcare policy","raw_type":"Journal Article"},{"id":"pmh:oai:dovepress.com/85681","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/evaluating-the-environmental-impact-of-single-use-and-multi-use-surgic-peer-reviewed-fulltext-article-RMHP","pdf_url":"https://www.dovepress.com/article/download/85681","source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:822994224dbe4c0da3935100dbd2826b","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/822994224dbe4c0da3935100dbd2826b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Risk Management and Healthcare Policy, Vol Volume 16, Pp 1423-1433 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.2147/rmhp.s415989","doi":"https://doi.org/10.2147/rmhp.s415989","is_oa":true,"landing_page_url":"https://doi.org/10.2147/rmhp.s415989","pdf_url":"https://www.dovepress.com/getfile.php?fileID=91743","source":{"id":"https://openalex.org/S2764962273","display_name":"Risk Management and Healthcare Policy","issn_l":"1179-1594","issn":["1179-1594"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Risk Management and Healthcare Policy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Responsible consumption and production","id":"https://metadata.un.org/sdg/12"},{"score":0.8560000061988831,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4385582425.pdf","grobid_xml":"https://content.openalex.org/works/W4385582425.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W200813146","https://openalex.org/W253841595","https://openalex.org/W1994647248","https://openalex.org/W2035021009","https://openalex.org/W2067531231","https://openalex.org/W2128230316","https://openalex.org/W2130867920","https://openalex.org/W2141232047","https://openalex.org/W2214233722","https://openalex.org/W2329087440","https://openalex.org/W2768523674","https://openalex.org/W2782821512","https://openalex.org/W2888142604","https://openalex.org/W2922215780","https://openalex.org/W2925303508","https://openalex.org/W2936403767","https://openalex.org/W2940338421","https://openalex.org/W2979186816","https://openalex.org/W2993049144","https://openalex.org/W2995860720","https://openalex.org/W3007538833","https://openalex.org/W3014488149","https://openalex.org/W3023451645","https://openalex.org/W3042729294","https://openalex.org/W3092157834","https://openalex.org/W3094813377","https://openalex.org/W3126983595","https://openalex.org/W3133197826","https://openalex.org/W3200514726","https://openalex.org/W3211410736","https://openalex.org/W4206588528","https://openalex.org/W4282940512","https://openalex.org/W4290694917","https://openalex.org/W4304172110","https://openalex.org/W4313505795"],"related_works":["https://openalex.org/W3200514726","https://openalex.org/W1970161815","https://openalex.org/W7130818445","https://openalex.org/W2968093071","https://openalex.org/W2996955882","https://openalex.org/W2811439302","https://openalex.org/W4409403323","https://openalex.org/W7140097517","https://openalex.org/W4396513067","https://openalex.org/W3047038026"],"abstract_inverted_index":{"Purpose:":[0],"Operation":[1],"rooms":[2],"have":[3],"a":[4,127,215],"large":[5],"environmental":[6,32,56,66,280],"impact.":[7],"Single-use":[8],"staplers":[9,26],"(SUS)":[10],"are":[11,39],"widely":[12],"used":[13,129,196],"surgical":[14],"instruments":[15],"that":[16],"contribute":[17],"to":[18,45,108,226,259],"resource":[19,173,248],"consumption":[20,249],"and":[21,48,55,60,76,90,99,111,119,123,142,180,200,221,238,245,254],"waste":[22,171,234,241,271],"generation,":[23,172],"whereas":[24],"multi-use":[25],"(MUS)":[27],"can":[28,284],"greatly":[29,286],"reduce":[30],"the":[31,65,91,121,151,161,260,263],"impact":[33,67,281],"of":[34,68,103,126,202,217,282],"surgery.":[35],"The":[36,279],"staple":[37,69,133,206],"lines":[38],"often":[40],"reinforced":[41,147],"with":[42,131,138,145,210,228,291,297],"buttressing":[43,71,112,152,212,268,274,293],"material":[44,89,153,178,219],"prevent":[46],"leaks":[47],"bleeding.":[49],"We":[50,117],"explore":[51],"current":[52],"clinical":[53,115],"practice":[54],"concerns":[57],"regarding":[58,169],"stapling":[59],"buttressing,":[61],"as":[62,64,176],"well":[63],"line":[70,134,207],"in":[72,93,114,160,197,214,262],"sleeve":[73],"gastrectomy":[74],"(SG)":[75,244],"Roux-en-Y":[77],"gastric":[78],"bypass":[79],"(RYGB).":[80],"Furthermore,":[81],"we":[82],"extend":[83],"this":[84],"analysis":[85],"by":[86,185,235,242,250,265,288],"taking":[87],"packaging":[88,124,240],"lithium":[92,187,261],"power":[94],"supplies":[95],"into":[96],"consideration.":[97],"Materials":[98],"Methods:":[100],"A":[101],"survey":[102],"bariatric":[104,198],"surgeons":[105,204],"was":[106,154],"conducted":[107],"assess":[109],"stapler":[110,276],"use":[113,174],"practice.":[116],"deconstructed":[118],"analyzed":[120],"product":[122,233],"composition":[125],"commonly":[128],"SUS":[130,227,296],"separate":[132,229,273,298],"reinforcement":[135],"(Echelon":[136],"Flex\u2122":[137],"Echelon":[139],"Endopath\u2122,":[140],"Ethicon)":[141],"MUS":[143,209,290],"(Signia\u2122":[144],"Tri-Staple\u2122":[146],"reloads,":[148],"Medtronic),":[149],"where":[150],"delivered":[155],"separately":[156],"or":[157],"already":[158],"incorporated":[159],"reload":[162],"cartridge,":[163],"respectively.":[164],"Both":[165],"systems":[166],"were":[167,193],"compared":[168,225],"total":[170,177],"(determined":[175],"requirement),":[179],"greenhouse":[181,222,255],"gas":[182,223,256],"emission":[183],"caused":[184],"their":[186],"content.":[188],"Results:":[189],"60":[190],"mm":[191],"cartridges":[192],"most":[194],"frequently":[195],"surgery,":[199],"67%":[201],"surveyed":[203],"applied":[205],"reinforcement.":[208],"pre-attached":[211,292],"resulted":[213],"reduction":[216],"waste,":[218],"consumption,":[220],"emissions":[224,257],"buttressing:":[230],"they":[231],"reduced":[232,287],"40%":[236],"(SG":[237],"RYBG),":[239],"60%":[243],"57%":[246],"(RYGB),":[247],"more":[251],"than":[252,272,295],"90%,":[253],"related":[258],"batteries":[264],"99.7%.":[266],"Preloaded":[267],"produced":[269],"less":[270],"per":[275],"firing.":[277],"Conclusion:":[278],"surgery":[283],"be":[285],"using":[289],"rather":[294],"buttressing.":[299]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2023-08-05T00:00:00"}
