Abstract：
OBJECTIVE: Climate change has immediate impacts on women\'s health. Hospitals and operating rooms are large contributors to greenhouse gas (GHG) emissions and waste. This article will review current green initiatives designed to minimize environmental impact in the operating room and highlight areas for future improvement.
RESULTS: From a materials perspective, reusable goods result in less GHG emissions while being just as efficacious, well tolerated, and easy to use. Materials should be opened judiciously, only as necessary. Processing regulated medical waste produces greater GHG emissions, so waste should be properly sorted, and items which are not biohazard waste should be processed separately. Choosing appropriate anesthesia and utilizing an \'off\' setting, in which operating rooms are shut down when not in use, can also drastically decrease the environmental impact of surgery. Further research is needed to determine effective implementation in hospitals.
CONCLUSIONS: This article summarizes current attempts to make operating rooms more sustainable. Many practices result in a decreased carbon footprint and cost savings without adversely affecting patient outcomes. Gynecologic surgeons and the hospitals in which they practice need to focus on implementing these changes in a timely fashion.
RESULTS: From a materials perspective, reusable goods result in less GHG emissions while being just as efficacious, well tolerated, and easy to use. Materials should be opened judiciously, only as necessary. Processing regulated medical waste produces greater GHG emissions, so waste should be properly sorted, and items which are not biohazard waste should be processed separately. Choosing appropriate anesthesia and utilizing an \'off\' setting, in which operating rooms are shut down when not in use, can also drastically decrease the environmental impact of surgery. Further research is needed to determine effective implementation in hospitals.
CONCLUSIONS: This article summarizes current attempts to make operating rooms more sustainable. Many practices result in a decreased carbon footprint and cost savings without adversely affecting patient outcomes. Gynecologic surgeons and the hospitals in which they practice need to focus on implementing these changes in a timely fashion.
摘要：
目标：气候变化对妇女健康有直接影响。医院和手术室是温室气体(GHG)排放和废物的主要贡献者。本文将回顾当前的绿色举措，旨在最大程度地减少手术室对环境的影响，并强调未来的改进领域。
结果：从材料的角度来看，可重复使用的商品导致更少的温室气体排放，同时同样有效，良好的耐受性，并且易于使用。材料应该谨慎地打开，只在必要时。处理受管制的医疗废物会产生更多的温室气体排放，所以废物应该适当分类，和不属于生物危害废物的物品应分开处理。选择适当的麻醉并使用“关闭”设置，手术室在不使用时关闭，还可以大大减少手术对环境的影响。需要进一步的研究来确定医院的有效实施。
结论：本文总结了当前使手术室更具可持续性的尝试。许多实践导致碳足迹减少和成本节约,而不会不利地影响患者结果。妇科医生和他们执业的医院需要集中精力及时实施这些变化。
结果：从材料的角度来看，可重复使用的商品导致更少的温室气体排放，同时同样有效，良好的耐受性，并且易于使用。材料应该谨慎地打开，只在必要时。处理受管制的医疗废物会产生更多的温室气体排放，所以废物应该适当分类，和不属于生物危害废物的物品应分开处理。选择适当的麻醉并使用“关闭”设置，手术室在不使用时关闭，还可以大大减少手术对环境的影响。需要进一步的研究来确定医院的有效实施。
结论：本文总结了当前使手术室更具可持续性的尝试。许多实践导致碳足迹减少和成本节约,而不会不利地影响患者结果。妇科医生和他们执业的医院需要集中精力及时实施这些变化。
