{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T16:11:19Z","timestamp":1774887079642,"version":"3.50.1"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,30]]},"DOI":"10.7759\/cureus.106132","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T15:25:08Z","timestamp":1774884308000},"source":"Crossref","is-referenced-by-count":0,"title":["The Green Scalpel: Aligning United Arab Emirates Perioperative Care With the National Net Zero 2050 Mandate"],"prefix":"10.7759","author":[{"given":"Noun","family":"Gadalla","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Fahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(20)30121-2","article-title":"The environmental footprint of health care: a global assessment","volume":"4","author":"Lenzen M","year":"2020","unstructured":"Lenzen M, Malik A, Li M, et al.. The environmental footprint of health care: a global assessment. Lancet Planet Health. 2020, 4:271-9. 10.1016\/S2542-5196(20)30121-2","journal-title":"Lancet Planet Health"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.91369","article-title":"Green surgery and sustainability in orthopaedic operating rooms: a comprehensive review of environmental initiatives","volume":"17","author":"Mohamed A","year":"2025","unstructured":"Mohamed A, Fuad U, Elsayed A, Elasad A. Green surgery and sustainability in orthopaedic operating rooms: a comprehensive review of environmental initiatives. Cureus. 2025, 17:e91369. 10.7759\/cureus.91369","journal-title":"Cureus"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.112139","article-title":"People, planet and profits: the case for greening operating rooms","volume":"184","author":"Kagoma YK","year":"2012","unstructured":"Kagoma YK, Stall N, Rubinstein E, Naudie D. People, planet and profits: the case for greening operating rooms. CMAJ. 2012, 184:1905-11. 10.1503\/cmaj.112139","journal-title":"CMAJ"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.7707\/hmj.477","article-title":"Integrating the hospital sector into the UAE's Green Economy Strategy","volume":"9","author":"Awofeso N","year":"2016","unstructured":"Awofeso N. Integrating the hospital sector into the UAE's Green Economy Strategy. Hamdan Med J. 2016, 9:265-74. 10.7707\/hmj.477","journal-title":"Hamdan Med J"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31824d6150","article-title":"Assessing the impact on global climate from general anesthetic gases","volume":"114","author":"Andersen MP","year":"2012","unstructured":"Andersen MP, Nielsen OJ, Wallington TJ, Karpichev B, Sander SP. Assessing the impact on global climate from general anesthetic gases. Anesth Analg. 2012, 114:1081-5. 10.1213\/ANE.0b013e31824d6150","journal-title":"Anesth Analg"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(20)30271-0","article-title":"Health care's response to climate change: a carbon footprint assessment of the NHS in England","volume":"5","author":"Tennison I","year":"2021","unstructured":"Tennison I, Roschnik S, Ashby B, et al.. Health care's response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet Health. 2021, 5:e84-92. 10.1016\/S2542-5196(20)30271-0","journal-title":"Lancet Planet Health"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.343","article-title":"Green surgical practices for health care","volume":"146","author":"Kwakye G","year":"2011","unstructured":"Kwakye G, Brat GA, Makary MA. Green surgical practices for health care. Arch Surg. 2011, 146:131-6. 10.1001\/archsurg.2010.343","journal-title":"Arch Surg"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2009.12.029","article-title":"Reducing medical waste","volume":"91","author":"Conrardy J","year":"2010","unstructured":"Conrardy J, Hillanbrand M, Myers S, Nussbaum GF. Reducing medical waste. AORN J. 2010, 91:711-21. 10.1016\/j.aorn.2009.12.029","journal-title":"AORN J"},{"key":"ref9","unstructured":"Emirates Health Services. EHS reveals outcomes of sustainability initiative at COP28. (2023). Accessed: January 5, 2026: https:\/\/www.ehs.gov.ae."},{"key":"ref10","unstructured":"Sheikh Shakhbout Medical City. Sustainability in healthcare is more than just green buildings. (2025). Accessed: January 5, 2026: https:\/\/www.ssmc.ae."},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.cireng.2022.06.013","article-title":"My OR goes green: surgery and sustainability","volume":"100","author":"Pietrabissa A","year":"2022","unstructured":"Pietrabissa A, Pugliese L, Filardo M, Marconi S, Muzzi A, Peri A. My OR goes green: surgery and sustainability. Cir Esp (Engl Ed). 2022, 100:317-9. 10.1016\/j.cireng.2022.06.013","journal-title":"Cir Esp (Engl Ed)"},{"key":"ref12","article-title":"Medical Waste Management in the UAE","author":"Al-Dahiri M","year":"2008","unstructured":"Al-Dahiri M, Maraqa MA, Kanbour F. Medical Waste Management in the UAE. Kuwait Waste Management Conference, Kuwait; 2008."},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.26502\/jesph.96120144","article-title":"Assessment of waste management in the healthcare facilities of Dubai health authority, Dubai, the United Arab Emirates","volume":"5","author":"Awad MA","year":"2021","unstructured":"Awad MA, Elsergany M, Al-Balushi IQ. Assessment of waste management in the healthcare facilities of Dubai health authority, Dubai, the United Arab Emirates. J Environ Sci Public Health. 2021, 5:462-78. 10.26502\/jesph.96120144","journal-title":"J Environ Sci Public Health"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al.. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021, 372:n71. 10.1136\/bmj.n71","journal-title":"BMJ"},{"key":"ref15","unstructured":"UK Health Alliance on Climate Change, Brighton &amp; Sussex Medical School, Centre for Sustainable Healthcare. Green surgery: reducing the environmental impact of surgical care. (2023). Accessed: January 5, 2026: https:\/\/ukhealthalliance.org\/sustainable-healthcare\/green-surgery-report\/."},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(17)30040-2","article-title":"Anaesthetic gases, climate change, and sustainable practice","volume":"1","author":"Charlesworth M","year":"2017","unstructured":"Charlesworth M, Swinton F. Anaesthetic gases, climate change, and sustainable practice. Lancet Planet Health. 2017, 1:e216-7. 10.1016\/S2542-5196(17)30040-2","journal-title":"Lancet Planet Health"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157014","article-title":"Environmental impacts of the US health care system and effects on public health","volume":"11","author":"Eckelman MJ","year":"2016","unstructured":"Eckelman MJ, Sherman J. Environmental impacts of the US health care system and effects on public health. PLoS One. 2016, 11:e0157014. 10.1371\/journal.pone.0157014","journal-title":"PLoS One"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s11367-014-0769-3","article-title":"Comparative life cycle assessment of reused versus disposable dental burs","volume":"19","author":"Unger SR","year":"2014","unstructured":"Unger SR, Landis AE. Comparative life cycle assessment of reused versus disposable dental burs. Int J Life Cycle Assess. 2014, 19:1623-31. 10.1007\/s11367-014-0769-3","journal-title":"Int J Life Cycle Assess"},{"key":"ref19","article-title":"A National Review of Adult Elective Orthopaedic Services in England: Getting it Right First Time","author":"Briggs T","year":"2015","unstructured":"Briggs T. A National Review of Adult Elective Orthopaedic Services in England: Getting it Right First Time. British Orthopaedic Association, London; 2015."},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2014.41.4.312","article-title":"Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction","volume":"41","author":"Lalonde D","year":"2014","unstructured":"Lalonde D, Martin A. Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction. Arch Plast Surg. 2014, 41:312-6. 10.5999\/aps.2014.41.4.312","journal-title":"Arch Plast Surg"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2022.05.009","article-title":"Economic and environmental impacts of the wide-awake, local anesthesia, no tourniquet (WALANT) technique in hand surgery: a review of the literature","volume":"4","author":"Bravo D","year":"2022","unstructured":"Bravo D, Townsend CB, Tulipan J, Ilyas AM. Economic and environmental impacts of the wide-awake, local anesthesia, no tourniquet (WALANT) technique in hand surgery: a review of the literature. J Hand Surg Glob Online. 2022, 4:456-63. 10.1016\/j.jhsg.2022.05.009","journal-title":"J Hand Surg Glob Online"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1086\/529587","article-title":"Economic analysis of reprocessing single-use medical devices: a systematic literature review","volume":"29","author":"Jacobs P","year":"2008","unstructured":"Jacobs P, Polisena J, Hailey D, Lafferty S. Economic analysis of reprocessing single-use medical devices: a systematic literature review. Infect Control Hosp Epidemiol. 2008, 29:297-301. 10.1086\/529587","journal-title":"Infect Control Hosp Epidemiol"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31824d9cc3","article-title":"A comparison of reusable and disposable perioperative textiles: sustainability state-of-the-art 2012","volume":"114","author":"Overcash M","year":"2012","unstructured":"Overcash M. A comparison of reusable and disposable perioperative textiles: sustainability state-of-the-art 2012. Anesth Analg. 2012, 114:1055-66. 10.1213\/ANE.0b013e31824d9cc3","journal-title":"Anesth Analg"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.12885","article-title":"An environmental analysis of reusable and disposable surgical gowns","volume":"111","author":"Vozzola E","year":"2020","unstructured":"Vozzola E, Overcash M, Griffing E. An environmental analysis of reusable and disposable surgical gowns. AORN J. 2020, 111:315-25. 10.1002\/aorn.12885","journal-title":"AORN J"},{"key":"ref25","article-title":"Sustainability and Resilience in Abu Dhabi's Health System, Partnership for Health System Sustainability and Resilience (PHSSR)","author":"Acu\u00f1a JM","year":"2025","unstructured":"Acu\u00f1a JM, Stanciole AE. Sustainability and Resilience in Abu Dhabi's Health System, Partnership for Health System Sustainability and Resilience (PHSSR). London School of Economics and Political Science, London; 2025."},{"key":"ref26","article-title":"Sustainability in the Operating Theatre: A Guide to Good Practice","author":"Royal College of Surgeons of England","year":"2022","unstructured":"Royal College of Surgeons of England. Sustainability in the Operating Theatre: A Guide to Good Practice. Royal College of Surgeons of England, London; 2022."},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32290-X","article-title":"The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises","volume":"397","author":"Watts N","year":"2021","unstructured":"Watts N, Amann M, Arnell N, et al.. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. Lancet. 2021, 397:129-70. 10.1016\/S0140-6736(20)32290-X","journal-title":"Lancet"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(17)30162-6","article-title":"The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems","volume":"1","author":"MacNeill AJ","year":"2017","unstructured":"MacNeill AJ, Lillywhite R, Brown CJ. The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems. Lancet Planet Health. 2017, 1:e381-8. 10.1016\/S2542-5196(17)30162-6","journal-title":"Lancet Planet Health"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304397","article-title":"Strategies to reduce greenhouse gas emissions from laparoscopic surgery","volume":"108","author":"Thiel CL","year":"2018","unstructured":"Thiel CL, Woods NC, Bilec MM. Strategies to reduce greenhouse gas emissions from laparoscopic surgery. Am J Public Health. 2018, 108:S158-64. 10.2105\/AJPH.2018.304397","journal-title":"Am J Public Health"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(21)00005-X","article-title":"Planetary health care: a framework for sustainable health systems","volume":"5","author":"MacNeill AJ","year":"2021","unstructured":"MacNeill AJ, McGain F, Sherman JD. Planetary health care: a framework for sustainable health systems. Lancet Planetary Health. 2021, 5:e66-8. 10.1016\/S2542-5196(21)00005-X","journal-title":"Lancet Planetary Health"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1177\/22925503221088839","article-title":"Carbon neutral hand surgery: simple changes to reduce carbon footprint","volume":"32","author":"Ma Y","year":"2024","unstructured":"Ma Y, Han S. Carbon neutral hand surgery: simple changes to reduce carbon footprint. Plast Surg. 2024, 32:108-12. 10.1177\/22925503221088839","journal-title":"Plast Surg"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.015711","article-title":"Surgical waste audit of 5 total knee arthroplasties","volume":"56","author":"Stall NM","year":"2013","unstructured":"Stall NM, Kagoma YK, Bondy JN, Naudie D. Surgical waste audit of 5 total knee arthroplasties. Can J Surg. 2013, 56:97-102. 10.1503\/cjs.015711","journal-title":"Can J Surg"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjane.2023.09.003","article-title":"Greening the operating room","volume":"74","author":"Cachefo-Pereira A","year":"2024","unstructured":"Cachefo-Pereira A, Souza EP. Greening the operating room. Braz J Anesthesiol. 2024, 74:744464. 10.1016\/j.bjane.2023.09.003","journal-title":"Braz J Anesthesiol"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10229-0","article-title":"Green surgery: time to make a choice","volume":"37","author":"Pietrabissa A","year":"2023","unstructured":"Pietrabissa A, Sylla P. Green surgery: time to make a choice. Surg Endosc. 2023, 37:6609-10. 10.1007\/s00464-023-10229-0","journal-title":"Surg Endosc"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10962-0","article-title":"Sustainability in surgical practice: a collaborative call toward environmental sustainability in operating rooms","volume":"38","author":"Johnson SM","year":"2024","unstructured":"Johnson SM, Marconi S, Sanchez-Casalongue M, et al.. Sustainability in surgical practice: a collaborative call toward environmental sustainability in operating rooms. Surg Endosc. 2024, 38:4127-37. 10.1007\/s00464-024-10962-0","journal-title":"Surg Endosc"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.wasman.2008.08.028","article-title":"Hospital waste management in Libya: a case study","volume":"29","author":"Sawalem M","year":"2009","unstructured":"Sawalem M, Selic E, Herbell JD. Hospital waste management in Libya: a case study. Waste Manag. 2009, 29:1370-5. 10.1016\/j.wasman.2008.08.028","journal-title":"Waste Manag"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11137-7","article-title":"Perspectives on sustainability among surgeons: findings from the SAGES-EAES sustainability in surgical practice task force survey","volume":"38","author":"Sathe TS","year":"2024","unstructured":"Sathe TS, Alseidi A, Bellato V, et al.. Perspectives on sustainability among surgeons: findings from the SAGES-EAES sustainability in surgical practice task force survey. Surg Endosc. 2024, 38:5803-14. 10.1007\/s00464-024-11137-7","journal-title":"Surg Endosc"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31824f6959","article-title":"Comparative life cycle assessment of disposable and reusable laryngeal mask airways","volume":"114","author":"Eckelman M","year":"2012","unstructured":"Eckelman M, Mosher M, Gonzalez A, Sherman J. Comparative life cycle assessment of disposable and reusable laryngeal mask airways. Anesth Analg. 2012, 114:1067-72. 10.1213\/ANE.0b013e31824f6959","journal-title":"Anesth Analg"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/474836-the-green-scalpel-aligning-united-arab-emirates-perioperative-care-with-the-national-net-zero-2050-mandate","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T15:25:10Z","timestamp":1774884310000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/474836-the-green-scalpel-aligning-united-arab-emirates-perioperative-care-with-the-national-net-zero-2050-mandate"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,30]]},"references-count":38,"URL":"https:\/\/doi.org\/10.7759\/cureus.106132","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,30]]}}}