Financial implications of single-use versus multi-use instruments in minimally invasive surgical procedures: a comprehensive review - Report - MDSpire

Financial implications of single-use versus multi-use instruments in minimally invasive surgical procedures: a comprehensive review

  • By

  • Pieter J. W. Greve

  • Masie Rahimi

  • Freek Daams

  • Jan Willem M. Greve

  • Jaap H. Bonjer

  • Tim Horeman

  • Marlies P. Schijven

  • April 22, 2026

  • 0 min

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Clinical Report: Financial implications of single-use versus multi-use instruments

Overview

This systematic review evaluates the economic and environmental impacts of disposable versus reusable instruments in minimally invasive surgeries. It highlights the complex cost dynamics and environmental considerations associated with each type of instrument.

Background

Minimally invasive surgical procedures have transformed patient care by reducing recovery times and complications. The choice between disposable and reusable surgical instruments significantly affects both economic and environmental outcomes in healthcare settings. Understanding these implications is crucial for informed decision-making in surgical practice.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Disposable instruments have higher per-unit costs but lower risks of cross-contamination.
  • Reusable instruments may be more cost-effective over time despite higher initial investments.
  • The environmental impact of disposable instruments contributes significantly to medical waste.
  • Reusable instruments require resources for cleaning and sterilization, impacting environmental sustainability.
  • There is a lack of comprehensive evidence comparing the cost-effectiveness of both types of instruments.

Clinical Implications

Healthcare professionals should weigh the economic and environmental impacts when selecting surgical instruments. A balanced approach considering both cost and sustainability can enhance surgical practice and patient outcomes.

Conclusion

This review underscores the need for a systematic evaluation of the financial and environmental implications of surgical instruments, guiding future practices in minimally invasive surgery.

References

  1. Retinal Physician, 2010 -- Disposable vs Reusable Surgical Instruments: How to Decide?
  2. Surgical Endoscopy, 2021 -- Assessment of Environmental Effects and Financial Implications of Hybrid Instruments
  3. Surgical Endoscopy, 2026 -- From procurement to disposal: a framework for cost analysis
  4. Sustainable Practices in Urology, 2025 -- A Comprehensive Review of Environmental Impact
  5. Infection Control & Hospital Epidemiology, 2023 -- Multisociety guidance for sterilization
  6. Surgical Endoscopy, 2026 -- Economic impact of disposable versus reusable instruments
  7. Multisociety guidance for sterilization and high-level disinfection | Infection Control & Hospital Epidemiology | Cambridge Core
  8. Economic impact of disposable versus reusable instruments in minimally invasive surgery: a systematic review | Surgical Endoscopy | Springer Nature Link
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