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

To systematically evaluate the economic and environmental impacts of disposable versus reusable instruments in minimally invasive surgical procedures, emphasizing the need for a dual focus.

Key Findings:
  • Disposable instruments have higher per-unit costs but lower sterilization and cross-contamination risks; reusable instruments may be more cost-effective over time despite higher initial and sterilization costs; environmental impacts are complex, with disposables contributing to medical waste and reusables requiring resources for cleaning.
Interpretation:

The review highlights the need for a comprehensive understanding of both economic and environmental factors when choosing surgical instruments, as existing literature often addresses these aspects in isolation, impacting decision-making in surgical practice.

Limitations:
  • Limited generalizability due to focus on specific procedures or healthcare settings; exclusion of studies without actual data collection may overlook real-world costs and waste production, potentially introducing selection bias.
Conclusion:

A systematic review is essential to inform sustainable practices in minimally invasive surgery by integrating economic and environmental considerations, ultimately guiding better decision-making.

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