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Frugal Surgical Innovations for a Greener Global Health Landscape Cover

Frugal Surgical Innovations for a Greener Global Health Landscape

Open Access
|Apr 2026

Figures & Tables

Figure 1

GILLS at Kondagaon

Figure 2

Dr. Erica Janszen supervising GILLS surgery at Narayanpur

Figure 3

Large open suction in use during GILLS laparoscopic surgery

Table 1

CO 2 Footprint calculations

ITEMEXPENSE (in Kg CO2)SAVING (in Kg CO2)
Traveling by air to one remote rural hospital for Surgical camp450
5 Road trips for getting gases for conventional laparoscopic surgeries580
50 people traveling 300 km by public transport for treatment elsewhere750
50 hours of GILLS under spinal anaesthesia (instead of General anaesthesia)1375
50 Hours of endoscopic surgeries with Laptop Cystoscope (instead of conventional)1000
Savings by local surgeon doing surgeries with Laptop Cystoscope545
TOTAL4504250
Figure 4

Comparing conventional imaging system and laptop cystoscope

Figure 5

Laparoscopic surgeries using Laptop cystoscope

Figure 6

Dr. Nagulan operating with the Dual digital scope

DOI: https://doi.org/10.15566/7h408j04 | Journal eISSN: 2167-2415
Language: English
Page range: 211 - 217
Submitted on: Nov 7, 2025
Accepted on: Feb 28, 2026
Published on: Apr 17, 2026
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services

© 2026 Gnanaraj Jesudian, Erica W.M. Janszen, Nagulan, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.