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The renewable development charter was obtainable in only 23% of establishments, while 19% had a sustainable development committee, and particular lasting development actions had been performed in 27%. The degree of knowledge of surgeons in Île-de-France on lasting development was reasonable. As a whole, surgical products are not complying using the guidelines of good practice on CO reduction. It is necessary to get strategies to lessen the effect of operating theaters on the environment.The le
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