[[Indirect revascularization]] is one of the [[surgical treatment]] [[option]]s used for [[pediatric Moyamoya disease]]. It involves creating new [[blood vessel]]s to [[bypass]] the narrowed or blocked arteries in the brain, promoting better [[blood flow]] and [[oxygen]] [[supply]] to the affected areas. ---- [[Supply]] [[cost]]s are 56% of a total [[OR]] [[budget]] ((de Sa D, Stephens K, Kuang M, Simunovic N, Karlsson J, Ayeni OR. The direct environmental impact of hip arthroscopy for femoroacetabular impingement: a surgical waste audit of five cases. J Hip Preserv Surg. 2016;3(2):132- 137.)). US academic medical centers use 2 million pounds ($15 million) of recoverable medical supplies that can be reused through sterilization or processing, annually ((Barlow RD. Proper liquid waste disposal mines solid gold bottom line. Healthcare Purchasing New Research. 2004. Available at: https://www.hpnonline.com/inside/ 2004-06/liquid_waste_disposal.htm. Accessed June 23, 2018.)) ((Dotinga R. Very Special Delivery: Unused U.S. Surgical Supplies. 2014. Available at: https://www.hometownpharmacywi.com/patient-resources/article_modal/ 693129/very-special-delivery-unused-u.s.-surgical-supplies.)) ((Melamed A. Environmental accountability in perioperative settings. AORN J. 2003;77(6):1157-1168)).