ArticleInternational orthopaedics2020
War surgery in Afghanistan: a model for mass causalities in terror attacks?
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Changes in orthopaedic surgical procedures in post-war Afghanistan: A retrospective review of internal fixation procedures at Lashkar-Gah non-governmental organization hospital (2020 - 2023).Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- A review of practices and policies of international humanitarian organizations in conflict-affected settings: are we ensuring sustainability of surgical care?Conflict and health · 2026Article
- The portrayal of injuries to the extremities and their reconstruction in times of conflict (Khartoum, Sudan): a cross-sectional.Annals of medicine and surgery (2012) · 2025Article
- Exploratory laparotomy during the battle of Mosul, 2016-2017: results from a tertiary civilian hospital in Erbil, Iraqi Kurdistan.BMC emergency medicine · 2023Article
- Kabul airport suicide attack: report of a mass casualty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
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Authors and funding
4 authors.
Funding
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Abstract
purposeThe aim of the study was to identify solution strategies from a non-governmental (NGO) hospital in a war region for violence-related injuries and to show how high-income countries (HIC) might benefit from this expertise.
methodsNGO trauma hospital in Lashkar Gah, Afghanistan. Four hundred eighty-four war victims admitted in a three month period (February 2016-May 2016) were included. Patients´ characteristics were analyzed.
resultsThe mean age was 23.5 years. Four hundred thirty-four (89.9%) were male, and 50 (10.1%) were female. The most common cause of injury was bullet injuries, shell injuries, and mine injuries. The most common injured body region was the lower extremity, upper extremity, and the chest or the face. Apart from surgical wound care and debridements, which were performed on every wound in the operation theatre, laparotomy was the most common surgical procedure, followed by installation of a chest drainage and amputation.
conclusionThe surgical expertise and clear pathways outweigh modern infrastructure. In case of a mass casualty incident, fast decision-making with basic diagnostic means in order to take rapid measurements for life-saving therapies could make the difference.
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