Evidence map›Paper›PMID 41400664›Full record

ArticleChirurgie (Heidelberg, Germany)2026

[New security threats in Europe: how prepared is German surgery for victims of war and violence?]

Arnulf G Willms, Sebastian Schaaf, Martin Reichert, Thilo Schwandner, Christoph Güsgen, Karl J Oldhafer, Franziska Willis, Andreas Hecker, CAMIN-UKRAINE Study Group

Erratum issuedAbstract readEnglish Abstract
PubMed Publisher
In one paragraph

Article in Chirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

  • Erratum issued
    2026
5 · Who and what money

Authors and funding

9 authors.

Arnulf G WillmsKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Str. 170, 56072, Koblenz, Deutschland.
Sebastian SchaafKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Str. 170, 56072, Koblenz, Deutschland. sebastianschaaf@bundeswehr.org.ORCID http://orcid.org/0000-0002-1920-7090
Martin ReichertAllgemein‑, Viszeral‑, Thorax- und Transplantationschirurgie, Universitätsklinikum Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland.
Thilo SchwandnerAbteilung für Allgemein- und Viszeralchirurgie, Asklepios Klinikum Lich, Goethestr. 4, 35423, Lich, Deutschland.
Christoph GüsgenKlinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Str. 170, 56072, Koblenz, Deutschland.
Karl J OldhaferDepartement Chirurgie, Asklepios Klinikum Barmbek, Rübenkamp 220, 22307, Hamburg, Deutschland.
Franziska WillisAllgemein‑, Viszeral‑, Thorax- und Transplantationschirurgie, Universitätsklinikum Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland.
Andreas HeckerAllgemein‑, Viszeral‑, Thorax- und Transplantationschirurgie, Universitätsklinikum Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland.
CAMIN-UKRAINE Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Russian invasion of Ukraine has confronted Germany with the realities of military conflict, including the medical care of seriously injured soldiers and civilians brought in through humanitarian efforts. This raises concerns about the preparedness of the German healthcare system for such scenarios, particularly in terms of personnel and structural resources for the treatment of penetrating injuries, which are typical for the military context. MATERIAL AND

methodsAn online survey was distributed via email to members of the German Society for General and Visceral Surgery (DGAV). Respondents were asked about structural prerequisites in emergency care capabilities at their institutions and personal experiences managing penetrating trunk injuries (n = 411; 94.6% from civilian hospitals).

resultsDespite increasing specialization 34% of visceral surgeons reported performing emergency thoracotomy themselves. Access to a thoracic surgeon is available in only 50% of the hospitals and to a cardiac surgeon in 26%. The majority of respondents felt inadequately prepared to manage penetrating injuries, especially those resembling military trauma patterns (e.g., shrapnel, blast injuries) as opposed to civilian gunshot wounds.

conclusionGiven these findings and the evolving geopolitical and security landscape, basic military surgical knowledge must be more broadly disseminated and systematically integrated into national emergency preparedness and disaster response frameworks in order to strengthen the capability for treatment in exceptional situations.

Indexed as

Military MedicineViolenceWarfareWar-Related InjuriesWounds, PenetratingGermanyHumansSurveys and QuestionnairesUkraineDamage control surgeryEmergency surgeryGunshot injuriesPenetrating abdominal traumaPenetrating chest traumaPenetrating traumaSurgical education

Identifiers

PMID41400664

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.