ReviewChirurgie (Heidelberg, Germany)2026
[Visceral surgery in mass casualty incidents due to disasters, crises and war].
Review in Chirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMass casualty incidents with a focus on visceral surgery pose major medical and organizational challenges for hospitals. They are characterized by a large number of simultaneously admitted patients, limited personnel and material resources as well as the necessity to make time-critical surgical decisions. From a visceral surgical perspective, abdominal injuries involving severe bleeding, contamination and multiorgan involvement are particularly demanding as they require rapid surgical intervention and close interdisciplinary cooperation. This injury pattern is typically encountered in current terror situations, conflicts and wars and is therefore the foundation of the preparations for national and alliance defence.
objectiveThe article outlines the surgical, ethical, organizational and structural requirements for visceral surgical care in mass casualty incidents. MATERIAL AND
methodsBased on a structured analysis of the literature, a narrative review was performed, focusing on disaster medicine, surgical triage, damage control surgery and organizational aspects of surgical crisis management.
resultsKey prerequisites for successful management include a consistent and dynamic surgical triage, damage control-oriented surgical strategies, resilient clinical structures and transparent medical ethical decision-making processes. Furthermore, standardized leadership and communication structures, interdisciplinary collaboration and regular realistic training are essential.
conclusionEffective visceral surgical mangement during mass casualty incidents or demanding situations over an indefinite time period due to conflicts or war requires not only surgical expertise but also crisis management skills, organizational resilience and structured decision-making processes. A systematic preparation through standardized concepts and regular training is essential for sustainable surgical disaster preparedness.
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