title: The results of the three-month co-operation between a German and a Greek surgical team in a role II military hospital in Afghanistan.
abstract: OBJECTIVE
  There are a lot of unique challenges for the military medical personnel assigned to Afghanistan. We evaluate the results of the co-operation between a German and a Greek surgical team during a 3-month period in a role II hospital.
  
  
  METHODS
  Patients who were admitted to the role II German hospital of Kunduz were evaluated. We reviewed the type of diseases, mechanism and location of injuries, management, types of surgical procedures, blood supply, and outcome.
  
  
  RESULTS
  The data included 792 ISAF patients, 18 NGOs patients, and 296 local patients. Out of them, 71.6% of the patients were ISAF personnel; 51 patients underwent a surgical operation; 35 of them were operated in an emergency base. Fifty-five surgical procedures were performed. In 22 (43.1%) of these patients, orthopedic procedures were performed, while in the rest 29 (56.9%) patients the operations were of general surgery interest. Gunshot injuries were the main mechanism of injury for locals, whereas ISAF personnel were usually presented with injuries after IEDs and rocket attacks. A total number of 11 patients were transferred to role III military hospitals for further treatment within 24 hours.
  
  
  CONCLUSIONS
  The co-operation between surgical teams from different countries, when appropriately trained, staffed, and equipped, can be highly effective in a combat environment.
authors.affiliation: Department of Second Surgical, 401 General Army Hospital of Athens, Greece.
authors.forename: Stavros
authors.initials: S
authors.lastname: Gourgiotis
authors.forename: Christos
authors.initials: C
authors.lastname: Triantafyllou
authors.forename: Athanasios
authors.initials: A
authors.lastname: Karamitros
authors.forename: Katrin
authors.initials: K
authors.lastname: Thinnes
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Thüringen
authors.forename: Roland
authors.initials: R
authors.lastname: Schmidt