title: Surgical management of Syria's war casualties: experience from a French surgical team deployed in the Zaatari refugee camp (Jordan).
abstract: OBJECTIVE
  In August 2012, the Zaatari refugee camp was opened in Jordan under the auspices of the United Nations High Commissioner for Refugees. France deployed there a surgical facility to treat victims of war trauma.
  
  
  METHODS
  After a phase of intensive care and resuscitation, surgical management meeting the current standards of war surgery was conducted. Then, patients were transferred to a Jordanian civilian hospital or stayed in the Zaatari camp. A retrospective analysis of patient data was performed.
  
  
  RESULTS
  From January to March 2013, 95 patients were managed: 85% of patients were male with a median age of 27 years (4-65); 5% of patients were <18 years of age. All patients were Syrian, civilian or members of the "Free Syrian Army." Penetrating trauma accounted for 95% of lesions. A total of 105 surgeries were performed, including: 33 external fixators, 8 laparotomies, 8 nerve repairs, 6 cover flaps, 4 direct arterial repairs, 2 reversed saphenous vein bypass grafts, and 1 amputation. The median length of stay on the wards was 3.71 days; 43% of patients were transferred to Jordanian civilian hospitals.
  
  
  CONCLUSIONS
  The presence at the Zaatari camp of a surgical facility, which is experienced and specialized in war surgery, is essential, as long as battles are ongoing. Many victims will later require long-term surgical care for the management of the sequelae associated with these traumas.
authors.affiliation: 6ème Antenne Chirurgicale Aérotransportable, Service de chirurgie thoracique et viscérale, Hôpital d'Instruction des Armées PERCY, 101 Boulevard Henri Barbusse, 92140, Clamart, France, emmanuelhornez@free.fr.
authors.forename: E
authors.initials: E
authors.lastname: Hornez
authors.forename: P
authors.initials: P
authors.lastname: Ramiara
authors.forename: N
authors.initials: N
authors.lastname: Mocellin
authors.forename: X
authors.initials: X
authors.lastname: Bajard
authors.forename: S
authors.initials: S
authors.lastname: Legoudeveze
authors.forename: C
authors.initials: C
authors.lastname: Charpail
authors.forename: D
authors.initials: D
authors.lastname: Ollat
mesh_terms: D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical / Q000401:mortality / Q000706:statistics & numerical data*; D000068337:Armed Conflicts; D001753:Blast Injuries / Q000401:mortality / Q000628:therapy*; D004638:Emergency Treatment; D005260:Female; D005602:France / Q000453:epidemiology; D006772:Hospitals, Military / Q000706:statistics & numerical data; D006801:Humans; D007597:Jordan / Q000453:epidemiology; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D009104:Multiple Trauma / Q000401:mortality / Q000628:therapy*; D012036:Refugees / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D015996:Survival Rate; D013593:Syria / Q000453:epidemiology; D014950:Wounds, Penetrating / Q000401:mortality / Q000628:therapy*