{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:10:30Z","timestamp":1790161830900,"version":"4.1.0"},"reference-count":58,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Massenanf\u00e4lle von Verletzten stellen Krankenh\u00e4user vor erhebliche medizinische und organisatorische Herausforderungen. Charakteristisch sind eine hohe Zahl gleichzeitig eintreffender Patienten, limitierte personelle und materielle Ressourcen sowie zeitkritische Entscheidungen. Aus viszeralchirurgischer Sicht sind abdominale Verletzungen mit Blutung, Kontamination und Mehrorganbeteiligung, die eine schnelle chirurgische Versorgung und enge interdisziplin\u00e4re Zusammenarbeit erfordern, besonders relevant. Diese Verletzungsmuster finden sich typischerweise im Rahmen aktueller Terrorlagen, von Konflikten und Kriegen und sind dadurch Grundlage der Vorbereitungen f\u00fcr die Landes- und B\u00fcndnisverteidigung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Es erfolgt die Darstellung der fachlichen, ethischen, organisatorischen und strukturellen Anforderungen an die viszeralchirurgische Versorgung im Rahmen eines Massenanfalls von Verletzten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Aus einer strukturierten Literaturanalyse wurde eine narrative \u00dcbersicht zu Katastrophenmedizin, chirurgischer Triage, Damage Control Surgery sowie organisatorischen Aspekten der chirurgischen Krisenversorgung erstellt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Zentrale Voraussetzungen f\u00fcr eine erfolgreiche Versorgung sind eine konsequente und lageangepasste chirurgische Triage, ein Damage-Control-orientiertes operatives Vorgehen, belastbare klinische Strukturen sowie transparente medizinethische Entscheidungsprozesse. Dar\u00fcber hinaus sind standardisierte F\u00fchrungs- und Kommunikationsstrukturen, interdisziplin\u00e4re Zusammenarbeit sowie regelm\u00e4\u00dfige realit\u00e4tsnahe \u00dcbungen essenziell.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die (viszeral)chirurgische Versorgung im Massenanfall bzw. einer Belastungssituation \u00fcber einen unbestimmten Zeitraum bei Konflikt oder Krieg erfordert neben operativer Expertise insbesondere Krisenkompetenz, organisatorische Resilienz und strukturierte Entscheidungsprozesse. Eine systematische Vorbereitung mit standardisierten Konzepten und \u00dcbungen ist entscheidend f\u00fcr eine belastbare chirurgische Krisenversorgung.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00104-026-02549-3","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:40:06Z","timestamp":1788172806000},"page":"777-785","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Viszeralchirurgie im Massenanfall bei Katastrophe, Krise, Krieg (3K)","Visceral surgery in mass casualty incidents due to disasters, crises and war"],"prefix":"10.1007","volume":"97","author":[{"given":"Arnulf Gregor","family":"Willms","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Schaaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Vallb\u00f6hmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang E.","family":"Thasler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliona","family":"W\u00f6hler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"K\u00fchler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Tepel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Heidelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"G\u00fcsgen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Westerfeld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Franke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Beltzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"CAMIN-Study-Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2549_CR1","doi-asserted-by":"crossref","unstructured":"Arcos Gonzalez P, Castro Delgado R, Cuartas Alvarez T et\u00a0al. 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Hernia 26:61\u201373.","DOI":"10.1007\/s10029-020-02336-x"}],"container-title":["Die Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-026-02549-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00104-026-02549-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-026-02549-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T10:25:05Z","timestamp":1790159105000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00104-026-02549-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":58,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["2549"],"URL":"https:\/\/doi.org\/10.1007\/s00104-026-02549-3","relation":{},"ISSN":["2731-6971","2731-698X"],"issn-type":[{"value":"2731-6971","type":"print"},{"value":"2731-698X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"24 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A.G.\u00a0Willms, S.\u00a0Schaaf, D.\u00a0Vallb\u00f6hmer, W.E.\u00a0Thasler, A.\u00a0W\u00f6hler, N.\u00a0K\u00fchler, J.\u00a0Tepel, L.\u00a0Heidelmann, C.\u00a0G\u00fcsgen, A.\u00a0Westerfeld, A.\u00a0Franke und C.\u00a0Beltzer geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}