{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T11:16:34Z","timestamp":1761218194646},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003945","name":"Link\u00f6pings Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003945","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of the study was to analyze the surgical needs of patients seeking emergency care at the Mosul General Hospital in the final phase of the battle of Mosul in northern Iraq between an international military coalition and rebel forces. During the conflict, the International Red Committee of the Red Cross (ICRC) supported the hospital with staff and resources. Ceasefire in the conflict was declared at the end of July 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Routinely collected hospital data from the ICRC\u2010supported Mosul General Hospital from June 6, 2017, to October 1, 2017 were collected and analyzed retrospectively. All patients with weapon\u2010related injuries as well as all patients with other types of injuries or acute surgical illness were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Some 265 patients were admitted during the study period. Non\u2010weapon\u2010related conditions were more common than weapon\u2010related (55.1%). The most common non\u2010weapon\u2010related condition was appendicitis followed by hernia and soft tissue wounds. Blast\/fragment was the most frequent weapon\u2010related injury mechanism followed by gunshot. The most commonly injured body regions were chest and abdomen. Children accounted for 35.3% of all weapon\u2010related injuries. Patients presented at the hospital with weapon\u2010related injuries more than 2\u00a0months after the official declaration of ceasefire. A majority of the non\u2010weapon\u2010related, as well as the weapon\u2010related conditions, needed surgery (88.1% and 87.6%, respectively). Few postoperative complications were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The number of children affected by the fighting seems to be higher in this cohort compared to previous reports. Even several months after the fighting officially ceased, patients with weapon\u2010related injuries were presenting. Everyday illnesses or non\u2010weapon\u2010related injuries dominated. This finding underlines the importance of providing victims of conflicts with surgery for life\u2010threatening conditions, whether weapon related or not.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05250-1","type":"journal-article","created":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T17:03:13Z","timestamp":1572627793000},"page":"673-679","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgical Needs at the End of the Battle of Mosul: Results from Mosul General Hospital"],"prefix":"10.1002","volume":"44","author":[{"given":"Fredrik","family":"B\u00e4ckstr\u00f6m","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Centre for Teaching and Research in Disaster Medicine and Traumatology University Hospital Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"B\u00e4ckstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Sadi","sequence":"additional","affiliation":[{"name":"Department of Surgery Capio St. G\u00f6ran's Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Surgery Vrinnevi Hospital 603 79 Norrk\u00f6ping Sweden"},{"name":"International Medical Program, Centre for Teaching and Research in Disaster Medicine and Traumatology University Hospital Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Wladis","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Centre for Teaching and Research in Disaster Medicine and Traumatology University Hospital Link\u00f6ping Sweden"},{"name":"Department of Surgery Capio St. G\u00f6ran's Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7207.415"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(17)30469\u20102"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)61023\u20104"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h4736"},{"key":"e_1_2_12_6_1","unstructured":"UN.After Mosul victory senior UN officials detail Iraq\u2019s political and humanitarian needs July 17 2017.http:\/\/www.un.org\/apps\/news\/story.asp?NewsID=57192#.WfY807pFw2w. 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AW was the Chief Surgeon of the ICRC when the data were collected. PA has had several short-term contracts with the ICRC.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}