• E Hornez, P Ramiara, N Mocellin, X Bajard, S Legoudeveze, C Charpail, and D Ollat.
• 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.
• Eur J Trauma Emerg Surg. 2015 Apr 1; 41 (2): 143147143-7.

PurposeIn 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.MethodsAfter 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.ResultsFrom 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.ConclusionsThe 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.

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