The role of plastic surgery in the management of war injuries from the Russo-Ukrainian War

Background Plastic Surgery originated in war and still has an important role in the management of war wounds and their sequelae. Since June 2022 the Plastic Surgery department of Zaragoza’s Miguel Servet University Hospital has been involved in the management of patients with injuries secondary to the Russo-Ukrainian War. In this paper we describe the activity of the plastic surgeons involved and the types of injuries and procedures performed. Methods We included patients injured in the Russo-Ukrainian conflict transferred for multidisciplinary care to the General Defence Hospital in Zaragoza from June 2022 until December 2023. We gathered epidemiological data, mechanism of injury, anatomical location, types of plastic surgery performed, number of interventions and complications. Results In the period from June 2022 to December 2023 the multidisciplinary team provided care for a total of 59 patients. Plastic surgeons were involved in the care of 16 patients with a total of 34 plastic surgery procedures: 7 microsurgical free flaps, 6 regional flaps, 4 grafts, 8 debridements, 3 flap remodelings, 4 Targeted Muscle Reinervations, 1 amputation and 1 hand surgery. Three patients suffered from major complications in the form of infections of the surgical wound. Conclusions Our study showed the crucial role of Plastic Surgery in the management of war injuries and the high proportion of high-complexity microsurgical procedures needed to take care of this type of injury. Level of evidence Level IV, Therapeutic.