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Five months of surgery in the Multinational Field Hospital in Afghanistan with an emphasis on Oral and Maxillofacial injuries
  1. Major Johno Breeze1,
  2. Monaghan AM, Consultant Oral and Maxillofacial Surgeon2,
  3. Williams MD, Consultant Oral and Maxillofacial Surgeon3,
  4. Clark RNW, Consultant Oral and Maxillofacial Surgeon4 and
  5. Gibbons AJ, Consultant Oral and Maxillofacial Surgeon5
  1. 1Head and Neck Clinical Research Fellow, Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham Research Park, Vincent Drive, Birmingham, England
  2. 2Department of Maxillofacial Surgery, University Hospital Birmingham, Edgbaston, Birmingham
  3. 3Department of Oral and Maxillofacial Surgery, East Sussex Hospitals Trust, Kings Drive, Eastbourne, East Sussex
  4. 4Department of Oral and Maxillofacial Surgery, Royal Surrey County Hospital, Egerton Road, Guildford
  5. 5Department of Oral and Maxillofacial Surgery, Peterborough Hospital, Thorpe Road, Peterborough, Cambridgeshire
  1. Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham B15 2SQ johnobreeze{at}


The aim of this review was to assess the workload of theatres in the role 3 Multinational Field Hospital in Kandahar, Afghanistan and to identify what period of day most emergency admissions arrived. During the period 05 August 2006 to 21 December 2006, 288 operations were performed on 259 patients and comprised 393 individually quantifiable procedures. 98% of these operations were to treat acute injuries. Oral and Maxillofacial surgeons were involved in 24% of operations. 63% of procedures done at these operations involved upper or lower limbs, 19% the head and neck and 18% involved the torso. An analysis of emergency admissions in November 2006 showed thatmost occurred between 18.00 andmidnight. Although theatre timetabling made provision for this, whenever possible, elective surgery was scheduled for the following morning when emergency injury admissions were at their lowest.

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