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Development of a Multinational Collaboration Supporting Reconstructive Surgery in Response to the 2023-2025 War in
Pranav N Haravu1, Elaine Lin2, Leila Chelbi3
1From the Division of Plastic, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, NC.
Plastic and Reconstructive Surgery. Global Open
|February 25, 2026
Summary
A new framework enables multinational teams to plan reconstructive surgery in Gaza during conflict. This proactive approach addresses urgent civilian needs and improves surgical care delivery in humanitarian crises.
Area of Science:
- Global Health
- Plastic Surgery
- Humanitarian Aid
Background:
- The Gaza healthcare system is devastated by conflict, creating a critical need for reconstructive surgery.
- Traditional humanitarian aid delays reconstructive care until conflict ends, increasing patient morbidity.
- Limited models exist for forming multidisciplinary surgical teams during active conflict.
Purpose of the Study:
- To establish an ethically grounded, multinational, multidisciplinary team for reconstructive surgical planning in Gaza.
- To develop a replicable framework for proactive collaboration in conflict zones.
Main Methods:
- Utilized a community-based participatory research framework.
- Assembled a team of plastic surgeons, clinicians, implementation scientists, and regional scholars.
- Prioritized early engagement with Gaza-based partners and Palestinian institutional review board approvals.
Main Results:
- Established a functional, ethically approved collaboration within one year, securing institutional funding.
- Identified key lessons: stakeholder engagement, adaptability, flexible communication, and short-term goals.
- Initiated actionable outputs: needs assessment, capacity evaluation, and care delivery documentation.
Conclusions:
- The developed framework is replicable and ethically sound for conflict zones.
- Enables proactive engagement of plastic surgeons in humanitarian crises.
- Actionable outputs can reduce delays in reconstructive care delivery post-conflict.
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