At least 57 people were reportedly killed in Russian air strikes on a rebel-held town in Syria on Saturday. The Syrian Observatory for Human Rights said that at least one woman and a child have been killed when a court house in an Idlib province town was hit. Meanwhile, reports of at least 23 deaths by starvation have been coming from the town of Madaya that has been under siege by the Syrian government for being a rebel stronghold.

The civil war in Syria is now in its fifth year having claimed a quarter of a million lives and displacing more than half of the Syria’s population of 22 million people, making it the worst humanitarian crisis in recent history after World War II.

At a surgical camp in the Ramtha district of northern Jordan, doctors working with the international medical charity Médecins Sans Frontières, also known as Doctors Without Borders, have been treating thousands of war-sounded Syrian refugees who have managed to make it across the open border between the two countries. Most of their patients have suffered blast injuries. As aid agency Handicap International has documented, 75% of recorded incidents of injury are from blasts caused by high-explosive weapons, which suggests that the warring factions are not bothering to distinguish between civilian-populated infrastructure and military targets in Syria’s war zones. Another 11% are from gunshots.

Médecins Sans Frontières doctors have described in a new report having to treat patients with entire parts of their bodies blown away, babies with brains full of shrapnel, children who have jumped on landmines and women who have lost their arms or legs. In a new report, the humanitarian organization has documented the slow and painful recovery of some Syria’s war-wounded civilian refugees.

Six-year-old Hanan was injured during clashes in Dara governorate. Hanan described standing at a window with her mother when she suddenly fell and got hurt. She was taken to a hospital where her leg at to be amputated. She doesn't know where her mother is. She spends her days in a trauma centre in Ramtha, Jordan drawing people around the hospital.

Moaed lost his leg in an attack in December last year and is at MSF's facility in Zaatari. Normally, he spends his days playing Candy Crush.

Omar Al Balkhi, 29, was injured in a bomb blast in Daraa, Syria and was first treated in a field hospital. He was later transferred to MSF's care at the Al Ramtha hospital in Jordan where he had multiple surgeries. "I left home for the first time after a long period of treatment in the hospital. There were good and not so good moments. Not so good, as in I still felt that I did not lose my limbs. Good moments being the first time I get out, or walk, or depend on myself since more than seven or eight months," he told MSF.

Malik, a young Syrian patient at Ramtha, talks to his doctors during their rounds.

MSF staff performing surgery in an operating theatre at the Ramtha hospital.

At patient at the Zaatari medical camp undergoes physiotherapy.