KYIV, Ukraine — In the A crowded operating room the surgeons had made the long incision down the Mitte of the child’s chest, cut the Breastbones to spread the Reach and rib cage the heart. And then the The lights went out.

On Wednesday night, generators were turned on to power life-support equipment. Nurses and surgical assistants carried flashlights. the Operating table, guiding the Surgeons working to save money as they snipped, cut and snipped. the child’s life in Almost total darkness

“So far we are coping on our own,” Borys Tsurov. the Director of the clinic, the Heart Institute in Kyiv. “But every hour is getting harder. There has been no water for several hours now. We continue to do only emergency operations.”

In its increasingly destructive campaign to batter Ukraine’s civilians by cutting off their power and running water, Russia hammered Ukraine’s populace this week with a wave of missile strikes that was one of the most disruptive in weeks. Ukraine’s engineers and emergency crews worked desperately on Thursday to restore services through snow, freezing rain and blackout conditions. And throughout the People dealt with in the country the deprivations.

Headlamps were used by surgeons for their work. in the Manual winches were used to pull dark-colored miners from deep underground. Residents living in high-rise apartments carried buckets and water bottles up. the There were stairs in buildings that had no elevators and shops and restaurants turned on generators or lit candles so they could continue to operate.

But Ukrainians expressed defiance at Russia’s efforts to weaken their resolve in the worsening cold, millions remained without power on Thursday night as Russia’s persistent missile strikes took a growing toll. On Wednesday, at least 10 people died. the Ukrainian authorities said. Repairs are more difficult after each missile strike and blackouts last longer. the danger for the The public is growing.

“The situation is difficult throughout the country,” acknowledged Herman Galushchenko, Ukraine’s energy minister. At 4 a.m., he stated that engineers had achieved to “unify the energy system,” Allowing power to flow to critical infrastructure facilities.

On Wednesday, a barrage that injured dozens of people appeared to have been one of the most disruptive attacks in weeks. A blast since Oct. 8 the Kerch Strait Bridge is a bridge that links the Russia’s occupied Crimean Peninsula the According to Ukrainian officials, 600 Russian missiles were fired at power plants, hydroelectric stations, treatment facilities and water pumping stations. High-voltage cables have been placed around nuclear power stations.

The strikes on Wednesday took all of Ukraine’s nuclear power plants offline for the Depriving for the first time the One of the most important sources of energy in the country. But the Energy minister the authorities expected the Soon, plants will be back in operation “so the deficit will decrease.”

On Thursday, the Kremlin denied that its attacks were directed at civilians. Dmitri S.Peskov, a spokesman for the Kremlin, stated that “we are talking about infrastructure targets that have a direct or indirect relation to the military potential of Ukraine,” Russian news agencies.

He also said that the Ukraine’s leadership “has every opportunity to bring the situation back to normal, has every opportunity to to resolve the situation in a way that fulfills the demands of the Russian side and, accordingly, every opportunity to end the suffering of the peaceful population.”

Ukraine’s president, Volodymyr Zelensky, has rejected any suggestion of a truce or peace talks at this juncture, saying that Moscow’s war aims have not changed and that a pause in Only then would hostilities cease. the The Russian military has time to recover from the recent setbacks.

Mid-October saw President Vladimir V. Putin declare that strikes in almost a dozen cities of Ukraine were retaliation. the Truck bombing the Kerch bridge the Since then, the Russian military has been increasingly targeting civilian infrastructure.

But the hail of missile strikes has also reflected Russia’s persistent struggles on the Battlefield, as its ground force retreated from thousands upon thousands of square miles in Ukraine’s northeast in September, then from a major south city in November. It is trying to consolidate its lines. the ground — including with poorly trained, recently mobilized conscripts — the As a way to inflict pain and deflect domestic criticism, the Russian military used long-range missile attacks. the defensive.

Ukraine has used its Western-supplied weaponry against the Strikes, but also plead for more assistance. Gen. Valeriy Zaluzhnyi, the top commander of Ukraine’s Armed Forces, said Ukrainian air defenses shot down 51 of the On Wednesday, 67 Russian cruise missiles were fired and five drones were shot.

Wednesday night, Mr. Zelensky spoke at an emergency session the United Nations Security Council decried Russian terror campaign.

“When the temperature outside drops below zero and tens of millions of people are left without electricity, heat and water as a result of Russian missiles hitting energy facilities,” He stated, “that is an obvious crime against humanity.”

On Thursday, it was not clear if the new appeal of Mr. Trump would affect diplomats. the European Union any closer to a final deal to help limit Russia’s revenue from oil, an effort encouraged by the Biden administration will starve Russia of its funds the war.

Officials representing all 27 E.U. member nations met late into the Evening Wednesday without reaching a consensus on the top price for traders, shippers or other companies in the Russian oil could be sold to the outside world by the supply chain the bloc. The policy must be in placed before an E.U. embargo against Russian oil imports begins in Dec.

The embargo is only for the following countries: the 27-nation bloc. So to further limit Russia’s financial gains, the Group wants to limit how many buyers are outside the Russian oil purchased by regions. The crude oil could not be sold in Europe, so it would need to be lower than the EU. the agreed-upon price. Russia repeatedly stated that it would not accept the agreed-upon price. the Analysts believe it would be hard to enforce policy.

The E.U. Ambassadors were asked by the E.U. to determine a price for each barrel between $65 and $70, and to be flexible with respect to enforcement the limit.

The benchmark for the Russian oil price, also known as the Urals Blend, which has been traded at $60-100 per barrel in the For the past three years. In the The past three months the Prices ranged between $65 and $75 per barrel. This suggests that prices have fluctuated. the E.U. E.U. in A global cost-of living crisis can be eased.

As E.U. Residents are prepared for winter with high energy prices, and possibly rationing supplies. Ukrainians Long blackouts and water scarcity have become more commonplace. the Direct damages the war.

Around one in Kyiv Thursday afternoon in Four homes had no electricity and more than half were still without it. the city’s residents had no running water, according to city officials. City officials stated that service was slowly being restored and that they were optimistic that it would be restored. the Pumps that supply water to around three million people would be repaired the End of the day.

But the Power outages can lead to dangerous situations the country. Scene in the These sentiments were echoed by Kyiv’s hospital in A vivid illustration of the medical facilities in Ukraine is this: the cascading toll Russia’s attacks are having on civilians far from the Front lines.

At the moment, two kidney transplant operations are being performed the Cherkasy Regional Cancer Center in Ukraine’s central region the Lights went out, Kyrylo Timoshenko the Head of deputy the Ukrainian president’s office, said on the Telegram messaging app. The generators were turned on. the He said that transplants were successful.

Christopher Stokes the Doctors Without Borders: Head of the Department in Ukraine said the Strikes on infrastructure were putting “millions of civilians in danger.” They can be a looping machine. in People who live without heat or clean water are more likely than others to require medical care, but it is much harder to provide that care.

“Energy cuts and water disruptions also will affect people’s access to health care as hospitals and health centers struggle to operate,” He said.

Marc Santora This report was made from Kyiv in Ukraine. Thomas Gibbons-Neff Natalia Yermak Dnipro, Ukraine. Reporting contributed to by Matina Stevis Gridneff From Brussels Jim Tankersley Alan Rappeport Washington, D.C. Alan Yuhas From New York.