Israeli troops carried out building-by-building searches at Gaza's main hospital, as a new communications blackout in the territory on Friday compounded fears for Palestinian civilians trapped inside the facility.

Al-Shifa hospital has become a focal point for Israeli operations in northern Gaza since soldiers raided the complex on Wednesday, hunting for a command center they say militant group Hamas operates there.

Hamas and hospital managers deny that charge, and there has been international concern about several thousand people — including wounded patients and premature babies — believed to be trapped inside.