R Peksöz1, S Karaıslı2, K Erözkan1, E Ağırman3. 1. Department Of General Surgery, Atatürk University Research Hospital, Erzurum, Turkey. 2. Department of General Surgery, İzmir Kâtip Çelebi University Atatürk Training and Research Hospital, İzmir-Turkey. 3. Department Of General Surgery, Atatürk University, Faculty of Medicine, Erzurum, Turkey.
Abstract
OBJECTIVE: Abdominal hernia repair is a common surgery, with incarcerated hernias accounting for 15% of all cases. In these cases, early diagnosis of intestinal ischemia and necrosis is crucial to prevent mortality and morbidity. Biomarkers that can predict ischemic or necrotic status are of vital importance. The aim of this study was to reveal the roles of basic blood parameters in determining ischemic or necrotic status. METHODS: Patients were divided into three groups. Group I included 24 patients with normal bowels, Group II included 31 patients with intestinal ischemia without necrosis, and Group III included 10 patients who underwent bowel resection for necrosis. Patients' demographic characteristics and blood parameters were retrospectively analyzed. RESULTS: A total of 65 patients were operated for incarcerated abdominal hernias. There was no significant difference between the groups in terms of age, sex, comorbidity, or complications (p>0.05). Group III had the longest length of hospital stay (p<0.001). There were significant differences between the groups in terms of serum white blood cell (WBC), neutrophil, lymphocyte (LYM), neutrophil-lymphocyte ratio (NLR), urea, creatinine, total bilirubin, indirect bilirubin, lipase, C-reactive protein (CRP), and lymphocyte-to-C-reactive protein (CRP) ratio (LCR) values (p<0.05). CONCLUSION: Blood parameters combining with clinical symptoms and radiological examination may contribute to predict intestinal resection. Preoperative WBC, neutrophil, NLR, urea, creatinine, and total bilirubin levels can contribute to predict the onset of intestinal ischemia. Serum creatinine, total bilirubin, indirect bilirubin, phosphorus, lactate dehydrogenase (LDH), and lipase levels can contribute to decide on bowel resection. This article is protected by copyright. All rights reserved.
OBJECTIVE:Abdominal hernia repair is a common surgery, with incarcerated hernias accounting for 15% of all cases. In these cases, early diagnosis of intestinal ischemia and necrosis is crucial to prevent mortality and morbidity. Biomarkers that can predict ischemic or necrotic status are of vital importance. The aim of this study was to reveal the roles of basic blood parameters in determining ischemic or necrotic status. METHODS:Patients were divided into three groups. Group I included 24 patients with normal bowels, Group II included 31 patients with intestinal ischemia without necrosis, and Group III included 10 patients who underwent bowel resection for necrosis. Patients' demographic characteristics and blood parameters were retrospectively analyzed. RESULTS: A total of 65 patients were operated for incarcerated abdominal hernias. There was no significant difference between the groups in terms of age, sex, comorbidity, or complications (p>0.05). Group III had the longest length of hospital stay (p<0.001). There were significant differences between the groups in terms of serum white blood cell (WBC), neutrophil, lymphocyte (LYM), neutrophil-lymphocyte ratio (NLR), urea, creatinine, total bilirubin, indirect bilirubin, lipase, C-reactive protein (CRP), and lymphocyte-to-C-reactive protein (CRP) ratio (LCR) values (p<0.05). CONCLUSION: Blood parameters combining with clinical symptoms and radiological examination may contribute to predict intestinal resection. Preoperative WBC, neutrophil, NLR, urea, creatinine, and total bilirubin levels can contribute to predict the onset of intestinal ischemia. Serum creatinine, total bilirubin, indirect bilirubin, phosphorus, lactate dehydrogenase (LDH), and lipase levels can contribute to decide on bowel resection. This article is protected by copyright. All rights reserved.