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The role of basic blood parameters in determining the viability of intestinal tissue in incarcerated hernias
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  • Rıfat Peksöz,
  • serkan karaisli,
  • Kamil Erözkan,
  • Enes Ağırman
Rıfat Peksöz
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serkan karaisli
İzmir Kâtip Çelebi Üniversitesi
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Kamil Erözkan
Muş state hospital
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Enes Ağırman
Atatürk Üniversitesi Tıp Fakültesi
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Abstract

Objective: Abdominal hernia repair is a common surgery, with 15% of patients presenting as incarcerated hernias. In these cases, early diagnosis of intestinal ischemia and necrosis is crucial for mortality and morbidity. Biomarkers that can predict ischemia or necrosis status are vital. In this study, we aimed to reveal the roles of basic blood parameters in determining ischemia or necrosis status. Methods: The patients were divided into three groups as normal bowels (Group I: 24 patients), intestinal ischemia without necrosis (Group II: 31 patients), and Group III who underwent bowel resection because of necrosis (10 patients). Patients’ demographic characteristics and blood parameters were retrospectively analyzed. Results: 65 patients operated for incarcerated abdominal hernias. There was no significant difference between the groups in terms of age, sex, comorbidity, or complications (p>0.05). The highest length of stay was observed in Group III (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 CRP/LYM levels (p<0.05). Conclusion: Preoperative WBC, neutrophil, NLR, urea, creatinine, and total bilirubin levels can be used to predict the onset of intestinal ischemia. Serum creatinine, total bilirubin, indirect bilirubin, phosphorus, lactate dehydrogenase (LDH), and lipase levels can be used for bowel resection.

Peer review status:UNDER REVIEW

17 Mar 2021Submitted to International Journal of Clinical Practice
22 Mar 2021Assigned to Editor
22 Mar 2021Submission Checks Completed
30 Apr 2021Reviewer(s) Assigned