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Haematological inflammatory markers for indicating ischemic bowel in patients with incarcerated abdominal wall hernias

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A Comment to this article was published on 18 January 2022

Abstract

Purpose

To reveal the clinical significance of preoperative haematological inflammatory markers in the diagnosis of abdominal wall hernias with strangulation.

Methods

The data of 200 patients who underwent surgery for incarcerated hernia were retrospectively analysed. The patients were grouped into three groups; Group 1; only surgical reduction and hernia repair, Group 2; small bowel resection and Group 3; omentum resection. Age, gender, hernia type, the presence of radiological bowel obstruction and preoperative complete blood count data were obtained. Neutrophil-leukocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), platelet-lymphocyte ratio (PLR), haematological inflammatory index (HII) and systemic immune-inflammation index (SII) values were calculated.

Results

The study was consisted of; Group 1: 119 patients (59.5%), Group 2: 46 patients (23%) and Group 3: 35 patients (17.5%). Advanced age (p = 0.001), female gender (p = 0.036), incisional hernias (p =  < 0.001) and the presence of bowel obstruction (p =  < 0.001) were found to be statistically significant in terms of strangulation. NLR, PLR and SII values were significantly higher in Group 2 compared to Group 1, and PLR values were significantly higher in Group 2 compared with Group 3 (p < 0.05).

Conclusion

The preoperative elevated NLR, PLR and SII values may indicate strangulation and possible intestinal resection, in incarcerated abdominal wall hernias.

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Authors and Affiliations

  1. Department of General Surgery, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, 06110, Turkey

    M. T. Bostancı, İ. Yılmaz, A. Seki, M. Saydam & İ. O. Kaya

  2. Department of Surgery, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey

    K. Kosmaz

Authors
  1. M. T. Bostancı
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  2. İ. Yılmaz
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  3. A. Seki
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  4. M. Saydam
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  5. K. Kosmaz
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  6. İ. O. Kaya
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Correspondence to M. T. Bostancı.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with ethical standarts of the instutional or national research comittee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standarts.

Research involving human participants and/or animals

The ethics committee and review board in our instute approved the study (The local Ethics Committee of Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara/Turkey, 11.01.2021-102/10) and review board in our institute approved the study and treatment protocol.

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For retrospective studies informed consent is not required.

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All authors give consent for the manuscript entitled: ‘Hematological Inflammatory Markers for Predicting Ischemic Bowel in Patients with Incarcerated Abdominal Wall Hernias’ to be published in Hernia.

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Bostancı, M.T., Yılmaz, İ., Seki, A. et al. Haematological inflammatory markers for indicating ischemic bowel in patients with incarcerated abdominal wall hernias. Hernia 26, 349–353 (2022). https://doi.org/10.1007/s10029-021-02518-1

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  • DOI: https://doi.org/10.1007/s10029-021-02518-1

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