Prective value of preoperative neutrophil-to-lymphocyte ratio in detecting bowel resection in hernia with intestinal incarceration

Köksal, Hande; Ates, Dervis; Nazik, Emet Ebru; Küçükosmanoğlu, İlknur; Doğan, Serap; Doğru, Osman

doi:10.5505/tjtes.2017.93937

Cited by 16 publications

(15 citation statements)

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“…In our study, duration of symptoms were correlated with lactate, NLR and LPR levels. Lactate levels, NLR and PLR were higher in patients requiring a bowel resection due to non-viable bowel compared to the no-bowel resection group similar to the findings of Köksal et al [11].…”

Section: Discussionsupporting

confidence: 86%

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Prognostic Factors in Obturator Hernia

2020

Signa Vitae

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Objective: Obturator hernia is a rare type of hernia that can occur in the octogenarian patients. We discuss the diagnosis, treatment and management of patients with obturator hernia, and describe the clinical presentation, laboratory and radiological findings. Material and methods: A retrospective study was performed in ten patients diagnosed with an obturator hernia between December 2008 - 2019 at a single tertiary hospital. Patients’ demographic features, clinical symptoms, laboratory and imaging data, comorbidities, surgical treatment methods, postoperative morbidity and mortalities were evaluated. Results: The patients’ mean age was 84.4 years (range between 81 - 89 years). All patients presented with symptoms of small bowel obstructions; abdominal pain located in the lower quadrant (100%), vomiting (60%), nausea (80%) and distension (60%). All patients had air-fluid levels on X-ray. We performed small intestine resection and an end to end anastomosis in four patients, resection with ileostomy in two patients and bowel reduction in four patients. Postoperatively, an anastomosis leak occurred in two patients, they were re-operated and an ileostomy was performed. In the post-op period, six patients died, and four patients survived. Conclusion: Obturator hernia is seen in octogenarian patients with symptoms of small bowel obstruction. The diagnosis is based mostly on computed tomography findings. An elevated neutrophil-lymphocyte ratio, platelet-lymphocyte ratio and lactate levels can be used as a biomarker for the prediction of non-viable small bowel in these OH patients.

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Section: Discussionsupporting

confidence: 86%

“…Neutrophil-lymphocyte ratio (NLR) and plateletlymphocyte ratio (PLR) can be a good predictor of the severity of inflammatory response [10][11][12][13]. High NLR and PLR levels can be used as a marker to estimate intestinal necrosis and the need for intestinal resection in patients who will undergo surgery for OH [11,12].…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors in Obturator Hernia

2020

Signa Vitae

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“…In ammation indicators such as the WBC count, percentage of neutrophils, and neutrophil-to-lymphocyte ratio (NLR) were increased when incarcerated hernia evolved into a strangulated hernia [16][17][18]. These elevated in ammatory markers suggest a high risk of bowel necrosis, so emergency surgery should be performed immediately.…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors of Bowel Resection Due to an Incarcerated Groin Hernia

Udaka¹,

Taniguchi²,

J³

et al. 2020

JJGH

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In this retrospective study, we assessed factors that can be used to predict the need for bowel resection due to an incarcerated groin hernia. MethodsWe enrolled a total of 83 patients diagnosed with an incarcerated groin hernia on preoperative unenhanced computed tomography (CT) between January 2010 and December 2019 in our hospital.They were divided into two groups: those who underwent bowel resection and those who did not. The clinical ndings, blood test results, and unenhanced CT values of patients were examined and compared between the two groups. The indication of intestinal resection was macroscopic necrosis or perforation of the incarcerated intestine. ResultsA total of 83 patients with incarcerated groin hernias were included in our study, of whom 13 (15.7%) had undergone bowel resection surgery. A univariate analysis identi ed a prolonged time from the symptom onset to surgery, increased white blood cell (WBC) count, increased C-reactive protein (CRP) level, decreased albumin level, and CT attenuation of the incarcerated intestinal wall at the fundus as signi cant predictive factors. The cut-off value for prediction of intestinal resection was 25 HU for the average CT attenuation of the incarcerated intestinal wall at the fundus and a WBC of 11,550 based on the receiver operating characteristic (ROC) curve. A multivariate analysis showed CT attenuation of the incarcerated intestinal wall at the fundus and an increased WBC count to be independent predictive factors. ConclusionsMeasuring unenhanced CT attenuation of the incarcerated intestinal wall at the fundus and the WBC count was suggested to be necessary for determining whether or not resection of the incarcerated intestine is required in cases of groin hernia.

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“…New evidence suggests that platelet indices may have diagnostic and prognostic value in some diseases. They allow extensive clinical trials that focus on diagnosis and prognostic values in a variety of settings without extra cost 6,9,13,15 . Measuring all of the platelet indices at the same time can provide a valid tool for measuring the severity of the disease and an idea of the potential etiology that causes a change in platelet indices.…”

Section: Discussionmentioning

confidence: 99%

Relationship between platelet distribution width and hospital stay in incarcerated inguinal hernia treated by open surgery

Dal

2019

Cukurova Medical Journal

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The study aimed to investigate the value of platelet distribution width (PDW) in incarcerated inguinal hernia which was treated with graft to illuminate its inflammatory role in surgery-related disorders. Materials and Methods: We perormed a case-control study by retrospective screening data of the 88 patients with inguinal hernia and 75 healthy. Patients data included demographics, hernia location, hospital stay, and hemogram parameters. Platelet-related parameters were anayzled with automated devices from EDTA samples. Results: The mean defect size was 25.3±17 mm for inguinal hernia, which ranged 6 to 75 mm. The PDW value was higher in group A as compared with that of group B. Also, the platelets were statistically higher in group A than group B. In the Pearson correlation analysis, PDW showed a strong and positive relationship with a hospital stay. Conclusion:We suggest that a strong positive correlation of platelet distribution width with hospital stay can be useful in incarcerated inguinal hernia which we treated with grafted by open surgery. Amaç: Çalışma, greftle tedavi edilen, inkarsere inguinal hernideki trombosit dağılım genişliğinin (PDW) cerrahi ile ilişkili bozukluklardaki inflamatuvar rolünü aydınlatmak için değerini araştırmayı amaçladı. Gereç ve Yöntem: İnguinal hernisi olan ve 75 sağlıklı olan 88 hastanın retrospektif tarama verilerini inceleyerek bir vaka kontrol çalışması yaptık. Hasta verileri demografik özellikleri, herni yerleşimi, hastanede kalış süresi ve hemogram parametrelerini içeriyordu. Trombosit ilişkili parametrelerde ölçüm EDTA'lı numune örneklerinden otomatize cihazlarla yapıldı. Bulgular: Ortalama defekt büyüklüğü 6 ila 75 mm arasında değişen inguinal herni için 25.3±17 mm idi. PDW değeri hasta grubunda sağlıklı gruba göre daha yüksekti. Ayrıca, trombositler hasta grubunda istatistiksel olarak daha yüksekti. Pearson korelasyon analizinde PDW hastanede kalış ile güçlü ve pozitif bir ilişki gösterdi. Sonuç: Trombosit dağılım genişliği ile hastanede kalış arasındaki güçlü pozitif korelasyonun, açık cerrahi ile tedavi ettiğimiz inguinal hernilerde hastane yatış süresi üzerinde yararlı bilgiler vereceğini düşünüyoruz.

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Prective value of preoperative neutrophil-to-lymphocyte ratio in detecting bowel resection in hernia with intestinal incarceration

Abstract: High NLR rates, certainly with clinical correlation, can be used as a biomarker to predict intestinal necrosis and the need for intestinal resection in patients who will undergo surgery for incarcerated hernia, particularlyin situations with lacking radiological imaging methods.

Cited by 16 publications

References 10 publications

Prognostic Factors in Obturator Hernia

Prognostic Factors in Obturator Hernia

Predictive Factors of Bowel Resection Due to an Incarcerated Groin Hernia

Relationship between platelet distribution width and hospital stay in incarcerated inguinal hernia treated by open surgery

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