Are Fibrinogen and Complete Blood Count Parameters Predictive in Incarcerated Abdominal Hernia Repair?

被引:8
作者
Kahramanca, Sahin [1 ]
Kaya, Oskay [1 ]
Ozgehan, Gulay [1 ]
Guzel, Hakan [1 ]
Azili, Cem [1 ]
Gokce, Emre [1 ]
Kucukpinar, Tevfik [1 ]
Kulacoglu, Hakan [1 ]
机构
[1] Diskapi Yildirim Beyazit Teaching & Res Hosp, Dept Gen Surg, Ankara, Turkey
关键词
Incarcerated external hernia; Fibrinogen; Complete blood count; MEAN PLATELET VOLUME; DISEASE; RISK;
D O I
10.9738/INTSURG-D-13-00107.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Therapeutic delays in cases of external incarcerated hernias typically result in increasing morbidity, mortality, and health expenditures. We investigated the diagnostic role of blood fibrinogen level, white blood count (WBC), mean platelet volume (MPV), and platelet distribution width (PDW) in patients with incarcerated hernia. Two groups, each containing 100 patients, were studied. Group A underwent elective, and group B underwent incarcerated and urgent external hernia repair. We observed high fibrinogen and WBC levels but low MPV and PDW values for patients in group B. Contrary to our expectations, we found lower MPV and PDW values in the complicated group than in the elective group. The morbidity rate and cost burden were higher in group B, and the results were statistically significant. Early operation should be recommended for patients with incarcerated external hernias if their fibrinogen and WBC levels are high.
引用
收藏
页码:723 / 728
页数:6
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