E- ISSN: 2822-4051
Journal of Tepecik Education and Research Hospital
Predicting Resection in Incarcerated Hernia with Simple Markers [Tepecik Eğit Hast Derg]
Tepecik Eğit Hast Derg. 2022; 32(1): 142-146 | DOI: 10.4274/terh.galenos.2022.82473

Predicting Resection in Incarcerated Hernia with Simple Markers

Mehmet Üstün, Göksever Akpınar
University of Health Sciences Turkey, İzmir Tepecik Education and Research Hospital, Clinic of General Surgery, İzmir, Turkey

Objective: This study analyzes the resection prediction power of simple markers derived from complete blood count and blood chemistry.
Methods: Data from 196 patients who underwent emergency surgery for incarcerated hernia between the January 2013 and the December 2018 were retrospectively analyzed. The patients with femoral hernia (n=19) were further excluded from the statistical analysis to prevent the interference of hernia type on resection decision. The patients were divided into two groups according to their resection status.
Results: Demographic data were similar in both groups. The calculated cut-off value for neutrophil/lymphocyte ratio (NLR) was 5.8175 with sensitivity of 83.7% and specificity of 51.2 NLR was found to have the strongest predictive value with (Odds ratio=5.38 and p-value=0.001).
Conclusion: Elevated NLR level can be used as a predictive biomarker to predict the need for resection in incarcerated abdominal wall hernias.

Keywords: Hernia, surgery, resection, lymphocyte, neutrophil

Mehmet Üstün, Göksever Akpınar. Predicting Resection in Incarcerated Hernia with Simple Markers. Tepecik Eğit Hast Derg. 2022; 32(1): 142-146

Corresponding Author: Mehmet Üstün, Türkiye
Manuscript Language: English
LookUs & Online Makale