Hematologic and Biochemical Markers in Predicting Bowel Resection for Incarcerated Hernias

Area of Science:

• General Surgery
• Surgical Oncology
• Abdominal Surgery

Background:

• Incarcerated abdominal wall hernias pose a risk of bowel resection.
• Identifying predictive factors for bowel resection is crucial for patient management.

Purpose of the Study:

• To evaluate patient demographics and laboratory parameters for predicting bowel resection risk in incarcerated abdominal wall hernias.
• To investigate independent risk factors for bowel resection in these patients.

Main Methods:

• Retrospective analysis of 709 patients with incarcerated hernias.
• Group 1: No bowel resection; Group 2: Bowel resection required.
• Analysis of demographics, comorbidities, and preoperative blood tests including WBC, CRP, LDH, lactate, NLR, PLR, SII, and HII.

Main Results:

• Advanced age and elevated WBC, CRP, NLR, PLR, SII, and LDH were associated with bowel resection.
• Independent risk factors identified: lactate levels (OR=22.25), femoral hernia (OR=3.51), and bowel obstruction (OR=54.92).

Conclusions:

• Advanced age and inflammatory markers (WBC, CRP, NLR, PLR, SII, LDH) predict bowel resection in incarcerated hernias.
• Bowel obstruction, femoral hernia, and lactate levels are independent risk factors for bowel resection.