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Predictive value of preoperative neutrophil-to-lymphocyte ratio while detecting bowel resection in hernia with

Hande Köksal1, Derviş Ateş, Emet Ebru Nazik

  • 1Department of General Surgery, Health Sciences University, Konya Training and Research Hospital, Konya-Turkey. drhandeniz@yahoo.com.

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|May 23, 2018
PubMed

Insights

Preoperative neutrophil-to-lymphocyte ratio (NLR) can predict the need for intestinal resection in incarcerated hernia surgery patients. Elevated NLR indicates a higher likelihood of intestinal necrosis, aiding surgical decisions.

Area of Science:

  • General Surgery
  • Inflammatory Markers
  • Abdominal Wall Surgery

Background:

  • Incarcerated hernias present a surgical emergency requiring prompt intervention.
  • Determining the extent of bowel compromise preoperatively is crucial for surgical planning.
  • Hematological markers may offer insights into tissue viability and resection needs.

Purpose of the Study:

  • To investigate the association between preoperative hematological inflammatory markers and the requirement for intestinal resection in patients undergoing surgery for incarcerated hernias.
  • To identify potential biomarkers that can predict bowel necrosis and the need for resection.

Main Methods:

  • Retrospective analysis of 102 patients who underwent surgery for incarcerated hernias.
  • Preoperative measurement of complete blood counts, including leukocyte count, neutrophil rate, RDW, PDW, NLR, PLR, and MPV.
  • Comparison of hematological markers between patients with and without intestinal resections.

Main Results:

  • A significant portion of patients (25%) required intestinal resections, with intestinal perforation identified in some cases.
  • Patients necessitating intestinal resections exhibited significantly higher neutrophil rates, platelet distribution width (PDW), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR).

Conclusions:

  • Elevated NLR, when correlated with clinical findings, can serve as a valuable biomarker for predicting intestinal necrosis and the necessity of intestinal resection in incarcerated hernia surgery.
  • This biomarker is particularly useful in settings where advanced radiological imaging is unavailable or limited.
Abstract

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