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Are fibrinogen and complete blood count parameters predictive in incarcerated abdominal hernia repair? | LitMetric

AI Article Synopsis

  • Therapeutic delays in treating external incarcerated hernias can lead to worse health outcomes and increased costs for patients.
  • A study compared two groups of 100 patients: one group had elective hernia repairs, while the other had urgent surgeries for incarcerated hernias, finding significant differences in blood markers.
  • Results showed that higher fibrinogen and white blood cell levels, alongside lower mean platelet volume and platelet distribution width, indicated a need for earlier interventions in complicated cases, as they had higher morbidity rates and associated costs.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254231PMC
http://dx.doi.org/10.9738/INTSURG-D-13-00107.1DOI Listing

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