title: Are fibrinogen and complete blood count parameters predictive in incarcerated abdominal hernia repair?
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.
authors.affiliation: Department of General Surgery, Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Sahin
authors.initials: S
authors.lastname: Kahramanca
authors.forename: Oskay
authors.initials: O
authors.lastname: Kaya
authors.forename: Gulay
authors.initials: G
authors.lastname: Ozgehan
authors.forename: Hakan
authors.initials: H
authors.lastname: Guzel
authors.forename: Cem
authors.initials: C
authors.lastname: Azili
authors.forename: Emre
authors.initials: E
authors.lastname: Gokce
authors.forename: Tevfik
authors.initials: T
authors.lastname: Kucukpinar
authors.forename: Hakan
authors.initials: H
authors.lastname: Kulacoglu
mesh_terms: D001772:Blood Cell Count; D005260:Female; D005340:Fibrinogen / Q000032:analysis*; D046449:Hernia, Abdominal / Q000097:blood* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D005340:Fibrinogen
keywords: Complete blood count; Fibrinogen; Incarcerated external hernia