Kahramanca Sahin, Kaya Oskay, Ozgehan Gulay, Guzel Hakan, Azili Cem, Gokce Emre, Kucukpinar Tevfik, Kulacoglu Hakan
Department of General Surgery, Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, Turkey.
Int Surg. 2014 Nov-Dec;99(6):723-8. doi: 10.9738/INTSURG-D-13-00107.1.
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.
腹外嵌顿疝患者治疗延迟通常会导致发病率、死亡率上升以及医疗费用增加。我们研究了血纤维蛋白原水平、白细胞计数（WBC）、平均血小板体积（MPV）和血小板分布宽度（PDW）在嵌顿疝患者中的诊断作用。研究了两组，每组100例患者。A组接受择期手术，B组接受嵌顿性和急诊腹外疝修补术。我们观察到B组患者的纤维蛋白原和白细胞水平较高，但MPV和PDW值较低。与我们的预期相反，我们发现复杂组的MPV和PDW值低于择期组。B组的发病率和成本负担更高，结果具有统计学意义。对于纤维蛋白原和白细胞水平较高的腹外嵌顿疝患者，建议早期手术。
