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<p>This study aimed to evaluate the potential role of selected hematological and biochemical parameters in predicting the need for bowel resection in patients undergoing emergency surgery for incarcerated abdominal wall hernias. A retrospective review was conducted on patients who underwent emergency surgery between 2019 and 2024 with a diagnosis of incarcerated hernia. Patients were classified into two groups based on resection status. Demographic data such as age, sex, hernia type and side, along with laboratory parameters, were compared. Parameters significantly associated with resection were further analyzed through ROC curves. Significant associations were identified between resection status and several biomarkers, including CRP, LDH, PLR, WBC, %IG, PLT, and LMR. ROC analysis highlighted the diagnostic value of these markers, particularly those reflecting systemic inflammation and tissue injury. In cases of incarcerated abdominal hernia, preoperative laboratory parameters such as CRP, LDH, PLR, and related biomarkers may provide valuable insights into the likelihood of bowel resection. Their integration into the preoperative evaluation may enhance clinical decision-making and improve patient outcomes.</p>

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The Role of Hematological and Biochemical Parameters in Predicting the Need for Bowel Resection in Incarcerated Abdominal Wall Hernias

  • 期刊论文

  • 发表日期：

    2026年3月23日

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  • Pamir Onat,
  • Yılmaz Ünal,
  • Muhammed Durmuş,
  • Yunushan Furkan Aydoğdu

摘要

This study aimed to evaluate the potential role of selected hematological and biochemical parameters in predicting the need for bowel resection in patients undergoing emergency surgery for incarcerated abdominal wall hernias. A retrospective review was conducted on patients who underwent emergency surgery between 2019 and 2024 with a diagnosis of incarcerated hernia. Patients were classified into two groups based on resection status. Demographic data such as age, sex, hernia type and side, along with laboratory parameters, were compared. Parameters significantly associated with resection were further analyzed through ROC curves. Significant associations were identified between resection status and several biomarkers, including CRP, LDH, PLR, WBC, %IG, PLT, and LMR. ROC analysis highlighted the diagnostic value of these markers, particularly those reflecting systemic inflammation and tissue injury. In cases of incarcerated abdominal hernia, preoperative laboratory parameters such as CRP, LDH, PLR, and related biomarkers may provide valuable insights into the likelihood of bowel resection. Their integration into the preoperative evaluation may enhance clinical decision-making and improve patient outcomes.