Can Systemic Inflammatory Markers Predict Small Bowel Resection in Incarcerated Inguinal Hernia?

Aim: The aim of the present study was to emphasize the importance of hemogram and CRP (C-reactive protein) levels in preoperative period in patients who would have small bowel resection due to circulatory disorder. Method: The study included 135 patients with ages varying from 25 to 91 who had emergency operation due to incarcerated inguinal hernia (IIH). Hemogram, leucocyte, neutrophil, lymphocyte, thrombocyte and CRP values of patients were determined during their first admission, and neutrophil/lymphocyte ratio (NLR), thrombocyte/lymphocyte ratio (TLR) and lymphocyte/CRP (LCR) ratio were calculated from them. The patients were divided into two groups. The first group had the patients who were operated for incarcerated inguinal hernia but did not have circulatory disorder, while the second group consisted of the patients who had resection due to circulatory disorder in small bowel tissue. Findings: Of 135 cases who underwent surgery, 99 had hernia repair while 36 had resection plus hernia repair. WBC, CRP, NLR and PLR levels were higher in the group of patients who had hernia repair than in the group of patients who had SB resection due to circulatory disorder while LCR was higher in the resection group. Conclusion: In patients who will undergo surgery due to IIH, being aware of circulatory disorder which develops in SB during the preoperative period is critical for surgical team and anesthetist, which calls for a more careful surgery planning. Future prospective studies in this area would be useful for the treatment of patients and for surgery team.