Clinical value of the neutrophil/lymphocyte ratio in diagnosing adult strangulated inguinal hernia

Zhou, Huixing; Ruan, Xiuhang; Shao, Xia; Huang, Xu; Guan, Feifei; Zheng, Xiaofeng

doi:10.1016/j.ijsu.2016.10.026

Cited by 32 publications

(32 citation statements)

References 20 publications

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“…NLR has also been used in the diagnosis of adult strangulated inguinal hernias. Zhou et al [ 19 ] reported that NLR>6.5 was significantly related to the presence of a strangulated inguinal hernia. These authors suggested that NLR>6.5 may serve as the best predictor for diagnosing strangulated inguinal hernias.…”

Section: Discussionmentioning

confidence: 99%

Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia

et al. 2017

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BackgroundThe incarceration of a segment of bowel within a groin hernia can result in intestinal strangulation if hernia treatment is delayed. Once intestinal strangulation occurs, a bowel resection may be required, and there is an overall increased risk for postoperative complications. The aim of this study was to identify biomarkers to predict the severity of an incarcerated groin hernia.Material/MethodsWe retrospectively evaluated the records of 95 patients with incarcerated groin hernias who underwent emergency surgical correction of the hernias. The need for a bowel resection was regarded as an indicator of severity in incarcerated groin hernia patients. The patients were divided into 2 groups: patients with bowel resection surgery and patients without bowel resection surgery.ResultsWe discovered that leukocyte count (leukocyte count ≥10×103/mm3), neutrophil-to-lymphocyte ratio (NLR, NLR ≥11.5), presentation of bowel obstruction, and duration of incarceration (duration of incarceration ≥26 h) were significantly associated with bowel resection in incarcerated groin hernia patients by using the chi-square test. Factors such as leukocyte count, NLR, presentation of bowel obstruction, and duration of incarceration were analyzed using multivariate logistic regression analysis. We found that NLR, presentation of bowel obstruction, and duration of incarceration were independently and significantly related to bowel resection in incarcerated groin hernia patients.ConclusionsAn elevated NLR can serve as a biomarker for the prediction of severity of incarcerated groin hernias. Additionally, incarcerated groin hernia patients who present with bowel obstruction or with duration of intestinal incarceration longer than 26 h have an increased risk for bowel resection.

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Section: Discussionmentioning

confidence: 99%

Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia

et al. 2017

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“…They concluded that ischemia-modified albumin seems to be an effective predictive marker of early detection of necrosis in patients with incarcerated hernias. In the study about the patients with strangulated inguinal hernia by Zhou et al, [11] they studied the clinical value of NLR. NLR of the patients with obvious bowel ischemia was higher than that of the patients without bowel ischemia.…”

Section: Discussionmentioning

confidence: 99%

Prective value of preoperative neutrophil-to-lymphocyte ratio in detecting bowel resection in hernia with intestinal incarceration

Köksal

Ates²,

Nazik³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…[ 5 , 6 ] Studies have demonstrated their predictive role not only on the progress and prognosis of many internal diseases, but also infectious complications following various surgical procedures such as cesarean section, [ 7 ] rectal cancer surgery, [ 8 ] curative gastrectomy for gastric cancer [ 9 ] and hepatectomy. [ 10 ] Recent studies also generalize the application of NLR to the field of hernia surgery and it was be found to be significantly associated with persistent postsurgical pain bowel, [ 11 ] the presence of a strangulated inguinal hernia, [ 12 ] and bowel resection in incarcerated groin hernia patients. [ 13 ]…”

Section: Introductionmentioning

confidence: 99%

Pre-surgical peripheral blood inflammation markers predict surgical site infection following mesh repair of groin hernia

Zhuo¹,

D²,

Chen

et al. 2021

Medicine

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Surgical site infection (SSI) is a costly postoperative complication with a decrease in the quality of life. We aimed to probe the predictive role of peripheral blood inflammation markers for SSI following mesh repair of groin hernia (GH). This retrospective study assessed the data of 1177 patients undergoing elective mesh repair of GH (open/laparoscopy) in the absence of antibiotic prophylaxis. The relation between demographics, surgical factors, pre-surgical laboratory results and the occurrence of SSI were investigated by univariate and multivariate analyses. Receiver operating characteristic analysis was performed to determine the optimal threshold of parameters and compare their veracity. The overall SSI rate was 3.2% with 1-year follow-up (38 superficial and 1 deep SSI). Patients with SSI had significant higher pre-surgical neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) than those without ( P = .029 and P = .045, respectively); their NLR and PLR correlated positively with postoperative total days of antibiotic treatment for SSI (r = .689, P = .000; r = .493, P = .001; respectively). NLR and PLR had larger areas under the receiver operating characteristics curves than neutrophil (.875 vs. .601; P = .000; .726 vs. .601; P = .017). The combination of PLR and neutrophil/NLR raised the predictive sensitivity of PLR for SSI (sensitivity: PLR: 74.36%; PLR + neutrophil: 82.05%; PLR + NLR: 83.57%). On multivariate analyses, higher preoperative NLR (cut-off 2.44) and PLR (cut-off 125.42) were independent predictors for SSI. Higher pre-surgical NLR and PLR may be valuable predictors for SSI following elective mesh repair of GH.

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Clinical value of the neutrophil/lymphocyte ratio in diagnosing adult strangulated inguinal hernia

Abstract: Among the different clinical features, the NLR appears to be the best index in diagnosing SIH.

Cited by 32 publications

References 20 publications

Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia

Neutrophil-to-Lymphocyte Ratio Predicts the Severity of Incarcerated Groin Hernia

Prective value of preoperative neutrophil-to-lymphocyte ratio in detecting bowel resection in hernia with intestinal incarceration

Pre-surgical peripheral blood inflammation markers predict surgical site infection following mesh repair of groin hernia

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