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17-10-2023 | Liver Cirrhosis | Original Article

Predictive value of hematological parameters in cirrhotic patients with open umbilical hernia repair

Authors: C. Liang, R. Zheng, X. Liu, Q. Ma, J. Chen, Y. Shen

Published in: Hernia | Issue 1/2024

Abstract

Purpose

Patients with liver cirrhosis sometimes suffer from high recurrence rates and postoperative complications. We previously reported that platelet-related hematological parameters are associated with the outcomes after incisional herniorrhaphy, and aim to evaluate the predictive value of these criteria in cirrhotic patients undergoing open umbilical herniorrhaphy.

Methods

This is a retrospective study. The data of 95 cirrhotic patients undergoing open umbilical herniorrhaphy were analyzed. Patients were grouped based on the recurrence and defined hematological values. Platelet–multiple-lymphocyte index (PLM), neutrophil–leukocyte ratio, lymphocyte–monocyte ratio, platelet–neutrophil ratio, systemic immune-inflammation index, and aspartate aminotransferase–leukocyte ratio values were calculated based on preoperative blood analyses. The outcomes were obtained from hospital records and follow-up calls to patients.

Results

Using cutoff values acquired by the Youden Index, we found a PLM value < 27.9, and the history of inguinal herniorrhaphy were revealed to be statistically significant in the recurrence based on univariant and multivariant analyses (p < 0.05). We further divided patients into two groups based on the cutoff value of PLM and found that a PLM value < 27.9 was significantly associated with the recurrence of incisional hernias (p = 0.018) and the occurrence of postoperative foreign sensation (p = 0.044), and tended to result in other postoperative complications such as cardiopathy, respiratory infection, hypoproteinemia, and hepatic diseases (p = 0.089).

Conclusion

The preoperative hematological values, especially PLM, may indicate the outcomes in cirrhotic patients after open umbilical herniorrhaphy. Accurate identification of risks may alert the intraoperative and postoperative care for patients.

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Title: Predictive value of hematological parameters in cirrhotic patients with open umbilical hernia repair
Authors: C. Liang
R. Zheng
X. Liu
Q. Ma
J. Chen
Y. Shen
Publication date: 17-10-2023
Publisher: Springer Paris
Keywords: Liver Cirrhosis
Ascites
Published in: Hernia / Issue 1/2024
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-023-02908-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictive value of hematological parameters in cirrhotic patients with open umbilical hernia repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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