ArticleHernia : the journal of hernias and abdominal wall surgery2019
Predictors of ischemic bowel in patients with incarcerated hernias.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- Early Sodium Dynamics in Severely Injured Patients with Intestinal Perforations: A Multicenter Analysis.Journal of clinical medicine · 2026Article
- Early prediction of bowel necrosis in incarcerated groin hernia using parsimonious machine learning models: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Inflammatory markers as predictors of severity in adult incarcerated groin hernias - a retrospective comparative study.BMC surgery · 2026Article
- The predictive value of albumin-based nutritional indices for intestinal ischemia in strangulated abdominal wall hernias: an insight into the novel CALLY Index.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Investigation of the clinical efficacy of thiol-disulfide homeostasis, delta neutrophil index, and ischemia-modified albumin in cases of incarcerated and strangulated hernia.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Evaluation and clinical significance of predictors for strangulation and intestinal resection in emergency anterior abdominal wall hernia surgery.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Hyponatremia at the onset of necrotizing enterocolitis is associated with intestinal surgery and higher mortality.European journal of pediatrics · 2022Article
- Haematological inflammatory markers for indicating ischemic bowel in patients with incarcerated abdominal wall hernias.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Comment to: "Predictors of ischemic bowel in patients with incarcerated hernias".Hernia : the journal of hernias and abdominal wall surgery · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeDiagnosing intestinal strangulation in the setting of incarcerated hernias remains challenging. Hyponatremia has been identified as a predictor of necrotizing soft tissue infections and gangrenous cholecystitis. We hypothesized that hyponatremia could predict bowel ischemia in patients with incarcerated hernias.
methodsMedical records for 163 patients with incarcerated hernias over a 5-year period were reviewed. Preoperative clinical, laboratory, and radiologic findings and final intraoperative diagnosis were collected.
resultsThirty-six patients (22.1%) had ischemic bowel requiring resection. Univariate analysis identified multiple significant variables including lower serum sodium (p = 0.002), lower bicarbonate (p = 0.04), elevated glucose (p = 0.0002), elevated white blood cell count (p = 0.001), and skin changes (p = 0.001). In a multivariable model, skin changes were associated with an odds ratio for ischemia of 3.3 (1.3-8.6 p = 0.02). Sodium of less than 135 had an odds ratio for ischemia of 3.9 (1.7-9.1, p = 0.004).
conclusionHyponatremia should raise suspicion for underlying strangulated bowel and prompt urgent exploration in patients with incarcerated hernias.
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