ArticleSurgical endoscopy2023
Predictive value of platelet-related hematological markers in indicating the outcomes after laparoscopic intraperitoneal onlay mesh repair (IPOM).
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Relationship between immune cell traits, circulating inflammatory cytokines, and the risk of incisional hernia after gastric surgery.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Predictive value of hematological parameters in cirrhotic patients with open umbilical hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Evaluation of single-stage vision models for pose estimation of surgical instruments.International journal of computer assisted radiology and surgery · 2023Article
- What influences general surgery residents' prospective entrustment and operative time in robotic inguinal hernia repairs.Surgical endoscopy · 2023Article
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Authors and funding
5 authors.
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Abstract
backgroundThe predictive value of hematological markers in the outcomes after laparoscopic intraperitoneal onlay mesh repair (IPOM) remains to be investigated. We aim to evaluate the role of platelet-related parameters after laparoscopic IPOM in patients with incisional hernias.
methodsThe data of 95 patients who underwent laparoscopic IPOM for appendicectomy-related incisional hernias were retrospectively analyzed. The complete blood count analyses were measured preoperatively, and the outcomes were obtained from hospital records and follow-up calls to patients. Platelet-multiple-lymphocyte index (PLM), neutrophil-leukocyte ratio (NLR), lymphocyte-monocyte ratio (LMR), platelet-lymphocyte ratio (PLR) and systemic immune-inflammation index (SII) values were calculated. The patients were grouped based on the recurrence and the postoperative complications after surgery.
resultsUsing cutoff values acquired by the Youden Index, we found platelet levels < 212.0 × 1000/μl, NLR > 2.33, LMR < 3.17, and PLM < 365.5 were revealed to be statistically significant in the recurrence of hernias based on univariant or multivariant analysis (p = < 0.05). We further divided the patients into two groups based on the cutoff value of PLM and found that a PLM value < 365.5 was significantly associated with the recurrence of incisional hernia (p = 0.018), the occurrence of postoperative seroma (p = 0.044), and there is a tendency that patients with PLM < 365.5 may suffer from other postoperative complications such as cardiopathy, respiratory infection, and hypoproteinemia (p = 0.089).
conclusionThe preoperative hematological values, especially PLM, may indicate the outcomes in incisional hernias after laparoscopic IPOM.
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