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\begin{document}

\title{The role of basic blood parameters in determining the viability of
intestinal tissue in incarcerated hernias}



\author[1]{Rıfat Peksöz}%
\author[2]{serkan karaisli}%
\author[3]{Kamil Erözkan}%
\author[4]{Enes  Ağırman}%
\affil[1]{Affiliation not available}%
\affil[2]{İzmir Kâtip Çelebi Üniversitesi}%
\affil[3]{Muş state hospital}%
\affil[4]{Atatürk Üniversitesi Tıp Fakültesi}%


\vspace{-1em}



  
  \date{May 26, 2024}


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\selectlanguage{english}
\begin{abstract}
Objective: Abdominal hernia repair is a common surgery, with 15\% of
patients presenting as incarcerated hernias. In these cases, early
diagnosis of intestinal ischemia and necrosis is crucial for mortality
and morbidity. Biomarkers that can predict ischemia or necrosis status
are vital. In this study, we aimed to reveal the roles of basic blood
parameters in determining ischemia or necrosis status. Methods: The
patients were divided into three groups as normal bowels (Group I: 24
patients), intestinal ischemia without necrosis (Group II: 31 patients),
and Group III who underwent bowel resection because of necrosis (10
patients). Patients' demographic characteristics and blood parameters
were retrospectively analyzed. Results: 65 patients operated for
incarcerated abdominal hernias. There was no significant difference
between the groups in terms of age, sex, comorbidity, or complications
(p\textgreater{}0.05). The highest length of stay was observed in Group
III (p\textless{}0.001). There were significant differences between the
groups in terms of serum white blood cell (WBC), neutrophil, lymphocyte
(LYM), neutrophil-lymphocyte ratio (NLR), urea, creatinine, total
bilirubin, indirect bilirubin, lipase, C-reactive protein (CRP), and
CRP/LYM levels (p\textless{}0.05). Conclusion: Preoperative WBC,
neutrophil, NLR, urea, creatinine, and total bilirubin levels can be
used to predict the onset of intestinal ischemia. Serum creatinine,
total bilirubin, indirect bilirubin, phosphorus, lactate dehydrogenase
(LDH), and lipase levels can be used for bowel resection.%
\end{abstract}%



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\textbf{Title Page}

\textbf{The role of basic blood parameters in determining the viability
of intestinal tissue in incarcerated hernias}

\textbf{Running head: The role of basic blood parameters in incarcerated
hernias}

\textbf{AUTHORS}

\selectlanguage{ngerman}\emph{Peksöz R\textsuperscript{1}} , Karaisli S\textsuperscript{2},
Erözkan K\textsuperscript{1}, A\selectlanguage{polish}ğı\selectlanguage{english}rman E\textsuperscript{31}Department Of
General Surgery, Mu\selectlanguage{polish}ş \selectlanguage{english}State Hospital, Mu\selectlanguage{polish}ş, \selectlanguage{english}Turkey.

\textsuperscript{2}Department of General Surgery, \selectlanguage{polish}İ\selectlanguage{english}zmir K\selectlanguage{ngerman}âtip Çelebi
University Atatürk Training and Research Hospital,
\selectlanguage{polish}İ\selectlanguage{english}zmir-Turkey,\textsuperscript{3}Department Of General Surgery, Atat\selectlanguage{ngerman}ürk
University Faculty of Medicine, Erzurum, Turkey.

R\selectlanguage{polish}ı\selectlanguage{english}fat Peks\selectlanguage{ngerman}öz, Department of General Surgery, Mu\selectlanguage{polish}ş \selectlanguage{english}State Hospital, Mu\selectlanguage{polish}ş,
\selectlanguage{english}Turkey, Orcid no: 0000-0003-4658-5254,
E-mail:\emph{rifat-peksoz@hotmail.com}

Serkan Kara\selectlanguage{polish}ı\selectlanguage{english}sl\selectlanguage{polish}ı, \selectlanguage{english}Department of General Surgery, \selectlanguage{polish}İ\selectlanguage{english}zmir K\selectlanguage{ngerman}âtip Çelebi
University Atatürk Training and Research Hospital, \selectlanguage{polish}İ\selectlanguage{english}zmir-Turkey, Orcid
no: 0000-0001-8876-0191, E-mail: skaraisli@hotmail.com

Kamil Er\selectlanguage{ngerman}özkan, Department of General Surgery, Mu\selectlanguage{polish}ş \selectlanguage{english}State Hospital, Mu\selectlanguage{polish}ş,
\selectlanguage{english}Turkey, Orcid no: 0000-0003-2193-9984, E-mail: kamilerozkan@gmail.com

Enes A\selectlanguage{polish}ğı\selectlanguage{english}rman, Department of General Surgery, Atat\selectlanguage{ngerman}ürk University Faculty
of Medicine, Erzurum, Turkey, Orcid no: 0000-0002-0289-1252, E-mail:
agirman\_enes@hotmail.com

Correspondence Author\textbf{:} R\selectlanguage{polish}ı\selectlanguage{english}fat PEKS\selectlanguage{ngerman}ÖZ, Department of General
Surgery, Mu\selectlanguage{polish}ş \selectlanguage{english}State Hospital, Mu\selectlanguage{polish}ş,\selectlanguage{english}Turkey, Postal Code:49100. E-mail:
rifat-peksoz@hotmail.com Telephone: +905349214382

\textbf{Funding:} No funding.

\textbf{Conflict of interest statement:} The authors declare no conflict
of interest.

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