Evaluation of Complete Blood Count Parameters Before and After Appendectomy
Journal Title: European Archives of Medical Research - Year 2019, Vol 35, Issue 3
Abstract
Objective: Acute appendicitis (AA) is the most common cause of intra-abdominal surgery worldwide and its diagnosis continues to be problematic despite advanced technology and diagnostic methods. Easily accessible, economical and non-invasive tests are still under investigation for the diagnosis and after surgery. The purpose of this study was to review postoperative changes in patients’ complete blood count (CBC) parameters. Methods: The research was performed as a single-center, retrospective, cross-sectional study. After obtaining the approval of the ethics committee, the data obtained from patients aged over 18, who underwent appendectomy between January 1, 2015 and November 30, 2017, and who were diagnosed with histopathologically confirmed AA, were retrospectively examined. Wilcoxon test was used in statistical analysis to compare pre- and post-operative changes in CBC parameters. A p value of less than 0.05 was considered statistically significant. Results: Men constituted 50% (n=726) of the 1452 enrolled patients. The mean age of the patients was 32.3±16.1 years. Statistically significant differences were determined between pre-operative and post-operative leukocyte white blood cell, lymphocyte, hemoglobin, hematocrit, plateletcrit and mean platelet volume values. Mean neutrophil and platelet count values decreased in the post-operative period, although these decreases were not statistically significant. No statistically significant difference was determined between pre-operative and post-operative neutrophil/lymphocyte ratio (NLR) values. Conclusion: Dilutional changes in CBC parameters may occur following fluid therapy in the post-operative period. We also conclude that NLR is not affected by fluid treatment and may be a valuable parameter in monitoring post-appendectomy infection.
Authors and Affiliations
Burak Katipoğlu, Togay Evrin, Ayhan Sümer Yaman
Keywords
Related Articles
- EP ID EP549059
- DOI 10.4274/eamr.galenos.2018.87597
- Views 207
- Downloads 0
Dowling-degos Disease: A Case Report
Dowling-degos disease (DDD) is a rare genodermatose inherited as autosomal dominant trait characterized by brown to black macules located symmetrically in flexural sites. Lesions are not congenital, and the age of onset...
Comparison of Short-term Efficacy of Ranibizumab to Dexamethasone in the Treatment Naive Pseudophakic Diabetic Macular Edema: A Real-Life Study
Objective: This study aimed to compare the short-term efficacy of dexamethasone (Dex) implant with those of three consecutive ranibizumab (Rzb) injections in the treatment-naive diabetic macular edema patients. Methods:...
The Effect of Surgical Timing on the Outcomes of Pediatric Gartland Type III Supracondylar Humeral Fractures
Objective: In this study,we aimed to evaluate the effect of surgical treatment timing of Gartland extension type III humeral fractures on functional and cosmetic outcomes, in the pediatric age group and to compare them w...
A Comparative Study of Two Different Accommodative Intraocular Lenses: The Visual and Accommodative Amplitude Outcomes
Objective: To compare distance and near visual acuity along with accommodative amplitude in eyes implanted with the Tetraflex and the Tek-clear accommodating intraocular lenses (AIOLs). Methods: Comparative, prospective...
Extracorporeal Membrane Oxygenation for Pulmonary Embolism During Pregnancy and Postpartum
The maternal and fetal mortality rate in unstable pulmonary embolisms accompanied by obstructive cardiac shock is approximately 30%. An intervention aimed at the pulmonary clot is essential under these conditions. There...