Yıl: 2019 Cilt: 35 Sayı: 3 Sayfa Aralığı: 143 - 146 Metin Dili: İngilizce DOI: 10.4274/eamr.galenos.2018.87597 İndeks Tarihi: 02-04-2020

Evaluation of Complete Blood Count Parameters Before and After Appendectomy

Öz:
Objective: Acute appendicitis (AA) is the most common cause of intra-abdominal surgery worldwide and its diagnosis continues to be problematic despite advancedtechnology and diagnostic methods. Easily accessible, economical and non-invasive tests are still under investigation for the diagnosis and after surgery. The purposeof 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 obtainedfrom patients aged over 18, who underwent appendectomy between January 1, 2015 and November 30, 2017, and who were diagnosed with histopathologicallyconfirmed AA, were retrospectively examined. Wilcoxon test was used in statistical analysis to compare pre- and post-operative changes in CBC parameters. A p value ofless 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 weredetermined 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 significantdifference 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 fluidtreatment and may be a valuable parameter in monitoring post-appendectomy infection.
Anahtar Kelime:

Konular: Sağlık Bilimleri ve Hizmetleri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bachmann LM, Bischof DB, Bischofberger SA, Bonani MG, Osann FM, Steurer J. Systematic quantitative overviews of the literature to determine the value of diagnostic tests for predicting acute appendicitis: study protocol. BMC Surg 2002;2:2.
  • 2. Omundsen M, Dennett E. Delay to appendicectomy and associated morbidity: a retrospective review. ANZ J Surg 2006;76:153-5.
  • 3. Lee SL, Ho HS. Acute appendicitis: is there a difference between children and adults? Am Surg 2006;72:409-13.
  • 4. Kaykısız EK. (19-22 Nisan 2018). Bilinen Bir Tanının Az Bilinen Prezentasyonu: Akut Kolesistiti Taklit Eden Bir Akut Apandisit Vakası. B. Cander Editörler, 14. Ulusal Acil Tıp Kongresi (94), Antalya, Acil Tıp Uzmanları Derneği.
  • 5. Choi SB, Han HJ, Kim WB, Song TJ, Choi SY. A case of a recurrent iliopsoas abscess masking a complicated appendicitis successfully treated by a laparoscopic approach. Surg Laparosc Endosc Percutan Tech 2010;20:e69- 72.
  • 6. Kuday Kaykisiz E, Yildirim MB, Dadali E, Kaykisiz H, Ünlüer EE. Different manifestation of a familiar diagnosis: From anuria to acute appendicitis. Am J Emerg Med 2018;36:910.e5-910.e7.
  • 7. Kaykısız EK, Akyol PY, Karakaya Z, Payza U, Topal FE. Neutrophil/lymphocyte ratio is a valuable data to reduce negative laparotomy rates in emergency department. Bio Med Res 2017;28:8438-42.
  • 8. Börekçi H, Karacabey S, Sipahi M, Özdemir ZT, Erkoç MF. A rare case: Retrocecal appendicitis adherent to the liver capsule. Turk J Surg 2015;33:227-9.
  • 9. Yardımcı S, Uğurlu MÜ, Coşkun M, Attaallah W, Yeğen ŞC. Neutrophillymphocyte ratio and mean platelet volume can be a predictor for severity of acute appendicitis. Ulus Travma Acil Cerrahi Derg 2016;22:163-8.
  • 10. Bozkurt S, Köse A, Erdogan S, Bozali GI, Ayrik C, Arpaci RB, et al. MPV and other inflammatory markers in diagnosing acute appendicitis. J Pak Med Assoc 2015;65:637-41.
  • 11. Yiğitler C, Uyar C, Baylan O, Ongörü O, Güleç B, Akut apandisit ön tanısıyla ameliyat edilen hastalarda C-reaktif proteinin tanısal değeri ve postoperatif doğal seyri. Turk j surg 2002;8: 224-33.
  • 12. Daskalakis K, Juhlin C, Påhlman L. The use of pre- or postoperative antibiotics in surgery for appendicitis: a systematic review. Scand J Surg 2014;103:14-20.
  • 13. Albayrak Y, Albayrak A, Albayrak F, Yildirim R, Aylu B, Uyanik A, et al. Mean platelet volume: a new predictor in confirming acute appendicitis diagnosis. Clin Appl Thromb Hemost 2011;17:362-6.
  • 14. Narci H, Turk E, Karagulle E, Togan T, Karabulut K. The role of mean platelet volume in the diagnosis of acute appendicitis: a retrospective casecontrolled study. Iran Red Crescent Med J 2013 ;15:e11934.
  • 15. Kılıç TY, Yesilaras M, Karaali C, Atilla OD, Sezik S. Diagnostic value of mean platelet volume in acute appendicitis. J Clin Anal Med 2015;1-3.
  • 16. Aktimur R, Cetinkunar S, Yildirim K, Özdas S, Aktimur SD, Mean platelet volume is a significant biomarker in the differential diagnosis of acute appendicitis. Inf Cell Sig 2015;2:e930.
  • 17. Fan Z, Pan J, Zhang Y, Wang Z, Zhu M, Yang B, et al. Mean platelet volume and platelet distribution width as markers in the diagnosis of acute gangrenous appendicitis. Dis Markers 2015;2015:542013.
  • 18. Tanrikulu CS, Tanrikulu Y, Sabuncuoglu MZ, Karamercan MA, Akkapulu N, Coskun F. Mean platelet volume and red cell distribution width as a diagnostic marker in acute appendicitis. Iran Red Crescent Med J 2014;16:e10211.
  • 19. Bilici S, Sekmenli T, Göksu M, Melek M, Avci V. Mean platelet volume in diagnosis of acute appendicitis in children. Afr Health Sci 2011;11:427-32.
  • 20. Uyanik B, Kavalci C, Arslan ED, Yilmaz F, Aslan O, Dede S, et al. Role of mean platelet volume in diagnosis of childhood acute appendicitis. Emerg Med Int 2012;2012:823095.
  • 21. Dinc B, Oskay A, Dinc SE, Bas B, Tekin S. New parameter in diagnosis of acute appendicitis: platelet distribution width. World J Gastroenterol 2015;21:1821-6.
  • 22. Yılmaz Y, Kara F, Gümüşdere M, Arslan H, Üstebay S. The platelet indices in pediatric patients with acute appendicitis. Int J Res Med Sci 2015;3:1388-91.
  • 23. Wullstein C, Barkhausen S, Gross E. Results of laparoscopic versus conventional appendectomy in complicated appendicitis. Dis Colon Rectum 2001;44:1700-5.
  • 24. Lin HF, Wu JM, Tseng LM, Chen KH, Huang SH, Lai IR. Laparoscopic versus open appendectomy for perforated appendicitis. J Gastrointest Surg 2006;10:906-10.
APA katipoglu b, TUĞAY E, YAMAN A (2019). Evaluation of Complete Blood Count Parameters Before and After Appendectomy. , 143 - 146. 10.4274/eamr.galenos.2018.87597
Chicago katipoglu burak,TUĞAY Evrin,YAMAN Ayhan Sümer Evaluation of Complete Blood Count Parameters Before and After Appendectomy. (2019): 143 - 146. 10.4274/eamr.galenos.2018.87597
MLA katipoglu burak,TUĞAY Evrin,YAMAN Ayhan Sümer Evaluation of Complete Blood Count Parameters Before and After Appendectomy. , 2019, ss.143 - 146. 10.4274/eamr.galenos.2018.87597
AMA katipoglu b,TUĞAY E,YAMAN A Evaluation of Complete Blood Count Parameters Before and After Appendectomy. . 2019; 143 - 146. 10.4274/eamr.galenos.2018.87597
Vancouver katipoglu b,TUĞAY E,YAMAN A Evaluation of Complete Blood Count Parameters Before and After Appendectomy. . 2019; 143 - 146. 10.4274/eamr.galenos.2018.87597
IEEE katipoglu b,TUĞAY E,YAMAN A "Evaluation of Complete Blood Count Parameters Before and After Appendectomy." , ss.143 - 146, 2019. 10.4274/eamr.galenos.2018.87597
ISNAD katipoglu, burak vd. "Evaluation of Complete Blood Count Parameters Before and After Appendectomy". (2019), 143-146. https://doi.org/10.4274/eamr.galenos.2018.87597
APA katipoglu b, TUĞAY E, YAMAN A (2019). Evaluation of Complete Blood Count Parameters Before and After Appendectomy. European Archives of Medical Research, 35(3), 143 - 146. 10.4274/eamr.galenos.2018.87597
Chicago katipoglu burak,TUĞAY Evrin,YAMAN Ayhan Sümer Evaluation of Complete Blood Count Parameters Before and After Appendectomy. European Archives of Medical Research 35, no.3 (2019): 143 - 146. 10.4274/eamr.galenos.2018.87597
MLA katipoglu burak,TUĞAY Evrin,YAMAN Ayhan Sümer Evaluation of Complete Blood Count Parameters Before and After Appendectomy. European Archives of Medical Research, vol.35, no.3, 2019, ss.143 - 146. 10.4274/eamr.galenos.2018.87597
AMA katipoglu b,TUĞAY E,YAMAN A Evaluation of Complete Blood Count Parameters Before and After Appendectomy. European Archives of Medical Research. 2019; 35(3): 143 - 146. 10.4274/eamr.galenos.2018.87597
Vancouver katipoglu b,TUĞAY E,YAMAN A Evaluation of Complete Blood Count Parameters Before and After Appendectomy. European Archives of Medical Research. 2019; 35(3): 143 - 146. 10.4274/eamr.galenos.2018.87597
IEEE katipoglu b,TUĞAY E,YAMAN A "Evaluation of Complete Blood Count Parameters Before and After Appendectomy." European Archives of Medical Research, 35, ss.143 - 146, 2019. 10.4274/eamr.galenos.2018.87597
ISNAD katipoglu, burak vd. "Evaluation of Complete Blood Count Parameters Before and After Appendectomy". European Archives of Medical Research 35/3 (2019), 143-146. https://doi.org/10.4274/eamr.galenos.2018.87597