Ischemia Modified Albumin Can Predict Necrosis at Incarcerated Hernias

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  • Hüseyin Kadioğlu
    General Surgery Department, Medical Faculty, Bezmialem Vakıf University Hospital, Adnan Menderes Bulvarı Vatan Caddesi, 34093 Fatih, İstanbul, Turkey
  • Dilek Ömür
    Anesthesiology Department, Medical Faculty, Dokuz Eylül University, İzmir, Turkey
  • Süleyman Bozkurt
    General Surgery Department, Medical Faculty, Bezmialem Vakıf University Hospital, Adnan Menderes Bulvarı Vatan Caddesi, 34093 Fatih, İstanbul, Turkey
  • Ekrem Ferlengez
    General Surgery Department, Haseki Training and Research Hospital, Istanbul, Turkey
  • Naim Memmı
    General Surgery Department, Medical Faculty, Bezmialem Vakıf University Hospital, Adnan Menderes Bulvarı Vatan Caddesi, 34093 Fatih, İstanbul, Turkey
  • Yeliz Emine Ersoy
    General Surgery Department, Medical Faculty, Bezmialem Vakıf University Hospital, Adnan Menderes Bulvarı Vatan Caddesi, 34093 Fatih, İstanbul, Turkey
  • Gökhan Çıpe
    General Surgery Department, Medical Faculty, Bezmialem Vakıf University Hospital, Adnan Menderes Bulvarı Vatan Caddesi, 34093 Fatih, İstanbul, Turkey
  • Mahmut Müslümanoğlu
    Anesthesiology Department, Medical Faculty, Dokuz Eylül University, İzmir, Turkey

Abstract

<jats:p><jats:italic>Purpose</jats:italic>. To evaluate the predictive effect of IMA in incarcerated hernias.<jats:italic>Methods</jats:italic>. Three groups () of rats were operated. Group I aimed to mimic incarceration, group II aimed the strangulation, and group III was the sham group. IMA and LDH measurements were made.<jats:italic>Results</jats:italic>. IMA levels were significantly higher in strangulation mimicking group and IMA levels were normal at postoperative 6th hour in incarceration mimicking group. LDH levels were significantly higher in both incarceration and strangulation mimicking groups.<jats:italic>Conclusion</jats:italic>. IMA seems to be an effective marker in incarcerated hernias to predict necrosis. But we need further studies to generalise this hypothesis.</jats:p>

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