White blood cell counts in patients undergoing abdominal surgery

Jane Hall, John Hall, L. Blennerhassett

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    7 Citations (Scopus)

    Abstract

    Background: The role of pre-operative white blood cell counts (WBCC) in patients with an acute abdomen is contentious.Methods: This study documents the association between pre-operative WBCC and the extent of intraperitoneal inflammation at the time of surgery in a heterogeneous group of 1166 patients undergoing abdominal surgery.Results: WBCC failed to adequately discriminate between groups of patients with varying degrees of intraperitoneal inflammation. For example, only 31% (37/118) of the patients with either free pus or an abscess within the peritoneal cavity had a WBCC > 15.0 x 10(9)/L.Conclusions: There is a need to replace the WBCC with more powerful predictors of inflammation within the peritoneal cavity.
    Original languageEnglish
    Pages (from-to)369-371
    JournalAustralian and New Zealand Journal of Surgery
    Volume66
    DOIs
    Publication statusPublished - 1996

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