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.
|Journal||Australian and New Zealand Journal of Surgery|
|Publication status||Published - 1996|
Hall, J., Hall, J., & Blennerhassett, L. (1996). White blood cell counts in patients undergoing abdominal surgery. Australian and New Zealand Journal of Surgery, 66, 369-371. https://doi.org/10.1111/j.1445-2197.1996.tb01213.x