ISSN 2736-1594
International Journal of Obstetrics and Gynecology ISSN: 2736-1594 Vol. 12 (6), pp. 001-007, June, 2022. Available online at www.internationalscholarsjournals.org © International Scholars Journals
Full Length Research Paper
The Diagnostic Value of Hematological Indices in Ischemic Adnexal Torsion
Kelvin Smith1, Remi Davies, MD, MPH2, Larry Williams, MD1
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
2Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University Medical School of Jerusalem, Jerusalem, Israel.
Received 16 February, 2023
Abstract
Objective: To investigate the role of hematological indices, neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR), in the preoperative diagnosis of adnexal torsion (AT) and to examine the correlation between NLR and PLR levels to AT ischemic severity. Methods: A retrospective controlled study, assembled from 102 patients with surgically proven AT. Patients were divided into two groups based on the severity of the torsion, mild-moderate AT (MAT) and severe AT (SAT), using the Parelkar classification (gross appearance of the adnexa during surgery) and number of adnexal twists (>=3). Univariate analysis was performed, and the NLR and PLR levels were compared between the groups. A p-value of 0.05 was considered significant. Results: 35/102 patients had SAT (study group), and 67/102 had MAT (control group). Mean NLR of the study population was 5.05±3.37, not significantly higher in the study group 5.23±3.26, compared with the control group 4.95±3.44 (p =.69). PLR also was not significantly higher in the study group than in the control group (175±87.23 vs.161±78.39, p=.41). Conclusion: Although the difference in hematological biomarkers did not reach statistical significance, further study is warranted to determine the potential role of NLR and PLR in the presurgical diagnosis of AT.
Keywords: Adnexal torsion; Ovarian Torsion; Hematologic Inflammatory Markers; neutrophil-to-lymphocyte ratio (NLR); platelet-to-lymphocyte ratio (PLR); Ischemic Adnexa.
Synopsis: Higher values of serum inflammatory markers such as NLR and PLR might have a role in the presurgical diagnosis of Adnexal Torsion and its severity.