Wound healing after anorectal surgery in human immunodeficiency virus-infected patients.
Medical records of 52 human immunodeficiency virus (HIV)-infected patients who underwent a total of 80 anorectal operations from January 1985 to January 1990 were retrospectively reviewed to determined whether anorectal surgical wounds healed in HIV-infected patients and the mean survival time of these patients after surgery. Twenty-four operations were performed in asymptomatic HIV-infected patients, 19 in HIV-infected patients with persistent lymphadenopathy, and 37 in patients with acquired immunodeficiency syndrome. Wounds healed in 49 patients (94%). The mortality rate 30 days after surgery was 2%. There were no major complications. The mean survival time of HIV-infected patients after surgery was 15 months. We conclude that anorectal surgical wounds heal in most HIV-infected patients and that the survival time after surgery of HIV-infected patients with anorectal disease justifies appropriate surgical treatment.
Burke
E C
EC
Department of Surgery, University of California, San Francisco.
Orloff
S L
SL
Freise
C E
CE
Macho
J R
JR
Schecter
W P
WP
D000038:Abscess / Q000601:surgery; D000163:Acquired Immunodeficiency Syndrome / Q000503:physiopathology; D000328:Adult; D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery*; D001004:Anus Diseases / Q000601:surgery; D005500:Follow-Up Studies; D015658:HIV Infections / Q000401:mortality / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000601:surgery; D012007:Rectum / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D014945:Wound Healing