title: Results of surgical treatment on benign anal diseases in Korean HIV-positive patients.
abstract: Perianal diseases are the most common reasons for surgery in HIV-positive patients. This study aimed to evaluate the outcomes of these surgical procedures in Korean patients, focusing on wound healing and postoperative complications. Retrospective analysis was performed on 72 HIV-positive patients who underwent surgery by a single surgeon for benign anal disease between 1998 and 2011. Of these, 68.1% (49/72) of patients received surgery for condyloma acuminata, 19.4% (14/72) for anal fistulas, 6.9% (5/72) for hemorrhoids, and 5.6% (4/72) for perianal abscesses. Patients with condyloma acuminata received surgical excision with electrical coagulation, and all wounds healed completely within 3 months, though 16.3% (8/49) of these patients experienced recurrence. Twelve of the 49 patients (24.5%) who were treated for condyloma acuminata underwent simultaneous operations for concomitant anal fistulas (n = 6), hemorrhoids (n = 4), and perianal abscesses (n = 2). Overall, 3 postoperative complications developed following a total of 94 procedures, and there was no significant increase in complication rate for patients with a low CD4+ T-cell count ( < 200/µL) compared to those with a higher count. The results demonstrate favorable results following perianal surgery in HIV-positive Korean patients.
authors.affiliation: Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Heung-Kwon
authors.identifier: 0000-0002-8066-2367
authors.initials: HK
authors.lastname: Oh
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Sang-Hui
authors.identifier: 0000-0003-1102-8714
authors.initials: SH
authors.lastname: Moon
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Seungbum
authors.identifier: 0000-0001-6407-0444
authors.initials: S
authors.lastname: Ryoo
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Eun Kyung
authors.identifier: 0000-0002-7222-1772
authors.initials: EK
authors.lastname: Choe
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Kyu Joo
authors.identifier: 0000-0002-9134-7426
authors.initials: KJ
authors.lastname: Park
mesh_terms: D000328:Adult; D000368:Aged; D001004:Anus Diseases / Q000150:complications / Q000601:surgery*; D044466:Asian People; D015496:CD4-Positive T-Lymphocytes / Q000166:cytology; D003218:Condylomata Acuminata / Q000601:surgery; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006484:Hemorrhoids / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012003:Rectal Fistula / Q000601:surgery; D056910:Republic of Korea; D012189:Retrospective Studies; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult
keywords: Acquired Immunodeficiency Syndrome; Anal Operation; Condyloma Acuminata; HIV; Wound Healing