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Wound Healing After Anorectal Surgery in Human Immunodeficiency Virus–Infected Patients
Edmund C. Burke, MD;
Susan L. Orloff, MD;
Christopher E. Freise, MD;
James R. Macho, MD;
William P. Schecter, MD
Arch Surg. 1991;126(10):1267-1271.
Abstract
• 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.
(Arch Surg. 1991;126:1267-1271)
Author Affiliations
From the Department of Surgery, University of California, San Francisco.
Footnotes
Accepted for publication June 15, 1991.
Presented at the 62nd Annual Scientific Session of the Pacific Coast Surgical Association, Pebble Beach, Calif, February 20, 1991.
Reprint requests to Department of Surgery, Ward 3A, San Francisco General Hospital, 1001 Potrero Ave, San Francisco, CA 94110 (Dr Schecter).
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