Results of Surgical Treatment on Benign Anal Diseases in Korean HIV-Positive Patients.
10.3346/jkms.2014.29.9.1260
- Author:
Heung Kwon OH
1
;
Sang Hui MOON
;
Seungbum RYOO
;
Eun Kyung CHOE
;
Kyu Joo PARK
Author Information
1. Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
HIV;
Acquired Immunodeficiency Syndrome;
Anal Operation;
Condyloma Acuminata;
Wound Healing
- MeSH:
Adult;
Aged;
Anus Diseases/complications/*surgery;
Asian Continental Ancestry Group;
CD4-Positive T-Lymphocytes/cytology;
Condylomata Acuminata/surgery;
Female;
HIV Infections/*complications;
Hemorrhoids/surgery;
Humans;
Male;
Middle Aged;
Postoperative Complications;
Rectal Fistula/surgery;
Republic of Korea;
Retrospective Studies;
Treatment Outcome;
Wound Healing;
Young Adult
- From:Journal of Korean Medical Science
2014;29(9):1260-1265
- CountryRepublic of Korea
- Language:English
-
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/microL) compared to those with a higher count. The results demonstrate favorable results following perianal surgery in HIV-positive Korean patients.
