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October 1991

Wound Healing After Anorectal Surgery in Human Immunodeficiency Virus–Infected Patients

Author Affiliations

From the Department of Surgery, University of California, San Francisco.

Arch Surg. 1991;126(10):1267-1271. doi:10.1001/archsurg.1991.01410340109015

• 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)