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J R Soc Med. 1990 May; 83(5): 315–318.
PMCID: PMC1292652

Surgical procedures in patients at risk of human immunodeficiency virus infection.


We have studied the outcome of 140 general surgical procedures in 112 patients known or suspected to be infected with human immunodeficiency virus (HIV) or hepatitis B virus. Forty patients had antibodies to HIV. A wide range of surgical procedures was performed, with an overall complication rate of 5.7%. Wound infection, wound haematoma and one unexplained pyrexia were the only complications seen. Some anorectal wounds in patients with HIV antibodies were noted to heal extremely slowly, but the aggressive anorectal sepsis reported by others was not seen. The postoperative course after general surgical procedures was unremarkable in patients with HIV antibodies, and in those suspected of HIV infection, but because anorectal wounds were found to heal slowly, we recommend that anorectal surgery be conservative in patients with HIV antibodies.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Rees M. The sombre view of AIDS. Nature. 326(6111):343–345. [PubMed]
  • Swerdlow DB, Salvati EP. Condyloma acuminatum. Dis Colon Rectum. 1971 May-Jun;14(3):226–231. [PubMed]
  • Shanson DC, Evans R, Lai L. Incidence and risk of transmission of HTLV III infections to staff at a London hospital, 1982-85. J Hosp Infect. 1985 Dec;6 (Suppl 100):15–22. [PubMed]
  • Farthing CF, Henry K, Shanson DC, Taube M, Lawrence AG, Harcourt-Webster JN, Gazzard B. Clinical investigations of lymphadenopathy, including lymph node biopsies, in 24 homosexual men with antibodies to the human T-cell lymphotropic virus type III (HTLV-III). Br J Surg. 1986 Mar;73(3):180–182. [PubMed]
  • Rashleigh-Belcher HJ, Carne CA, Weller IV, Smith AM, Russell RC. Surgical biopsy for persistent generalized lymphadenopathy. Br J Surg. 1986 Mar;73(3):183–185. [PubMed]
  • Scott HJ, Glynn MJ, Lane IF, Anderson MG, Theodorou NA, Murray-Lyon IM, Reynolds KW. Strategy for lymph node biopsy in homosexual men suspected of having LAV/HTLV-III related disease. Br J Surg. 1986 Mar;73(3):186–187. [PubMed]
  • Wexner SD, Smithy WB, Milsom JW, Dailey TH. The surgical management of anorectal diseases in AIDS and pre-AIDS patients. Dis Colon Rectum. 1986 Nov;29(11):719–723. [PubMed]
  • Nash G, Allen W, Nash S. Atypical lesions of the anal mucosa in homosexual men. JAMA. 1986 Aug 15;256(7):873–876. [PubMed]

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