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Erschienen in: World Journal of Surgery 5/2009

01.05.2009

Human Immunodeficiency Disease: How Should It Affect Surgical Decision Making?

verfasst von: T. E. Madiba, D. J. J. Muckart, S. R. Thomson

Erschienen in: World Journal of Surgery | Ausgabe 5/2009

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Abstract

Background

The ever-increasing prevalence of human immunodeficiency virus (HIV) infection and the continued improvement in clinical management has increased the likelihood of surgery being performed on patients with this infection. The aim of the review was to assess current literature on the influence of HIV status on surgical decision-making.

Methods

A literature review was performed using MEDLINE articles addressing “human immunodeficiency virus,” “HIV,” “acquired immunodeficiency syndrome,” “AIDS,” “HIV and surgery.” We also manually searched relevant surgical journals and completed the bibliographic compilation by collecting cross references from published papers.

Results

Results of surgery between noninfected and HIV-infected individuals and between HIV-infected and acquired immunodeficiency syndrome (AIDS) patients are variable in terms of morbidity, mortality, and hospital stay. The risk of major surgery is not unlike that for other immunocompromised or malnourished patients. The multiple co-morbidities associated with HIV infection and the availability of highly active antiretroviral therapy must be considered when assessing and optimizing the patient for surgery. The clinical stage of the patient’s disease should be evaluated with a focus on the overall organ system function. For patients with advanced HIV disease, palliative surgery offers relief of acute problems with improvement in the quality of life. When indicated, diagnostic surgery assists with further decision-making in the medical management of these patients and hence should not be withheld.

Conclusion

HIV infection should not be considered a significant independent factor for major surgical procedures. Appropriate surgery should be offered as in normal surgical patients without fear of an unfavorable outcome.
Literatur
1.
Zurück zum Zitat Howard RJ (1990) Human immunodeficiency virus testing and the risk to the surgeon of acquiring HIV. Surg Gynecol Obstet 171:22–26PubMed Howard RJ (1990) Human immunodeficiency virus testing and the risk to the surgeon of acquiring HIV. Surg Gynecol Obstet 171:22–26PubMed
2.
Zurück zum Zitat Harris HW, Schecter WP (1997) Surgical risk assessment and management in patients with HIV disease. Gastroenterol Clin North Am 26:377–391PubMedCrossRef Harris HW, Schecter WP (1997) Surgical risk assessment and management in patients with HIV disease. Gastroenterol Clin North Am 26:377–391PubMedCrossRef
3.
Zurück zum Zitat Pietrabissa A, Merigliano S, Monotrsi M et al (1997) Reducing the occupational risk of infections for the surgeon: multicentric national survey on more than 15,000 surgical procedures. World J Surg 21:573–578PubMedCrossRef Pietrabissa A, Merigliano S, Monotrsi M et al (1997) Reducing the occupational risk of infections for the surgeon: multicentric national survey on more than 15,000 surgical procedures. World J Surg 21:573–578PubMedCrossRef
4.
Zurück zum Zitat Bender BS, Bender JS (1993) Surgical issues in the management of the HIV-infected patient. Surg Clin North Am 73:373–388PubMed Bender BS, Bender JS (1993) Surgical issues in the management of the HIV-infected patient. Surg Clin North Am 73:373–388PubMed
5.
Zurück zum Zitat Buergler JM, Kim R, Thisted RA et al (1992) Risk of human immunodeficiency virus in surgeons, anesthesiologists and medical students. Anesth Analg 75:118–124PubMedCrossRef Buergler JM, Kim R, Thisted RA et al (1992) Risk of human immunodeficiency virus in surgeons, anesthesiologists and medical students. Anesth Analg 75:118–124PubMedCrossRef
6.
Zurück zum Zitat Raahave D, Bremmelgaard A (1991) New operative technique to reduce surgeon’s risk of HIV infection. J Hosp Infect 18(Suppl):177–183PubMedCrossRef Raahave D, Bremmelgaard A (1991) New operative technique to reduce surgeon’s risk of HIV infection. J Hosp Infect 18(Suppl):177–183PubMedCrossRef
7.
Zurück zum Zitat Desai DM, Kuo PC (2005) Perioperative management of special populations: immunocompromised host (cancer, HIV, transplantation). Surg Clin North Am 85:1267–1282PubMedCrossRef Desai DM, Kuo PC (2005) Perioperative management of special populations: immunocompromised host (cancer, HIV, transplantation). Surg Clin North Am 85:1267–1282PubMedCrossRef
8.
Zurück zum Zitat Owotade FJ, Ogunbodede EO, Sowande OA (2003) HIV/AIDS pandemic and surgical practice in a Nigerian teaching hospital. Trop Doct 33:228–231PubMed Owotade FJ, Ogunbodede EO, Sowande OA (2003) HIV/AIDS pandemic and surgical practice in a Nigerian teaching hospital. Trop Doct 33:228–231PubMed
9.
Zurück zum Zitat Babameto G, Kotler DP (1997) Malnutrition in HIV infection. Surg Clin North Am 26:393–415 Babameto G, Kotler DP (1997) Malnutrition in HIV infection. Surg Clin North Am 26:393–415
10.
Zurück zum Zitat Čačala SR, Mafana E, Thomson SR et al (2006) Prevalence of HIV status and CD4 counts in a surgical cohort: their relationship to clinical outcome. Ann R Coll Surg Engl 88:46–51PubMedCrossRef Čačala SR, Mafana E, Thomson SR et al (2006) Prevalence of HIV status and CD4 counts in a surgical cohort: their relationship to clinical outcome. Ann R Coll Surg Engl 88:46–51PubMedCrossRef
11.
Zurück zum Zitat Gerberding JL, Littell C, Tarkington A et al (1990) Risk of exposure of surgical personnel to patients’ blood during surgery at San Francisco General Hospital. N Engl J Med 322:1788–1793PubMed Gerberding JL, Littell C, Tarkington A et al (1990) Risk of exposure of surgical personnel to patients’ blood during surgery at San Francisco General Hospital. N Engl J Med 322:1788–1793PubMed
12.
Zurück zum Zitat Chamberland ME, Ciesielski CA, Howard RJ et al (1995) Occupational risk of infection with human immunodeficiency virus. Surg Clin North Am 75:1057–1070PubMed Chamberland ME, Ciesielski CA, Howard RJ et al (1995) Occupational risk of infection with human immunodeficiency virus. Surg Clin North Am 75:1057–1070PubMed
13.
Zurück zum Zitat Lewis DK, Callaghan M, Phiri K et al (2003) Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi. Trans R Soc Trop Med Hyg 97:91–96PubMedCrossRef Lewis DK, Callaghan M, Phiri K et al (2003) Prevalence and indicators of HIV and AIDS among adults admitted to medical and surgical wards in Blantyre, Malawi. Trans R Soc Trop Med Hyg 97:91–96PubMedCrossRef
14.
Zurück zum Zitat Consten ECJ, van Lanschot JJB, Henny PC et al (1995) A prospective study on the risk of exposure to HIV during surgery in Zambia. AIDS 9:585–588PubMedCrossRef Consten ECJ, van Lanschot JJB, Henny PC et al (1995) A prospective study on the risk of exposure to HIV during surgery in Zambia. AIDS 9:585–588PubMedCrossRef
15.
Zurück zum Zitat Gumodoka B, Favot I, Berege ZA et al (1997) Occupational exposure to the risk of HIV infection among health care workers in Mwanza region, United Republic of Tanzania. Bull World Health Organ 75:133–140PubMed Gumodoka B, Favot I, Berege ZA et al (1997) Occupational exposure to the risk of HIV infection among health care workers in Mwanza region, United Republic of Tanzania. Bull World Health Organ 75:133–140PubMed
17.
Zurück zum Zitat Bhagwanjee S, Muckart DJ, Jeena PM et al (1997) Does HIV status influence the outcome of patients admitted to a surgical intensive care unit? A prospective double blind study. BMJ 314:1077–1081PubMed Bhagwanjee S, Muckart DJ, Jeena PM et al (1997) Does HIV status influence the outcome of patients admitted to a surgical intensive care unit? A prospective double blind study. BMJ 314:1077–1081PubMed
18.
Zurück zum Zitat Watters DA (1997) Surgery for tuberculosis before and after human immunodeficiency virus infection: a tropical perspective. Br J Surg 84:8–14PubMedCrossRef Watters DA (1997) Surgery for tuberculosis before and after human immunodeficiency virus infection: a tropical perspective. Br J Surg 84:8–14PubMedCrossRef
19.
Zurück zum Zitat Barnes PF, Le HQ, Davidson PT (1993) Tuberculosis in patients with HIV infection. Med Clin North Am 77:1369–1390PubMed Barnes PF, Le HQ, Davidson PT (1993) Tuberculosis in patients with HIV infection. Med Clin North Am 77:1369–1390PubMed
20.
Zurück zum Zitat De Cock KM, Soro B, Coulibay IM et al (1992) Tuberculosis and HIV infection in Sub-Saharan Africa. JAMA 268:1581–1587PubMedCrossRef De Cock KM, Soro B, Coulibay IM et al (1992) Tuberculosis and HIV infection in Sub-Saharan Africa. JAMA 268:1581–1587PubMedCrossRef
21.
Zurück zum Zitat Clarke DL, Thomson SR, Bissetty T et al (2007) A single surgical unit’s experience with abdominal tuberculosis in the HIV/AIDS era. World J Surg 31:1087–1098PubMedCrossRef Clarke DL, Thomson SR, Bissetty T et al (2007) A single surgical unit’s experience with abdominal tuberculosis in the HIV/AIDS era. World J Surg 31:1087–1098PubMedCrossRef
22.
Zurück zum Zitat Edginton ME, Wong ML, Phofa R et al (2005) Tuberculosis at Chris Hani Baragwanath Hospital: numbers of patients diagnosed and outcomes of referrals to district clinics. Int J Tuberc Lung Dis 9:398–402PubMed Edginton ME, Wong ML, Phofa R et al (2005) Tuberculosis at Chris Hani Baragwanath Hospital: numbers of patients diagnosed and outcomes of referrals to district clinics. Int J Tuberc Lung Dis 9:398–402PubMed
23.
Zurück zum Zitat Deziel DJ, Hyser MJ, Doolas A et al (1990) Major abdominal operations in acquired immunodeficiency syndrome. Am Surg 56:445–450PubMed Deziel DJ, Hyser MJ, Doolas A et al (1990) Major abdominal operations in acquired immunodeficiency syndrome. Am Surg 56:445–450PubMed
24.
Zurück zum Zitat Bizer L, Pettorino R, Ashikari A (1995) Emergency abdominal operations in the patient with acquired immunodeficiency syndrome. J Am Coll Surg 180:205–209PubMed Bizer L, Pettorino R, Ashikari A (1995) Emergency abdominal operations in the patient with acquired immunodeficiency syndrome. J Am Coll Surg 180:205–209PubMed
25.
Zurück zum Zitat Yii MK, Saunder A, Scott DF (1995) Abdominal surgery in HIV/AIDS patients: indications, operative management, pathology and outcome. Aust N Z J Surg 65:320–326PubMedCrossRef Yii MK, Saunder A, Scott DF (1995) Abdominal surgery in HIV/AIDS patients: indications, operative management, pathology and outcome. Aust N Z J Surg 65:320–326PubMedCrossRef
26.
Zurück zum Zitat Whitney TM, Brunel W, Russell TR et al (1994) Emergent abdominal surgery in AIDS: experience in San Francisco. Am J Surg 168:239–243PubMedCrossRef Whitney TM, Brunel W, Russell TR et al (1994) Emergent abdominal surgery in AIDS: experience in San Francisco. Am J Surg 168:239–243PubMedCrossRef
27.
Zurück zum Zitat Davis PA, Corless DJ, Gazzard BG et al (1999) Increased risk of wound complications and poor healing following laparotomy in HIV-seropositive and AIDS patients. Dig Surg 16:60–67PubMedCrossRef Davis PA, Corless DJ, Gazzard BG et al (1999) Increased risk of wound complications and poor healing following laparotomy in HIV-seropositive and AIDS patients. Dig Surg 16:60–67PubMedCrossRef
28.
Zurück zum Zitat Ayers J, Howton MJ, Layon AJ (1993) Postoperative complications in patients with human immunodeficiency virus disease: clinical data and a literature review. Chest 103:1800–1807PubMedCrossRef Ayers J, Howton MJ, Layon AJ (1993) Postoperative complications in patients with human immunodeficiency virus disease: clinical data and a literature review. Chest 103:1800–1807PubMedCrossRef
29.
Zurück zum Zitat Horberg MA, Hurley LB, Klein DB et al (2006) Surgical outcomes in human immunodefiency virus-infected patients in the era of highly active antriretroviral therapy. Arch Surg 141:1238–1245PubMedCrossRef Horberg MA, Hurley LB, Klein DB et al (2006) Surgical outcomes in human immunodefiency virus-infected patients in the era of highly active antriretroviral therapy. Arch Surg 141:1238–1245PubMedCrossRef
30.
Zurück zum Zitat Morandi E, Merlini D, Salvaggio A et al (1999) Prospective study of healing time after haemorrhoidectomy: influence of HIV infection, acquired immunodeficiency syndrome and anal wound infection. Dis Colon Rectum 42:1140–1144PubMedCrossRef Morandi E, Merlini D, Salvaggio A et al (1999) Prospective study of healing time after haemorrhoidectomy: influence of HIV infection, acquired immunodeficiency syndrome and anal wound infection. Dis Colon Rectum 42:1140–1144PubMedCrossRef
31.
Zurück zum Zitat Cappell MS, Geller AJ (1992) The high mortality of gastrointestinal bleeding in HIV-seropositive patients: a multivariate analysis of risk factors and warning signs of mortality in 50 consecutive patients. Am J Gastroenterol 87:815–824PubMed Cappell MS, Geller AJ (1992) The high mortality of gastrointestinal bleeding in HIV-seropositive patients: a multivariate analysis of risk factors and warning signs of mortality in 50 consecutive patients. Am J Gastroenterol 87:815–824PubMed
32.
Zurück zum Zitat Parente F, Cernuschi M, Valsecchi L et al (1991) Acute upper gastrointestinal bleeding in patients with AIDS: a relatively uncommon condition associated with reduced survival. Gut 32:987–990PubMedCrossRef Parente F, Cernuschi M, Valsecchi L et al (1991) Acute upper gastrointestinal bleeding in patients with AIDS: a relatively uncommon condition associated with reduced survival. Gut 32:987–990PubMedCrossRef
33.
Zurück zum Zitat Chalasani N, Wilcox CM (1998) Etiology and outcome of lower gastrointestinal bleeding in patients with AIDS. Am J Gastorenterol 93:175–178CrossRef Chalasani N, Wilcox CM (1998) Etiology and outcome of lower gastrointestinal bleeding in patients with AIDS. Am J Gastorenterol 93:175–178CrossRef
34.
Zurück zum Zitat Curi MA, Pappas PJ, Silva MB et al (1999) Hemodialysis access: influence of the human immunodeficiency virus on patency and infection rates. J Vasc Surg 29:608–616PubMedCrossRef Curi MA, Pappas PJ, Silva MB et al (1999) Hemodialysis access: influence of the human immunodeficiency virus on patency and infection rates. J Vasc Surg 29:608–616PubMedCrossRef
35.
Zurück zum Zitat George SL, Swindells S, Knudson R et al (1999) Unexplained thrombosis in HIV-infected patients receiving protease inhibitors: report of seven cases. Am J Med 107:624–626PubMedCrossRef George SL, Swindells S, Knudson R et al (1999) Unexplained thrombosis in HIV-infected patients receiving protease inhibitors: report of seven cases. Am J Med 107:624–626PubMedCrossRef
36.
Zurück zum Zitat Jacobson MC, Dezube BJ, Aboulafia DM (2004) Thrombotic complications in patients infected with HIV in the era of highly active antiretroviral therapy: a case series. Clin Infect Dis 39:1214–1222PubMedCrossRef Jacobson MC, Dezube BJ, Aboulafia DM (2004) Thrombotic complications in patients infected with HIV in the era of highly active antiretroviral therapy: a case series. Clin Infect Dis 39:1214–1222PubMedCrossRef
37.
38.
Zurück zum Zitat Saber AA, Aboolian A, Laraja RD et al (2001) HIV/AIDS and the risk of deep vein thrombosis: a study of 45 patients with lower extremity involvement. Am Surg 67:645–647PubMed Saber AA, Aboolian A, Laraja RD et al (2001) HIV/AIDS and the risk of deep vein thrombosis: a study of 45 patients with lower extremity involvement. Am Surg 67:645–647PubMed
39.
Zurück zum Zitat Saif MW, Bona R, Greenberg B (2001) AIDS and thrombosis: retrospective study of 131 HIV-infected patients. AIDS Patient Care STDS 15:311–320PubMedCrossRef Saif MW, Bona R, Greenberg B (2001) AIDS and thrombosis: retrospective study of 131 HIV-infected patients. AIDS Patient Care STDS 15:311–320PubMedCrossRef
40.
Zurück zum Zitat Nickas G, Wachter RM (2000) Outcomes of intensive care for patients with human immunodeficiency virus infection. Arch Intern Med 160:541–547PubMedCrossRef Nickas G, Wachter RM (2000) Outcomes of intensive care for patients with human immunodeficiency virus infection. Arch Intern Med 160:541–547PubMedCrossRef
41.
Zurück zum Zitat Saltzman DJ, Williams RA, Gelfand DV et al (2005) The surgeon and AIDS. Arch Surg 140:961–967PubMedCrossRef Saltzman DJ, Williams RA, Gelfand DV et al (2005) The surgeon and AIDS. Arch Surg 140:961–967PubMedCrossRef
42.
Zurück zum Zitat Dua RS, Wajed SA, Winslet MC (2007) Impact of HIV and AIDS on surgical practice. Ann R Coll Surg Engl 89:354–358PubMedCrossRef Dua RS, Wajed SA, Winslet MC (2007) Impact of HIV and AIDS on surgical practice. Ann R Coll Surg Engl 89:354–358PubMedCrossRef
43.
Zurück zum Zitat Lord RVN (1997) Anorectal surgery in patients infected with human immunodeficiency virus: factors associated with delayed wound healing. Ann Surg 226:92–99PubMedCrossRef Lord RVN (1997) Anorectal surgery in patients infected with human immunodeficiency virus: factors associated with delayed wound healing. Ann Surg 226:92–99PubMedCrossRef
44.
Zurück zum Zitat Safavi A, Gottesman L, Dailey TH (1991) Anorectal surgery in the HIV+ patient: update. Dis Colon Rectum 34:299–304PubMedCrossRef Safavi A, Gottesman L, Dailey TH (1991) Anorectal surgery in the HIV+ patient: update. Dis Colon Rectum 34:299–304PubMedCrossRef
45.
Zurück zum Zitat Tran HS, Moncure M, Tarnoff M et al (2000) Predictors of operative outcome in patients with human immunodeficiency virus infection and acquired immunodeficiency syndrome. Am J Surg 180:228–233PubMedCrossRef Tran HS, Moncure M, Tarnoff M et al (2000) Predictors of operative outcome in patients with human immunodeficiency virus infection and acquired immunodeficiency syndrome. Am J Surg 180:228–233PubMedCrossRef
46.
Zurück zum Zitat Hewitt WR, Sokol TP, Fleshner PR (1996) Should HIV status alter indications for hemorrhoidectomy? Dis Colon Rectum 39:615–618PubMedCrossRef Hewitt WR, Sokol TP, Fleshner PR (1996) Should HIV status alter indications for hemorrhoidectomy? Dis Colon Rectum 39:615–618PubMedCrossRef
47.
Zurück zum Zitat Consten EC, Slors FJ, Noten HJ et al (1995) Anorectal surgery in human immunodeficiency virus-infected patients: clinical outcome in relation to immune status. Dis Colon Rectum 38:1169–1175PubMedCrossRef Consten EC, Slors FJ, Noten HJ et al (1995) Anorectal surgery in human immunodeficiency virus-infected patients: clinical outcome in relation to immune status. Dis Colon Rectum 38:1169–1175PubMedCrossRef
48.
Zurück zum Zitat Davis PA, Corless DJ, Aspinall R et al (2001) Effect of CD4(+) and CD8(+) cell depletion on wound healing. Br J Surg 88:298–304PubMedCrossRef Davis PA, Corless DJ, Aspinall R et al (2001) Effect of CD4(+) and CD8(+) cell depletion on wound healing. Br J Surg 88:298–304PubMedCrossRef
49.
Zurück zum Zitat Peterson JM, Barbul A, Breslin RJ et al (1987) Significance of T-lymphocytes in wound healing. Surgery 102:300–305PubMed Peterson JM, Barbul A, Breslin RJ et al (1987) Significance of T-lymphocytes in wound healing. Surgery 102:300–305PubMed
50.
Zurück zum Zitat Barbul A, Breslin RJ, Woodyard JP et al (1989) The effect of in vivo T helper and T suppressor lymphocyte depletion on wound healing. Ann Surg 209:4979–4983CrossRef Barbul A, Breslin RJ, Woodyard JP et al (1989) The effect of in vivo T helper and T suppressor lymphocyte depletion on wound healing. Ann Surg 209:4979–4983CrossRef
51.
Zurück zum Zitat Moenning S, Huber P, Somonton C et al (1991) Prediction of morbidity by T4 lymphocyte count in the HIV positive or AIDS anorectal outpatient [meeting abstract]. Dis Colon Rectum 34:17CrossRef Moenning S, Huber P, Somonton C et al (1991) Prediction of morbidity by T4 lymphocyte count in the HIV positive or AIDS anorectal outpatient [meeting abstract]. Dis Colon Rectum 34:17CrossRef
52.
Zurück zum Zitat Narasimhan M, Posner AJ, DePalo VA et al (2004) Intensive care in patients with HIV infection in the era of highly active anti-retroviral therapy. Chest 125:1800–1804PubMedCrossRef Narasimhan M, Posner AJ, DePalo VA et al (2004) Intensive care in patients with HIV infection in the era of highly active anti-retroviral therapy. Chest 125:1800–1804PubMedCrossRef
53.
Zurück zum Zitat Bozzette SA, Finkelstein DM, Spector SA et al (1995) A randomized trial of three anti-Pneumocystis agents in patients with advanced human immunodeficiency virus infection. N Engl J Med 332:693–699PubMedCrossRef Bozzette SA, Finkelstein DM, Spector SA et al (1995) A randomized trial of three anti-Pneumocystis agents in patients with advanced human immunodeficiency virus infection. N Engl J Med 332:693–699PubMedCrossRef
54.
Zurück zum Zitat Gebo KA, Chaisson RE, Folkemer JG et al (1999) Cost of HIV medical care in the era of highly active antiretroviral therapy. AIDS 13:963–969PubMedCrossRef Gebo KA, Chaisson RE, Folkemer JG et al (1999) Cost of HIV medical care in the era of highly active antiretroviral therapy. AIDS 13:963–969PubMedCrossRef
55.
Zurück zum Zitat Gulick RM, Mellors JW, Havlir D et al (1997) Treatment with indinavir, zidovudine, and lamivudine in adults with human immunodeficiency virus infection and prior antiretroviral therapy. N Engl J Med 337:734–739PubMedCrossRef Gulick RM, Mellors JW, Havlir D et al (1997) Treatment with indinavir, zidovudine, and lamivudine in adults with human immunodeficiency virus infection and prior antiretroviral therapy. N Engl J Med 337:734–739PubMedCrossRef
56.
Zurück zum Zitat Hammer SM, Squires KE, Hughes MD et al (1997) A controlled trial of two nucleoside analogues plus indinavir in persons with human immunodeficiency virus infection and CD4 counts of 200 per cubic millimeter or less. N Engl J Med 337:725–733PubMedCrossRef Hammer SM, Squires KE, Hughes MD et al (1997) A controlled trial of two nucleoside analogues plus indinavir in persons with human immunodeficiency virus infection and CD4 counts of 200 per cubic millimeter or less. N Engl J Med 337:725–733PubMedCrossRef
57.
58.
Zurück zum Zitat International Collaboration on HIV and Cancer (2000) Highly active antiretroviral therapy and the incidence of cancer in human immunodeficiency virus-infected adults. J Natl Cancer Inst 92:1823–1830CrossRef International Collaboration on HIV and Cancer (2000) Highly active antiretroviral therapy and the incidence of cancer in human immunodeficiency virus-infected adults. J Natl Cancer Inst 92:1823–1830CrossRef
59.
Zurück zum Zitat Morris A, Creasman J, Turner J et al (2002) Intensive care of human immunodeficiency virus-infected patients during the era of highly active antiretroviral therapy. Am J Respir Crit Care Med 166:262–267PubMedCrossRef Morris A, Creasman J, Turner J et al (2002) Intensive care of human immunodeficiency virus-infected patients during the era of highly active antiretroviral therapy. Am J Respir Crit Care Med 166:262–267PubMedCrossRef
60.
Zurück zum Zitat Louwagie GM, Bachmann MO, Meyer K et al (2007) Highly active antiretroviral treatment and health related quality of life in South African adults with human immunodeficiency virus infection: a cross-sectional study. BMC Public Health 7:244PubMedCrossRef Louwagie GM, Bachmann MO, Meyer K et al (2007) Highly active antiretroviral treatment and health related quality of life in South African adults with human immunodeficiency virus infection: a cross-sectional study. BMC Public Health 7:244PubMedCrossRef
61.
Zurück zum Zitat Losina E, Anglaret X, Yazdanpanah Y et al (2006) Impact of opportunistic diseases on chronic mortality in HIV infected adults in Côte d’Ivoire. S Afr Med J 96:526–529PubMed Losina E, Anglaret X, Yazdanpanah Y et al (2006) Impact of opportunistic diseases on chronic mortality in HIV infected adults in Côte d’Ivoire. S Afr Med J 96:526–529PubMed
63.
Zurück zum Zitat Wakeman R, Johnson CD, Wastell C (1990) Surgical procedures in patients at risk of human immunodeficiency virus infection. J R Soc Med 83:315–318PubMed Wakeman R, Johnson CD, Wastell C (1990) Surgical procedures in patients at risk of human immunodeficiency virus infection. J R Soc Med 83:315–318PubMed
64.
Zurück zum Zitat Binderow SR, Cavallo RJ, Freed J (1993) Laboratory parameters as predictors of outcome after major abdominal surgery in AIDS and HIV-infected patients. Am Surg 59:754–757PubMed Binderow SR, Cavallo RJ, Freed J (1993) Laboratory parameters as predictors of outcome after major abdominal surgery in AIDS and HIV-infected patients. Am Surg 59:754–757PubMed
65.
Zurück zum Zitat Devito JR, Robinson WR (1995) Gynecological surgical outcomes among asymptomatic human immunodeficiency virus-infected women and uninfected control subjects. J La State Med Soc 147:109–112PubMed Devito JR, Robinson WR (1995) Gynecological surgical outcomes among asymptomatic human immunodeficiency virus-infected women and uninfected control subjects. J La State Med Soc 147:109–112PubMed
66.
Zurück zum Zitat European HIV in Obstetric Group (2004) Higher rates of post-partum complications in HIV-infected than in uninfected women irrespective of mode of delivery. AIDS 18:935–938 European HIV in Obstetric Group (2004) Higher rates of post-partum complications in HIV-infected than in uninfected women irrespective of mode of delivery. AIDS 18:935–938
67.
Zurück zum Zitat Stawicki SP, Hoff WS, Hoey Ba et al (2005) Human immunodeficiency virus infection in trauma patients: where do we stand? J Trauma 58:88–93PubMedCrossRef Stawicki SP, Hoff WS, Hoey Ba et al (2005) Human immunodeficiency virus infection in trauma patients: where do we stand? J Trauma 58:88–93PubMedCrossRef
68.
Zurück zum Zitat Nadal SR, Manzione CR, Galvão VM et al (1999) Perianal diseases in HIV-positive patients compared with a seronegative population. Dis Colon Rectum 42:649–654PubMedCrossRef Nadal SR, Manzione CR, Galvão VM et al (1999) Perianal diseases in HIV-positive patients compared with a seronegative population. Dis Colon Rectum 42:649–654PubMedCrossRef
69.
Zurück zum Zitat Jjuuko G, Moodley J (2002) Abdominal wound sepsis associated with gynaecological surgery at King Edward VIII Hospital, Durban. S Afr J Surg 40:11–14PubMed Jjuuko G, Moodley J (2002) Abdominal wound sepsis associated with gynaecological surgery at King Edward VIII Hospital, Durban. S Afr J Surg 40:11–14PubMed
70.
Zurück zum Zitat Mkony C, Kwesigabo G, Lyamuya E et al (2003) Prevalence and clinical presentation of HIV infection among newly hospitalised surgical patients at Muhimbili National Hospital, Dar es Salaam, Tanzania. East Afr Med J 80:640–645PubMed Mkony C, Kwesigabo G, Lyamuya E et al (2003) Prevalence and clinical presentation of HIV infection among newly hospitalised surgical patients at Muhimbili National Hospital, Dar es Salaam, Tanzania. East Afr Med J 80:640–645PubMed
71.
Zurück zum Zitat Doumgba AD, Kamoune JN, Ngarhio L et al (2006) Surgery and HIV in Bangui (Central African Republic). Sante 16:173–176PubMed Doumgba AD, Kamoune JN, Ngarhio L et al (2006) Surgery and HIV in Bangui (Central African Republic). Sante 16:173–176PubMed
72.
Zurück zum Zitat Martinson NA, Omar T, Gray GE et al (2007) High rates of HIV in surgical patients in Soweto, South Africa: impact on resource utilisation and recommendations for HIV testing. Trans R Soc Trop Med Hyg 101:176–182PubMedCrossRef Martinson NA, Omar T, Gray GE et al (2007) High rates of HIV in surgical patients in Soweto, South Africa: impact on resource utilisation and recommendations for HIV testing. Trans R Soc Trop Med Hyg 101:176–182PubMedCrossRef
73.
Zurück zum Zitat Ramogale MR, Moodley J, Sebitloane MH (2007) HIV-associated maternal mortality: primary causes of death at King Edward VIII Hospital, Durban. S Afr Med J 97:363–366PubMed Ramogale MR, Moodley J, Sebitloane MH (2007) HIV-associated maternal mortality: primary causes of death at King Edward VIII Hospital, Durban. S Afr Med J 97:363–366PubMed
74.
Zurück zum Zitat Fauci AS, Pantaleo G, Stanley S et al (1996) Immunopathogenic mechanisms of HIV infection. Ann Intern Med 124:654–663PubMed Fauci AS, Pantaleo G, Stanley S et al (1996) Immunopathogenic mechanisms of HIV infection. Ann Intern Med 124:654–663PubMed
Metadaten
Titel
Human Immunodeficiency Disease: How Should It Affect Surgical Decision Making?
verfasst von
T. E. Madiba
D. J. J. Muckart
S. R. Thomson
Publikationsdatum
01.05.2009
Verlag
Springer-Verlag
Erschienen in
World Journal of Surgery / Ausgabe 5/2009
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-009-9969-6

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Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.