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Related Experiment Videos

Should HIV status alter indications for hemorrhoidectomy?

W R Hewitt1, T P Sokol, P R Fleshner

  • 1Division of Colon and Rectal Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Diseases of the Colon and Rectum
|June 1, 1996
PubMed
Summary

Hemorrhoidectomy is safe for patients with human immunodeficiency virus (HIV). A study found no significant difference in complication rates or wound healing times between HIV-positive and HIV-negative patients undergoing the procedure.

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Area of Science:

  • Colorectal Surgery
  • Infectious Diseases
  • Surgical Outcomes

Background:

  • Hemorrhoidectomy is a common surgical procedure.
  • Concerns exist regarding the safety of hemorrhoidectomy in human immunodeficiency virus (HIV)-positive patients.
  • Limited comparative data exists on surgical morbidity in HIV-positive versus HIV-negative individuals.

Purpose of the Study:

  • To compare the morbidity associated with hemorrhoidectomy in HIV-positive (HIV+) patients versus HIV-negative (HIV-) patients.
  • To evaluate potential differences in complication rates and wound healing.
  • To inform surgical decision-making for hemorrhoidal disease in the context of HIV status.

Main Methods:

  • Retrospective chart review of 27 HIV+ and 30 HIV- male patients under 50 years old who underwent hemorrhoidectomy.

Related Experiment Videos

  • Analysis of preoperative and intraoperative variables, complication rates, and wound healing times.
  • Matching of HIV+ and HIV- groups for key patient characteristics.

    • Main Results:

    • No significant difference in overall complication rates between HIV+ and HIV- groups (26% overall).
    • Similar rates of urinary retention and postoperative hemorrhage between groups.
    • Comparable mean times to complete wound healing (6.8 weeks for HIV+ vs. 6.6 weeks for HIV-).

    Conclusions:

    • HIV status does not appear to be a contraindication for hemorrhoidectomy.
    • Surgical management of hemorrhoidal disease should not be altered based solely on HIV status.
    • Further research may explore specific management strategies if indicated.