Journal List > Korean J Nosocomial Infect Control > v.19(1) > 1098341

Mi, Mi, Jieun, and Gunn: Trends of HIV-infected Patients Operated at Single Hospital



As anti-retroviral therapy has improved and the life expectancy of patients’ with HIV in Korea has increased, an increased number of surgical procedures have been performed in this population. Therefore, in the current study, we investigated the trend in surgery conducted on patients with HIV in our hospital over the last 5 years.


We retrospectively reviewed the medical records of HIV-infected patients who underwent surgery under general or local anesthesia at our hospital between 2005 and 2010.


The total number of surgeries performed in HIV-infected patients in the 5-year period was 95. Of these, 23 (24%) were performed under general anesthesia and 72 (76%) under spinal anesthesia. Anorectal surgery was the most commonly performed surgery (71 cases, 76%). The postoperative complication rate was 5.3% (3 cases of pneumonia and 2 of wound infection), with general anesthesia and time to discharge being identified as contributory factors. Preoperative CD4+ T cell count was not significantly associated with complications.


This study was the first to analyze the trends in surgical procedures performed in HIV-infected patients in Korea. Our study may be beneficial as a reference for clinicians who manage patients with HIV.


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Fig. 1.
Surgery incidences according to age and sex in 95 HIV-infected patients.
Table 1.
The nature of operation
Operations No. of patients Operation name No. of patients Anesthesia Postoperative complication
Anorectal 71 Fistulectomy, Anal abscess incision & drainage 14 Spinal None
    Condyloma excision 53 Spinal None
    Hemorroidectomy 4 Spinal None
Abdominal 10 Exploratory-laparotomy 3 General Wound infection (1)
    Colostomy 1 General Wound infection (1)
    Wound closure 1 General None
    Hernia repair 2 General None
    Appendectomy 2 General None
    Lymph node biopsy 1 General None
Orthopedic 7 Fracture of extremities 3 General None
    Arthroscopic surgery of knee 1 Spinal None
    Spine surgery 3 General None
Neurosurgery 3 Craniectomy 2 General Pneumonia (2)
    Stereotactic aspiration 1 General Pneumonia (1)
Thoracic surgery 1 Video assisted thoracoscopy 1 General  
ENT 1 Tympanic membrane surgery 1 General None
OBGY 2 Cesarean section 1 General None
Electrosurgical excision procedure 1 General None

Abbreviations: ENT, ear-nose-throat department surgery; OBGY, obstetric and gynecological department surgery.

Table 2.
The nature of anesthesia
Type of anesthesia General Spinal P-value
No. of patients 23 72  
No. of complications/total (%)      
CD4+ä200 2/6 (33.3) 0/11 (0) ä 0.001
CD4+≥200 3/17 (17.6) 0/61 (0) ä 0.001
Duration of discharge 21.823.2 2.75.8 ä 0.001
(days, meansSD)

Abbreviations: CD4+ä200, CD4+ T cell count ä200 cells/mm3; CD4+≥200, CD4+ T cell count ≥200 cells/mm3.

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