OBJECTIVE: To compare the postoperative complication rates after hysterectomy between HIV-infected patients and HIV-uninfected patients. STUDY DESIGN: We conducted a retrospective study of 24 human immunodeficiency virus-infected patients who underwent hysterectomy between January 1, 2000 and April 2, 2003 at Grady Memorial Hospital. Postoperative complications rates among HIV-infected women were compared to those rates among HIV-uninfected women. Data were analyzed t-tests for continuous variables and chi-squared tests for categorical variables. RESULTS: The HIV-infected women were more likely to report smoking and recreational drug use. In addition, a higher proportion of the HIV-infected women were co-infected with hepatitis, with more than one-quarter of HIV-infected women being hepatitis B or C seropositive. Although the study was limited due to small sample size, no significant differences in complication rates were found among HIV-infected women compared with uninfected women. CONCLUSION: As HIV-infected women are living longer, healthier lives we anticipate that increased numbers of HIV-infected women will be undergoing hysterectomy for benign gynecologic conditions. It will be important, therefore, to carefully document any potential differences in operative risks.
OBJECTIVE: To compare the postoperative complication rates after hysterectomy between HIV-infectedpatients and HIV-uninfectedpatients. STUDY DESIGN: We conducted a retrospective study of 24 human immunodeficiency virus-infectedpatients who underwent hysterectomy between January 1, 2000 and April 2, 2003 at Grady Memorial Hospital. Postoperative complications rates among HIV-infectedwomen were compared to those rates among HIV-uninfectedwomen. Data were analyzed t-tests for continuous variables and chi-squared tests for categorical variables. RESULTS: The HIV-infectedwomen were more likely to report smoking and recreational drug use. In addition, a higher proportion of the HIV-infectedwomen were co-infected with hepatitis, with more than one-quarter of HIV-infectedwomen being hepatitis B or C seropositive. Although the study was limited due to small sample size, no significant differences in complication rates were found among HIV-infectedwomen compared with uninfected women. CONCLUSION: As HIV-infectedwomen are living longer, healthier lives we anticipate that increased numbers of HIV-infectedwomen will be undergoing hysterectomy for benign gynecologic conditions. It will be important, therefore, to carefully document any potential differences in operative risks.
Authors: Ana Penman-Aguilar; Maura K Whiteman; Shanna Cox; Samuel F Posner; Susan F Meikle; Athena P Kourtis; Denise J Jamieson Journal: Infect Dis Obstet Gynecol Date: 2012-05-17