Outcomes of Hysterectomy in HIV-Seropositive Women Compared to Seronegative Women

[摘要] 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 ratesamong HIV-infected women were compared to those rates among HIV-uninfected women. Data were analyzedt-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 womenbeing 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 carefullydocument any potential differences in operative risks.

[学科分类] 妇产科学