HIV AIDS surgery: Difference between revisions

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{{AIDS}}
{{AIDS}}
{{CMG}}; '''Associate Editors-in-Chief:''' [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]]
{{CMG}}; '''Associate Editors-in-Chief:''' [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]]; {{Ammu}}
==Overview==
==Overview==
HIV infected patients may require surgery to treat infections and diseases associated with the condition. Childbirth and [[organ transplant]] are two of the many conditions that may require surgery in a HIV patient.
HIV infected patients may require surgery to treat [[infection]]s and diseases associated with the condition. [[Childbirth]] and [[organ transplant]] are two of the many conditions that may require surgery in a [[HIV]] patient.


==Surgery==
==Surgery==
Surgical biopsy is indicated in [[tuberculosis]], [[lymphoma]], [[lymphadenitis]]
===Abdominal Surgery===
===Abdominal Surgery===
[[Bacteria]]l or [[viral]] infections in the digestive tract are common among HIV patients, leading to enlarged [[lymph node]]s. This [[lymphadenopathy]] can squeeze the [[appendix]] causing obstruction.  
[[Bacteria]]l or [[viral]] infections in the digestive tract are common among HIV patients, leading to enlarged [[lymph node]]s. This [[lymphadenopathy]] can squeeze the [[appendix]] causing obstruction.
*[[Cholecystectomy]] for [[CMV]] in [[gallbladder]]
*Spleenectomy for thrombocytopenia
{| style="border: 0px; font-size: 90%; margin: 3px; width: 500px;" align=center
|valign=top|
|+
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Types of surgery}}
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Indication}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |[[Cholecystectomy]]
| style="padding: 5px 5px; background: #F5F5F5;" |[[CMV]] in [[gallbladder]]
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |[[Spleenectomy]]
| style="padding: 5px 5px; background: #F5F5F5;" | [[Thrombocytopenia]]
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Exploratory [[laporotomy]]
| style="padding: 5px 5px; background: #F5F5F5;" |Abdominal [[lymphadenopathy]]
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Right [[hemicolectomy]]
| style="padding: 5px 5px; background: #F5F5F5;" |Partial [[bowel obstruction]]
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |[[Cholecystectomy]]
| style="padding: 5px 5px; background: #F5F5F5;" |Acalculous [[cholecystitis]]
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Diverting [[colostomy]]
| style="padding: 5px 5px; background: #F5F5F5;" |Partial [[bowel obstruction]]
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |[[Appendicectomy]]
| style="padding: 5px 5px; background: #F5F5F5;" |[[Appenditicitis]]
|}


===Anorectal Surgery===
===Anorectal Surgery===

Revision as of 17:38, 9 October 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Ujjwal Rastogi, MBBS; Ammu Susheela, M.D. [2]

Overview

HIV infected patients may require surgery to treat infections and diseases associated with the condition. Childbirth and organ transplant are two of the many conditions that may require surgery in a HIV patient.

Surgery

Surgical biopsy is indicated in tuberculosis, lymphoma, lymphadenitis

Abdominal Surgery

Bacterial or viral infections in the digestive tract are common among HIV patients, leading to enlarged lymph nodes. This lymphadenopathy can squeeze the appendix causing obstruction.

Types of surgery Indication
Cholecystectomy CMV in gallbladder
Spleenectomy Thrombocytopenia
Exploratory laporotomy Abdominal lymphadenopathy
Right hemicolectomy Partial bowel obstruction
Cholecystectomy Acalculous cholecystitis
Diverting colostomy Partial bowel obstruction
Appendicectomy Appenditicitis

Anorectal Surgery

Condylomas are wart-like growths, typically developing in HIV patients having concomitant human papillomavirus (HPV) infections. Condylomas are present around the anus, vulva, or tip of the penis.

Brain Surgery

Toxoplasmosis is the most common cause of brain lesions in HIV patients. Brain biopsy is required in patients who do not respond to treatment for confirming the diagnosis.

References

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