Management of idiopathic ulcer of the anal canal by excision in HIV-positive patients

Nadal, Sidney Roberto; Manzione, Carmen Ruth; Horta, Sérgio Henrique Couto; Galvao, Vivianne De Moura

doi:10.1007/bf02236214

Cited by 15 publications

(11 citation statements)

References 9 publications

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“…The patients usually have very low CD4 T cell counts indicative of compromised immunity, 15 and idiopathic ulcer was the reason for seeking medical help in Group 2. However, despite our patients' improved immunity, we found many more HPV-induced lesions.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Perianal Diseases in HIV-Positive Patients During Periods Before and After Protease Inhibitors Use

Nadal

Manzione

Horta

2008

Diseases of the Colon &Amp; Rectum

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Section: Discussionmentioning

confidence: 99%

Comparison of Perianal Diseases in HIV-Positive Patients During Periods Before and After Protease Inhibitors Use

Nadal

Manzione

Horta

2008

Diseases of the Colon &Amp; Rectum

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“…A previous study found an increased incidence of fever in patients treated with general anesthesia or CSEA (Bremerich et al, 2003), and this result correlated with the severity of the primary disease and the complexity of the surgical procedure in those patients (Nadal et al, 1999). In addition, the level of CD4 + T cells was higher in the CSEA group than the other groups, which indicated that patients in the CSEA group had better immune function.…”

Section: Discussionmentioning

confidence: 88%

Effects of different anesthetic approaches on postoperative complications in HIV-infected patients

Zhang¹,

Wang²,

Wang³

et al. 2015

Genet. Mol. Res.

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ABSTRACT. The aim of this study was to investigate the effects of three different methods of anesthesia on patients with human immunodeficiency virus (HIV) infection, which could lead to an improvement in postoperative outcomes in these patients. A total of 90 patients undergoing an operation while being treated for an HIV infection were included in this study. Patients were divided into three groups (N = 30/group) based on the type of anesthesia administered: general anesthesia, local anesthesia, and combined spinal epidural anesthesia (CSEA). The effects of local infiltration of anesthesia and peripheral nerve block local anesthesia were examined in the local anesthesia group. The CSEA group examined the effects of spinal anesthesia in HIV-infected patients. We compared the vital (2015) signs of the three groups during the preoperative period, at incision, and during the postoperative recovery period. The CSEA group had a significantly higher mean preoperative CD4 + T lymphocyte count compared with the general anesthesia and local anesthesia groups (P < 0.05). We found that the three kinds of anesthesia methods administered to HIV-infected patients could be used with considerable safety and can be selected according to the clinical need and type of surgical procedure.

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“…Continence is not improved from the preoperative baseline. 18 Delayed wound healing has been noted to be more closely associated with idiopathic HIV ulcerations, especially in patients with low CD4 counts. 13 Broad-spectrum antibiotic use should be considered pre-and postoperatively.…”

Section: Human Immunodeficiency Virusmentioning

confidence: 99%

Non-HPV Perianal and Anorectal Sexually Transmitted Viral Infections

Murphy

Chedister

George

2019

Clinics in Colon and Rectal Surgery

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Management of idiopathic ulcer of the anal canal by excision in HIV-positive patients

Abstract: These lesions seem to have the same cryptogenic origin as perianal abscesses, and we recommend surgical treatment to provide symptom relief.

Cited by 15 publications

References 9 publications

Comparison of Perianal Diseases in HIV-Positive Patients During Periods Before and After Protease Inhibitors Use

Comparison of Perianal Diseases in HIV-Positive Patients During Periods Before and After Protease Inhibitors Use

Effects of different anesthetic approaches on postoperative complications in HIV-infected patients

Non-HPV Perianal and Anorectal Sexually Transmitted Viral Infections

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