Complications of Common Gynecologic Surgeries among HIV-Infected Women in the United States

Table 2

Estimated numbers of specific procedures, percentages with any complication, and adjusted odds ratios for experiencing at least one complication, by HIV status, for selected gynecological surgeries (United States, 1994–2007).

Surgery	HIV-Infected		HIV-Uninfected		aOR(95% CI)†
	𝑛undergoing procedure	Percentage with any complication*	𝑛 undergoing procedure	Percentage with any complication
Hysterectomy with concomitant oophorectomy	6546	37.47	4314430	24.95	2.0 (1.7, 2.2)
Hysterectomy without oophorectomy	4591	41.4	2235199	20.8	2.3 (2.0, 2.6)
Oophorectomy without hysterectomy	1841	44.64	1214082	28.33	2.6 (2.1, 3.2)
Salpingectomy for ectopic pregnancy	609	50.56	252689	29.93	2.2 (1.5, 3.2)
Bilateral tubal sterilization‡
Any comorbidity	811	36.07	54514	31.56	1.2 (0.9, 1.7)
No comorbidity	1478	38.4	247866	15.97	3.1 (2.4, 4.0)
Dilation and curettage	2301	54.23	602823	29.64	2.8 (2.3, 3.4)

*Complications include extended length of stay; accidental puncture or laceration during procedure; hemorrhage, hematoma, or seroma complicating a procedure; anemia due to acute blood loss; transfusion; urinary tract infection; fever; other postoperative infection; urinary tract complications including urinary retention and ureteral obstruction; paralytic ileus; thromboembolism; postoperative shock; disruption of operation wound; postoperative fistula; hypotension; cardiac arrest; respiratory arrest; foreign body left during procedure; acute reaction to foreign substance accidentally left during a procedure; failure of sterile precautions during procedure; failure in dosage; mechanical failure of instrument or apparatus during procedure; contaminated or infected blood, other fluid, drug, or biological substance; removal of other organ (partial or total); nonspecified other complications of medical care; other complications of procedures.
†Adjusted for patient age (modeled as continuous), primary payer (private insurance versus other), year of hospitalization (modeled as continuous), and presence of any comorbidity (obesity, diabetes, cardiac condition or hypertension, asthma, anemia, gastrointestinal ulcers, smoking, and alcohol or substance abuse).
‡Results are presented separately depending on the presence of comorbidity due to statistically significant interaction between HIV status and comorbidity.