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Infectious Diseases in Obstetrics and Gynecology
Volume 13, Issue 3, Pages 167-169
http://dx.doi.org/10.1080/10647440500147901

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

Department of Gynecology and Obstetrics, Emory University, 69 Jessie Hill Drive, Atlanta 30303, Georgia, USA

Copyright © 2005 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.