[Perioperative management of HIV infection/AIDS in gynecological and obstetric patients].

OBJECTIVE

To investigate the optimal perioperative management of HIV infection/AIDS in surgical patients in the department of gynecology and obstetrics.

METHODS

Fifty-seven surgical patients with HIV infection or AIDS were studies. Before the operations, the patients were treated with highly active anti-retroviral therapy (HAART), and the surgical approach was determined according to the level of CD4(+) T lymphocytes. The operations were performed strictly following the standard procedures with careful operation to reduce surgical injuries. Routine antibiotics were administered to prevent postoperative infections. The white blood cell count, hemoglobin and CD4(+) T lymphocytes recorded pre- and postoperatively were analyzed for evaluation of the perioperative management and therapeutic effects.

RESULTS

With these perioperative managements, the white blood cells and CD4(+) T lymphocytes showed no significant changes after the operation (P>0.05) and no wound infections or opportunistic infections were found in these cases.

CONCLUSIONS

Appropriate perioperative management can ensure surgical success in patients with HIV infection or AIDS in the department of gynecology and obstetrics.