Penetrating trauma and emergency surgery in patients with AIDS

Eddy H. Carrillo, Lillian E. Carrillo, Patricia M Byers, Enrique Ginzburg, Larry Martin

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Several recent publications have suggested that emergency surgery in patients with acquired immunodeficiency syndrome (AIDS) is associated with extremely high morbidity and mortality. Patients and methods: We reviewed the records of 21 patients with AIDS at the University of Miami/Jackson Memorial Medical Center in Miami, Florida, who underwent 24 emergency operations after sustaining penetrating trauma. Results: Nineteen patients (90%) presented with gunshot wounds and 2 (10%) presented with stab wounds. Two patients underwent multiple surgical procedures to control hemorrhage from a complex liver injury and to drain a retained hemothorax, respectively. After surgery, patients were managed according to standard protocols, the same as those for non-AIDS patients. Wound infection was present in 4 patients (19%), and occurred only in patients with <100 CD4+ cells/μL. Fifty-seven percent of patients had no prior knowledge of having AIDS or being seropositive for the human immunodeficiency virus. One patient died after surgery and 18 patients (86%) were still alive 6 months after discharge. Conclusions: As the AIDS epidemic grows, general surgeons will be treating an increasing number of these patients. A low morbidity and mortality can be obtained with standard surgical care and techniques. Complications are not uncommon and should be treated as in any other surgical patient, unless it is a terminal condition or that posture runs against the patient's stated views or advance directives.

Original languageEnglish
Pages (from-to)341-344
Number of pages4
JournalThe American Journal of Surgery
Volume170
Issue number4
DOIs
StatePublished - Jan 1 1995

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Acquired Immunodeficiency Syndrome
Emergencies
Wounds and Injuries
Stab Wounds
Morbidity
Hemothorax
Advance Directives
Gunshot Wounds
Mortality
Wound Infection
Posture
HIV
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Penetrating trauma and emergency surgery in patients with AIDS. / Carrillo, Eddy H.; Carrillo, Lillian E.; Byers, Patricia M; Ginzburg, Enrique; Martin, Larry.

In: The American Journal of Surgery, Vol. 170, No. 4, 01.01.1995, p. 341-344.

Research output: Contribution to journalArticle

Carrillo, Eddy H. ; Carrillo, Lillian E. ; Byers, Patricia M ; Ginzburg, Enrique ; Martin, Larry. / Penetrating trauma and emergency surgery in patients with AIDS. In: The American Journal of Surgery. 1995 ; Vol. 170, No. 4. pp. 341-344.
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