Page 14 - WALS Journal

Vijaykumar Rajaram Naik

is—Tab. Lazid (Zidovudine 300mg + Lamivudine 150 mg) for 28 Occupational Exposure
days. As with most anti-retrovirals these can cause side effects During overall study total 4 assisting nurses subtended with
such as diarrhea, headaches, nausea/vomiting and fatigue. Some needle prick injury while assisting the surgeries in operation
of these side effects can be quite severe and it is estimated that theater. They all received emergency PEP (Post-exposure
1 in 5 people give up PEP treatment before completion. 33 prophylaxis).

RESULTS Postoperative Antibiotics
Total of 74 patients presented with surgical problems, out of Most of the patients received at least 7-8 day course of
them 22 patients treated with conservatively while remaining 52 postoperative higher antibiotics.
treated with operative treatment forms basis of study.
Postoperative Analgesics
Time of Surgery
Present study on open surgeries analgesics were given as thee
Out of 52 operated patients, 14 (26.92%) patients operated on times a day for 7 to 8 days.
an emergency basis and 38 (73.08%) had planned surgeries.
Incidence of Wound Infection
No. of patients Percentage (%) Incidence of wound infection was found in almost 20-25% of
cases in the form of stitch abscess. It is found that incidence of
Emergency 14 26.92
Planned 38 73.08 wound infection was more in patients having low CD4 count
Total 52 100 (< 200). One patient developed fecal fistula after resection
anastomosis and treated conservatively. Incidence of
respiratory complications like pneumonia observed in 12 patients
Type of Operation (23.07%).
Out of 52 patients 18 (26.92%) patients underwent major and 34 Hospital Stay
(47.06%) minor surgeries.
Hospital stay for patients underwent open major surgeries varied
from 8 days to 15 days.
No. of patients Percentage (%)
Major 18 52.94 Economy
Minor 34 47.06 Average total expenses for surgery was 800 to 12000 depending
Total 52 100
upon type of surgery, hospital stay and complications.

Operation Time Mortality
Maximum number of patients (40) required 30 minute to one Total 4 patients died in present study out of 52 operated patients.
hour time, only some complicated cases (3) required more So overall mortality rate was 7.69%.
operative time i.e. 3 to 4 hours.
DISCUSSION

Time No. of patients Percentage (%) The literature on postoperative complications is descriptive
and inconsistent and does not support a firm conclusion on the
0–1 hour 40 76.52 association between rates and HIV serostatus or disease stage.
1–2 hours 04 07.69 The ultimate outcome of surgery in HIV-infected patients is
2–3 hours 05 09.61 most likely dependent upon many independent variables and
3–4 hours 03 05.76 not just the underlying viral infection or disease stage. 4
Total number of patients with surgical problems was 74, out
Blood Loss of that 52 (70.27%) patients required open surgery. The number
of patients in the data is less as compared to other studies, 8,11,12
The approximately blood loss during surgery varies from as HIV is still a social stigmata and most of patients are not
minimum of 30 ml to maximum of 300 ml depending of type of exposing themselves. Also most of patients are managed
surgery and findings. symptomatically by general practitioners. The overall incidence

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