Gender Reassignment Surgery in Human Immunodeficiency Virus-Positive Patients: A Report of Two Cases

Kim, Seok-Kwun; Choi, Ji-An; Kim, Myung-Hoon; Kim, Min-Su; Lee, Keun-Cheol

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자료유형: 학술저널

저자정보: Kim, Seok-Kwun (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Choi, Ji-An (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Kim, Myung-Hoon (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Kim, Min-Su (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Lee, Keun-Cheol (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제6호

발행연도: 2015.1

수록면: 776 - 782 (7page)

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It is believed that surgery on human immunodeficiency virus (HIV)-positive patients is dangerous and should be avoided due to the possibility of postoperative infection of the patients or HIV occupational transmission to the medical staff. We discuss here the preparations and measures needed to conduct surgery safely on HIV-positive patients, based on our experience. We performed sex reassignment surgery on two HIV-positive patients from January 2013 to January 2015. Both of them were receiving highly active antiretroviral therapy and were asymptomatic, with a normal CD4 count ($>500cells/{\mu}L$). The HIV-RNA was undetectable within the bloodstream. All the staff wore protective clothing, glasses, and three pairs of protective gloves in the operating room because of the possibility of transmission. Prophylactic antibiotics were administered to the patients, and antiviral therapy was performed during their perioperative course. Neither of the patients had postoperative complications, and none of the medical staff experienced accidental exposure. Both patients had satisfactory surgery outcomes without complications. HIV-positive patients can undergo surgery safely without increased risk of postoperative complications or HIV transmission to the staff through the proper use of antibiotics, active antiretroviral therapy, and supplemental protective measures with post-exposure prophylaxis for the staff in case of HIV exposure.

#Sex reassignment surgery #HIV infection #Post-exposure prophylaxis

참고문헌 (14)

참고문헌 신청

Attia S / 2009 / Sexual transmission of HIV according to viral load and antiretroviral therapy: systematic review and meta-analysis / Aids 23:1397~1404

Palella FJ Jr / 1998 / Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators / N Engl J Med 338:853~860

Lane HC / 1983 / Abnormalities of B-cell activation and immunoregulation in patients with the acquired immunodeficiency syndrome / N Engl J Med 309:453~458

Leone S / 2011 / Causes of death and risk factors among HIV-infected persons in the HAART era: analysis of a large urban cohort / Infection 39:13~20

Shelburne SA / 2005 / Incidence and risk factors for immune reconstitution inflammatory syndrome during highly active antiretroviral therapy / AIDS 19:399~406

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