Surgical treatment for acute appendicitis in HIV/AIDS patients

Fifty three HIC/AIDS patients with acute appendicitis treated in our hospital from January 2016 to June 2017 were retrospectively analyzed. The anesthesia and surgery were successfully completed in all patients, and there were no serious intraoperative complications. The postoperative complications occurred in 18 cases (34.0%), including 13 cases (24.5%) of incision infections and 3 cases (5.7%) of lung infections, 1 case of adhesion obstruction (1.9%) and 1 case (1.9%) of new opportunistic infections. All patients were clinically cured after treatment and discharged from the hospital without perioperative death. The characteristics of acute appendicitis in HIV/AIDS patients are emergent onset, poor body condition, lower immunity, more comorbities, rapid condition changes, and high frequency of special infections; the patients with lower CD4 count may have higher postoperative infection, the slower recovery and the poorer outcomes. Key words: HIV infections; Acguired immunodeficiency syndrom; Appendectomy; Appendicitis