- Association of Immune Status with Recurrent Anal Condylomata in Human Immunodeficiency Virus-Positive Patients
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Ji Hyun Sung, Eun Jung Ahn, Heung-Kwon Oh, Sei Hyeog Park
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J Korean Soc Coloproctol. 2012;28(6):294-298. Published online December 31, 2012
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DOI: https://doi.org/10.3393/jksc.2012.28.6.294
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- Purpose
An anal condyloma is a proliferative disease of the genital epithelium caused by the human papillomavirus. This condition is most commonly seen in male homosexuals and is frequently recurrent. Some reports have suggested that immunosuppression is a risk factor for recurrence of a condyloma. Thus, we investigated the risk factors for a recurrent anal condyloma in human immunodeficiency virus (HIV)-positive patients. MethodsWe retrospectively analyzed 85 consecutive patients who were diagnosed with and underwent surgery for an anal condyloma from January 2007 to December 2011. Outcomes were analyzed based clinical and immunologic data. ResultsRecurrent anal condylomata were found in 25 patients (29.4%). Ten cases (40.0%) were within postoperative 3 months. At postoperative 6 months, the CD4 lymphocyte count in the recurrent group was lower than it was in the nonrecurrent group (P = 0.023). ConclusionCD4-mediated immunosuppression is a risk factor for recurrent anal condylomata in HIV-positive patients.
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Sandra Vela, Sebastian Videla, Arelly Ornelas, Boris Revollo, Bonaventura Clotet, Guillem Sirera, Marta Piñol, Francesc García-Cuyás, Magdalena Grce PLOS ONE.2018; 13(8): e0199033. CrossRef - Efficacy of fulguration combined with imiquimod cream on condyloma acuminatum, and the effect on immune functions and serums levels of IL-2 and IL-10
Quan Chen, Ridong Yang, Aili Gao, Daoqing Zhong, Huilan Zhu Experimental and Therapeutic Medicine.2017; 14(1): 131. CrossRef - Association of HIV Infection With Anal and Penile Low-Risk Human Papillomavirus Infections Among Men Who Have Sex With Men in Amsterdam
Camiel A.H. Welling, Sofie H. Mooij, Marianne A.B. van der Sande, Martijn S. van Rooijen, Wilma F. Vermeulen-Oost, Audrey J. King, Arne van Eeden, Daniëlle A.M. Heideman, Ineke G. Stolte, Maarten F. Schim van der Loeff Sexually Transmitted Diseases.2015; 42(6): 297. CrossRef - Condylomes anaux dégénérés. A propos de 13 cas
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- A Clinical Comparison of Laparoscopic versus Open Appendectomy for Complicated Appendicitis
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Sun Gu Lim, Eun Jung Ahn, Seong Yup Kim, Il Yong Chung, Jong-Min Park, Sei Hyeog Park, Kyoung Woo Choi
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J Korean Soc Coloproctol. 2011;27(6):293-297. Published online December 31, 2011
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DOI: https://doi.org/10.3393/jksc.2011.27.6.293
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5,137
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Although laparoscopic appendectomies (LAs) are performed universally, a controversy still exists whether the LA is an appropriate surgical approach to complicated appendicitis (CA). We retrospectively evaluated the outcomes of laparoscopic versus open appendectomies for CA. MethodsWe retrospectively analyzed 60 consecutive patients who were diagnosed as having CA from July 2009 to January 2011. Outcomes such as operative time, time to soft diet, length of hospital stay, and postoperative complications were analyzed. ResultsThere were no statistically significant differences in operative time between the LA and the open appendectomy (OA) groups. Return to soft diet was faster in the LA group (2.1 ± 1.2 vs. 3.5 ± 1.5 days; P = 0.001). Length of hospital stay was shorter for the LA group (4.4 ± 2.3 vs. 5.8 ± 2.9 days; P = 0.045). The overall complication rates showed no statistically significant difference between the two groups. In cases involving a periappendiceal abscess, the LA had a significantly higher incidence of intra-abdominal abscess (IAA) and postoperative ileus (PI; P = 0.028). ConclusionThe LA showed good results in terms of the time to soft diet, the length of hospital stay, and surgical site infection (SSI) whereas the overall complication rates were similar for the two groups. However, the LA was associated with significantly higher incidence of IAA and PI for the cases with a periappendiceal abscess. Therefore, when using a LA, the surgeon must take great care to minimize the incidence of IAA and PI if a periappendiceal abscess is present.
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