Annals of Coloproctology

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Association of Immune Status with Recurrent Anal Condylomata in Human Immunodeficiency Virus-Positive Patients: Ji Hyun Sung, Eun Jung Ahn, Heung-Kwon Oh, Sei Hyeog Park; J Korean Soc Coloproctol. 2012;28(6):294-298. Published online December 31, 2012; 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.

Methods

We 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.

Results

Recurrent 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).

Conclusion

CD4-mediated immunosuppression is a risk factor for recurrent anal condylomata in HIV-positive patients.

Citations

Citations to this article as recorded by

Easier Matching But More Contractions: Smartphone Usage, Dating Behavior and the Spread of Sexually Transmitted Infections
Dirk Bethmann, Jae Il Cho, Yiming Du
Atlantic Economic Journal.2026; 54(1): 39. CrossRef
Effectiveness of physically ablative and pharmacological treatments for anal condyloma in HIV-infected men
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
R. Lalej, S. Nadir, W. Hliwa, F. Haddad, W. Badre, A. Bellabah, R. Alaoui
Journal Africain d'Hépato-Gastroentérologie.2013; 7(4): 196. CrossRef

A Clinical Comparison of Laparoscopic versus Open Appendectomy for Complicated Appendicitis: Sun Gu Lim, Eun Jung Ahn, Seong Yup Kim, Il Yong Chung, Jong-Min Park, Sei Hyeog Park, Kyoung Woo Choi; J Korean Soc Coloproctol. 2011;27(6):293-297. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.293

9,225 View
46 Download
25 Citations

Abstract PDF

Purpose

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.

Methods

We 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.

Results

There 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).

Conclusion

The 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.

Citations

Citations to this article as recorded by

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B P Mao, G Collins, F E Ayeni, D J Vagg
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A clinical comparison of laparoscopic versus open appendectomy for the treatment of complicated appendicitis: historical cohort study
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The Bucharest ESTES consensus statement on peritonitis
Bogdan Diaconescu, Selman Uranues, Abe Fingerhut, Mihaela Vartic, Mauro Zago, Hayato Kurihara, Rifat Latifi, Dorin Popa, Ari Leppäniemi, Jonathan Tilsed, Matei Bratu, Mircea Beuran
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Andrej Nikolovski, Shenol Tahir, Dragoslav Mladenovikj
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Luciano Onofrio, Gianfausto Iarrobino
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Irrigation Versus Suction in Laparoscopic Appendectomy for Complicated Appendicitis: A Meta-analysis
Charalampos Siotos, Konstantinos Stergios, Vishnu Prasath, Stella M. Seal, Mark D. Duncan, Joseph V. Sakran, Mehran Habibi
Journal of Surgical Research.2019; 235: 237. CrossRef
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Gaik S. Quah, Guy D. Eslick, Michael R. Cox
Surgical Endoscopy.2019; 33(7): 2072. CrossRef
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Mitsugi Shimoda, Tsunehiko Maruyama, Kiyotaka Nishida, Kazuomi Suzuki, Tomoya Tago, Jiro Shimazaki, Shuji Suzuki
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Christos Athanasiou, Sonia Lockwood, Georgios A. Markides
World Journal of Surgery.2017; 41(12): 3083. CrossRef
Comparison of clinical outcome of laparoscopic versus open appendectomy for complicated appendicitis
P. Horvath, J. Lange, R. Bachmann, F. Struller, A. Königsrainer, M. Zdichavsky
Surgical Endoscopy.2017; 31(1): 199. CrossRef
Laparoscopic Appendectomy Using Hem-o-lok Polymer Clips: A Single-Center Experience
Bahadır Öz, Ertan Emek, Muhammet Akyüz, Erdoğan Sözüer, Türkmen Arıkan, Alper Akcan, Hızır Akyıldız
International Surgery.2017; 102(7-8): 334. CrossRef
Treatment Modalities and Antimicrobial Stewardship Initiatives in the Management of Intra-Abdominal Infections
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