Surgery and human immunodeficiency virus-1 infection

Background HIV and AIDS continues to be a significant health problem with many patients requiring the attention of a general surgeon. Method A retrospective case note review over a two-year period was undertaken. Results 237 patients underwent invasive procedures. The majority 100 patients (145 procedures) were for venous access. Anorectal problems in 69 patients presents a particular problem in this group and major surgery in 26 patients (30 procedures) has a definite role in selected patients. Conclusion The surgical management of patients with AIDS is discussed with reference to safety. Recognition of specific disease patterns in this group is important and best managed by a dedicated team.