Alhassan S U, Aji S A
Department of Surgery, Bayero University, Kano, Nigeria.
Ann Afr Med. 2012 Jan-Mar;11(1):48-50. doi: 10.4103/1596-3519.91023.
Human immunodeficiency virus (HIV) infection is increasing world-wide and highly active antiretroviral treatment (HAAT) is allowing afflicted individuals to live near normal life span and acquire surgical diseases of the aged as in the unaffected population. This pose occupational hazards to operating surgeons especially in tropical Africa where the seroprevalence is so high that seroconversion in the medical staff contaminated with the virus is estimated to be as much as 15 times (per annum) more than what obtains in developed. A 63-year old man was admitted to our Hospital with urethral catheter in situ and having failed medical therapy, he opted for transurethral prostatectomy (TURP) which was done without any post-operative complication. He was known to be afflicted with human immunodeficiency virus and on treatment for 3 years. He also had a large but reducible inguinoscrotal hernia for 4 years attributed to lower urinary tract obstruction. He had a Lichtenstein repair of right inguinoscrotal hernia which was complicated by small hematoma that was evacuated. The risk of transmission and surgical morbidity during transurethral prostatectomy could be minimized by adequate universal precaution, pre-testing of all consented patients and wise selection of patients that would benefit from such surgical therapy.
人类免疫缺陷病毒（HIV）感染在全球范围内呈上升趋势，高效抗逆转录病毒治疗（HAAT）使感染者能够接近正常寿命，并像未受影响人群一样患上老年期的外科疾病。这给手术外科医生带来了职业危害，尤其是在热带非洲地区，那里的血清阳性率很高，据估计，感染病毒的医务人员每年的血清转化率比发达国家高出多达15倍。一名63岁男性因尿道留置导尿管入住我院，在药物治疗无效后，他选择了经尿道前列腺切除术（TURP），手术过程顺利，无术后并发症。他已知感染人类免疫缺陷病毒并已接受治疗3年。他还患有一个巨大但可还纳的腹股沟阴囊疝4年，原因是下尿路梗阻。他接受了右侧腹股沟阴囊疝的Lichtenstein修补术，术后出现小血肿并进行了引流。通过充分的普遍预防措施、对所有同意手术的患者进行术前检测以及明智地选择能从这种手术治疗中获益的患者，可以将经尿道前列腺切除术期间的传播风险和手术发病率降至最低。
