Can you work plastic surgery from VIL? Chi can be infected during the hour of the operation.

»» №4 2001 Unsafe infections

Booted Immunodeficiency Syndrome (SNID) is the least safe infectious diseases, which leads to death in the middle after 10-11 years after infection with human immunodeficiency virus (VIL). Following the UN tribute, published at the beginning of 2000, the HIV/AIDS pandemic has already taken the lives of over 18 million people and today 34.3 million HIV-infected people live in the world.

As of April 2001, Russia registered 103 thousand. VIL-іnfіkovanyh, moreover, in less than 2000 roci, 56,471 new episodes were revealed.

The first reports of HIV-infection diseases appeared in the information bulletin of the Center for Disease Control (Atlanta, Georgia, USA). In 1982, the first statistical data about the incidence of SNID, revealed in the USA since 1979, were published. The increase in the number of infections (1979 - 7, 1980 - 46, 1981 - 207 and in the first half of 1982 - 249) indicated the nature of the illness, and the high lethality (41%) spoke about the increase in the significance of infection. In 1982, in 1982, a notice was published about the incidence of SNID, the effects of blood transfusions, which allowed the possibility of a "healthy" carrying of an infectious agent. Analysis of the behavior of SNID in children showing that children can take the agent, sickness from an infected mother. Regardless of the jubilation, SNID in children progresses rapidly and inevitably leads to death, which gives rise to the problem of an overwhelmingly important issue.

In this hour, three channels of transmission of VIL-іnfektsії were brought: articles; for the help of parenteral administration of the virus from blood products or through infectious instruments; intrauterine - from the mother to the fetus.

Dosit Shvidko Bulo installed, which VIL is super sensitive to to the outbursts, gyne when vikoristannі all vіdomih disinfecting agents and infusing activity when heated 56°C for 30 minutes. Beneficial for VIL sonyachne, UV and ionizuyuche viprominyuvannya.

The highest concentration of the SNID virus was detected in blood, sperm, spinal cord. In a smaller number of veins, they are found in the skin, breast milk, cervical and vaginal secrets of ailments.

With the increase in the number of HIV-infected people and ailments on SNID, an increase in the number of medical assistance, zokrema scho vimagaє as an emergency, and planned operational delivery.

Vrahovyuchi osoblivayuschie perebіgu VIL-іnfektsії, it is not possible to enumerate її іїї vіdutnії її vіdutnії її її vіdsіnostі і іnshoy іnshі patієnt. For medical personnel, skin ailments are guilty of looking like a capable wearer viral infection. In all types of possible contact with the patient's biological motherlands (blood, early discharge, what is drained, vaginal secretions, etc.), it is necessary to wear mittens, often to clean and disinfect hands, to look at the eyes with a wide eye, to look at the eyeballs Do not take part in robots with ailments for the obviousness of saddens on the shoulders of the hands, or the surface defects of the shoulders.

The danger of infection of medical personnel is really due to the violation of the generally accepted rules of asepsis and the hygienic regimen for the hour of victorious and diagnostic procedures.

Published data to identify the risk of infection medical practitioners carried out the refreshment of the great groups of physicians (from 150 to 1231 osib), yakі did not wait for foreign entries. The frequency of VIL infection became 0% when the infected material got on the non-skin skin, 0.1-0.9% - with a single hit of the virus on the skin, skin skin or mucous membranes.

Piercing the mitten is sharp in 30% of operations, wounding the hands with a naked object - in 15-20%. When hands are injured with needles or cutting tools, infected with VIL, the risk of infection does not exceed 1%, while the risk of hepatitis infection reaches 6-30%.

On the basis of the Infectious Clinical Clinic No. 3 from 1992, in surgical care, a patient was established for surgical care of VIL-infection and ailments with SNID and suputnyy surgical pathology. During the period, 600 ailments were hospitalized at the hospital, 250 were operated on.

There is a procedural room in the caretaker's room, the dressing room is redressed, and there is hope for additional help and operational help for those with HIV-infected people who are ill with SNID.

All ailments on internal language and blood manipulations are carried out by medical personnel only in the treatment room in special dressing gowns, caps, mittens for these types of visits. In case of a threat of blood spraying, or other biological sources, it is necessary to practice in masks and eyepieces. We vikoristovuyutsya zvichaynі latex mittens (two pairs), special eyepieces and gowns from non-woven material. The blood in the case of internal parking is collected in test tubes with stoppers, which are strongly closed. All test tubes are marked in the obov'yazkovy order with the initials of sickness and the inscription "VIL". Directing sheets to the laboratory when giving blood tests, cross-sections, biochemical reports are indicated by a statement about the presence of VIL-infection. These forms are categorically reserved at the test tube with blood.

The analysis of the section is given in a vessel with a lid, which is strongly closed, and is also indicated by the information about the presence of VIL-infection. Transportation zdіysnyuєtsya at the closed bіksі z markuvannyam "VIL".

At times, the clogged mitten, the hands or the blood of the body, or other biological materials, should be washed with a stretch of 2 quills with a swab, lightly soaked in an antiseptic solution (0.1% of the deoxon, 2% of the peroxide of water in 70% alcohol, 70% alcohol) ), and after 5 min after fermentation in running water. When the surface of the table is fermented, pads for the hand during intravenous infusion, the bundle is wiped negainoly with a handkerchief, brightly soaked with a disinfectant solution (3% of chloramine, 3% of chlorine bath, 4% of peroxide of water with 0.5% of speech).

After the victorious goal, they are placed in a room with a design that disinfects. Tsya єmnіst may be on the job. Before filling the empty heads, it is washed with a disinfectant spray with a wet syringe (4% of water peroxide with 0.5% of mild speech - 3% of chloramine). Vikoristan syringes and mittens are taken into the okrem, specially designed for them єmnіst and znezarazhuyutsya.

We vikoristovuyutsya analyte chi 3% of chloramine. Exposure 1 year.

If you suspect the consumption of infected material on the mucosa, they are treated in a negligent way: wash the eyes with a jet of water, 1% boric acid and sprat drops, 1% nitric acid. It is treated with 1% protargol, and if it gets into the mouth and throat, additionally rinse with 70% alcohol or 0.5% potassium permanganate, or 1% boric acid.

In case of poshkodzhennі skirnih crooked it is necessary to take off your mittens, see the shelter, and then seriously wash your hands with nice running water, sprinkle them with 70% alcohol and cover the wound with 5% iodine rosemary. If infected blood gets on your hands, then gently rub it with a swab, soak it with 3% chloramine or 70% alcohol, wash it with running warm water with a nice and dry wipe with an individual towel. Rozpochati conducted prophylactic treatment with AZT.

At the work place, an act is being drawn up about an unfortunate fluctuation in the workplace, about which fact is reported to the center, which deals with the problem of VIL-іnfektsії and SNIDu. For Moscow - infectious diseases clinic No. 2.

The treatment room is taken at least 2 times a day in a watery way from the stoppage of the disinfectant. Selective ganchirka is infected in 3% of chloramine, an analyte, for a long time. Wash it to dry. Shlunkovy and intestinal probes, which are vicorated during the first hour of preparation before surgery and diagnostic manipulations, after the follow-up are also processed in the analyte range or 3% of the chloramine range with an exposure of 1 year. They hang out and put them in an autoclave for a distant victoria.

The operating field at the sick is getting ready for the help of individual disposable accessories for the leg.

Particularly foreign entries should be taken during operations. Medical personnel who have wounds on the skins (damages, shkirnі ill), is guilty of buti zvіlneniy vіd bezporedny likuvannya ill s VIL-іnfektsієyu and vikoristannya contacting with them equipment. As a guardian of the hour of the operation, our surgeons, anesthesiologists and operating sisters wear plastic aprons, shoe covers, oversleeves, disposable gowns made of non-woven material.

Eyepieces are used to protect the mucous membrane of the eyes, eyepieces are used to protect the nose of that company, and two pairs of latex mittens are put on the hands. During the operations of VIL-іnfіkovanyh and ailments on SNID, instruments are used, that only for this category of ailments, and may be marked "SNID". Hospitality and cutting tools for the hour of the operation are not recommended to be passed from hand to hand. The surgeon can take the instruments himself from the table of the operating sister.

After the operation, the instruments should be washed out of the biological contamination near the closed tank with running water, then disinfected with 5% lysetol with an exposure of 5 minutes, 3% with chloramine with an exposure of 1 year. Next, the instruments are washed with running water and rinsed with distilled water with distant dryness, after which they are autoclaved.

Dressing gowns are disposable. After the operation, the gowns are squinted at a retail analyte, 3% retail for chloramine with an exposure of 1 year, after which they are reduced. Plastic aprons, shoe covers, arm ruffles are processed in a variety of analytes, 3% in a variety of chloramine, alaminol with an exposure of 1 year, washed with running water, hung and vicoristed again.

The operation after the subsequent manipulations is completed: to be carried out more accurately with analyte, 3% with water peroxide.

Dressing for sick people postoperative period, as well as manipulations that do not require an anesthetic helper, are carried out in special cases for this category of ailments for dressing. The surgeon and the dressing sister are dressed as if they were in operation. The instruments are marked with the inscription "VIL" and are vicorated when dressing only VIL / SNID-ailments. Processing of vicorous material, instruments and cabinet is carried out in the same way, as in the operating room.

For the increase in the number of HIV-infected and ill people in SNID, the number of animals given to the category of ailments for medical help is increasing.

When contacting with ailments, we should change our minds, that all ailments are on VIL-infection, and clearly vikonuvat in the form of prophylactic visits.

Effective prevention of infection with VIL-infection is possible only for regular training and education of medical personnel. Tse to allow overcoming the fear of contact with a VIL-infected patient, the children were competently enunciated.

I have a charge of professional security of medical practitioners.

T.M. BULISKERIA, G.G. SMIRNOV, L.I. LAZUTKINA, N.M. VASILYEVA, T.M. SHISHKARVA
infectious clinical clinic No. 3, Moscow

Human Immunodeficiency Virus (HIV) is an RNA-mist retrovirus, first described in 1981, indicating a pronounced deficiency in immunity. Kіntseva stage VIL-іnfektsії - syndrome of full immunodeficiency (). Nearly 1.5 million people in the United States are infected with the human immunodeficiency virus. Of these, over 200,000 mayut SNID. The number of sick people increases by a factor of 1.2. Іtotne increase in the number of infections and ailments in Russia is cleared up to 1998.
A. HIV infection. Pain. BIL is hostile to cells that have CD4 marker on their surface (for example, T-helper), which binds to BIL glycoprotein. Us Lankas suffer from immunity, especially clitinne. Opportunistic diseases and chubby processes develop. The spectrum of manifestations of ailments lies in the form of immunosuppression.
1. Spectrum and frequency of occurrence of opportunistic infections and swellings depending on the degree of immunosuppression and the number of savings of T-lymphocytes with the CD4 marker (Table 3–1).

Tab. 3-1. Relationship between CD4 + T-lymphocyte count and secondary pathology in HIV infection

* If the number of CD4 + T-lymphocytes is less than 500, antiretroviral therapy (zidovudine) is indicated

# Number of CD4 + T-lymphocytes<200 указывает на необходимость профилактики пневмоцистной пневмонии (бисептол, пентамидин).

2. Most secondary infections are celebrated conservatively. These aggravations can lead to prompt delivery. Surgical disease (for example, small bowel obstruction in the visceral form of Kaposi's sarcoma) is blamed for less than 5% of ailments on SNID.
3. The trivality of life after infection VIL becomes 8–10 years. Traditional antiretroviral therapy and prevention of pneumocystis pneumonia continue life for 1-2 years.
a. Most of the results of surgery in patients with SNID were disappointing. The postoperative lethality was great, but the increase in long-term survival was not significant.
b. The rest of the observations allow us to admit that sickness and lethality after major operations in ailments infected with VIL is significantly less, lower was taken into account earlier. We are in front of ailments, as if they may have an asymptomatic stage of VIL-infection, and patients who have been operated on or become ill, do not show SNID.
v. Not a trace of utrimuvatisya in the course of operations, building up the life of an ailing person, or improve it, or reduce the severity of the disease.
4. VIL-іnfіkovanyh іrurgichіchnykh khvorih rejoice at the standard schemes.
B. obstezhennya
1. Anamnesis
a. When taking anamnesis, factors of risk of HIV infection are revealed (sexual intercourse, intravenous injections, blood transfusion, surgical insertion, organ transplantation in the skin).
b. Particular attention is due to animals with trivalium subfebrile condition, generalized lymphadenopathy (increased 3 and more lymph nodes in 3 and more groups), hepatosplenomegaly, unexplained weakness - symptoms of the stage of cob manifestations of VIL-Infection.
v. Consider earlier transferred opportunistic infections, as well as later results for the number of T-lymphocytes and instead of grayish immunoglobulins.
m. It is also necessary to document the antiretroviral therapy that is being carried out, and the results of the prevention of opportunistic infections.
2. Objective follow-up. At stage cob manifestations (stage II HIV infection), the patient may have a mononucleosis-like syndrome, which includes pharyngitis, elevated body temperature, lymphadenopathy, hepatosplenomegaly, phlegm; next memory that in this period of illness on seronegative. At the stage of secondary illnesses (stage III ВІL-іnfektsії) there are signs of immunosuppression, blamed on opportunistic disease: enlarged candidiasis of the skin and mucous membranes, pneumocystis pneumonia, pilar leukoplakia, sarcoma of the mucosa; generalization of infection, mindfulness of the mentally pathogenic flora. It is important to remember that a person who is ill with immunosuppression may not have symptoms of illness.
3. Laboratory follow-up. Although there is no more than a suspicion of VIL infection, the diagnosis is confirmed by the help of enzyme-linked immunosorbent assay and blot. When diagnosing VIL-infection, the Ht count of leukocytes, platelets, CD4+ T-lymphocytes, CD8+ T-lymphocytes, the frequency of CD4+/CD8+ T-lymphocytes are indicated (normally, the indicator is close to 1.0); conduct a deep analysis of the section. Biochemical analyzes include the determination of albumin, serum immunoglobulins and liver function tests. Check chest X-ray. As well as signs of opportunistic infection, bacteriological, serological and virological investigations should be carried out.
4. Promeneva diagnostics. Patients with abdominal pain of unclear walking should have either CT scan of the organs of the abdominal emptying.
Art. Estimation of risk level
1. Illness on SNID is more complicated to the greater world, lower VIL-infected individuals (do not worry about symptoms).
a. Lethality after major empty operations in patients with SNID is 33%, and in VIL-infected patients - 10%.
b. Zhodin laboratory test, taking some of the others (including the number of CD4 + T-lymphocytes), does not allow transferring the result of the operation. Possible high risk factors for post-operative complications:
(1) opportunistic infection,
(2) insufficient prevention of SNID-associated illnesses,
(3) hypoalbuminemia associated with opportunistic infection.
2. Inconspicuous operations are accompanied by a greater risk, lower planned operations.
a. Mortality after non-compliance in ailments with SNID is from 11 to 24%.
b. Surgical illness, caused by SNID, increased risk in case of emergency operations in 3–4 times. Approximately 37% of ailments do not require repeated surgical intervention.
3. Poor prognosis is typical for the visceral form of Kaposi's sarcoma, undifferentiated lymphoma and Mycobacterium avium-intracellulare-infection.
R. Prevention of infection. When vikonannі operation in sick on SNID suvoro dotrimuvatisya established rules.
1. If there are no signs of HIV infection before surgery, the Centers for Control of SNID (USA) recommend that you check for the possibility of infection, whether you are sick or not, and operate with veterinary precautions (so-called universal precautions).
2. Shelter - most often infected with VIL and hepatitis viruses, which are transmitted by the parenteral route, near the diabetic zone. Іnshі rіdini, zdatnі transmit VIL: CMR, synovial, pleural, pericardial and amniotic, as well as sperm and vaginal vision.
3. Infection in the process of professional activity can be caused by contact with blood, fermented biological motherland or culture with a virus. It is possible to inoculate through the skin, infect the wound, or the wounded skin, or the mucous membrane. The risk of transmission when injected with an injection head is less than 0.03%. The VIL infection plan has the most safe shelter.
4. Since it is possible to contact with blood and biological mothers, before the procedure it is necessary to put on protective clothing: mittens, eyepieces, mask and gown. Nabіr maє buti is disposable and impenetrable for rіdini.
5. Follow-up work skills to reduce the threat of infection.
a. Carefully behave with hospitality tools.
b. Make sure to provide a garne of illumination and a retal organization of the surgical field, which will change the severity of the contagious infection.
v. Fabrics are cut with tools, not hands.
R. Obmezhiti access to the operating room "zayvogo" staff.
e. Do not trust the operation, associated with the risk of infection with VIL, unacknowledged surgeons.
D. Pathology of CT, which does not require surgery
1. Diarrhea is a partial symptom of SNID. Taking on a visceral character, it can lead to dehydration.
a. The most common causes of diarrhea are Clostridium difficile, Cryptosporidium, Isospora belli, Entamoeba histolytica, Giardia and viruses.
b. Somatostatin may reduce the severity of diarrhea in SNID.
2. Intestinal bleeding is most often associated with infectious colitis. Imovirnist bleeding from malignant swelling is small. The most common causes of intestinal infections can be caused by herpes simplex virus (HSV), cytomegalovirus (CMV) and Entamoeba histolytica.
3. Pancreatitis can be caused by a viral infection or by congestion with pentamidine or 2?,3?-dideoxynosine.
e. Diagnostic presentation
1. Biopsy of lymph nodes. Approximately 20% of patients with HIV infection develop generalized lymphadenopathy. In this group, the risk of SNID-associated lymphoma is even greater.
a. Aspiration through a thin neck zastosovuetsya with the method of possession of a source for microbiological, serological and cytological studies.
b. A biopsy may be needed to exclude swelling or to remove the histological architecture of the lymphoma. The biopsy was not carried out, as the result did not change the excision plan.
2. Examination, otherwise thoracoscopic biopsy of the leg is necessary for diagnosing the lung process in that case, as a less invasive diagnostic intervention (for example, bronchoscopy, bronchoalveolar lavage, transbronchial biopsy, transthoracic aspiration biopsy)
J. Other surgical illnesses. Standard indications before surgery (for example, perforation, bowel obstruction, bleeding, no medical therapy, no signs of progressive peritonitis) are extended to IVL-infection.
1. Gostrius - illness, which in ailments is blamed for VIL-infection with a great frequency. Irrespective of the magnitude of the number of infectious diseases, educated to differential diagnosis, next to insure the ability of ailments to immunodeficiency. In complicated situations, the diagnosis can be clarified by additional laparoscopy. Mortality and incidence of complications during appendectomy in IVL-infected diseases.
2. Aches and pains
a. Gostry cholecystitis can be secondary - due to infection, vicissitude of Cryptosporidium or CMV, which is practically not excreted; Therefore, drug therapy for cytomegalovirus cholecystitis is not effective, and etiotropic therapy is still not available.
(1) Promenev diagnostics. Viyavlyayut znachne potovshchennya walls zhovchnogo michur, nabryak.
(2) Cholecystectomy. Mortality and frequency of complications in cholecystectomy in IVL-infected ailments are the same as in other ailments.
(3) At the time of cholecystectomy, intraoperative cholangiography is necessary to exclude obstruction of the biliary ducts, stenosis of the great duodenal papilla.
b. Liver damages of paths in case of SNID. In individuals infected with VIL-1, the spectrum of dysfunction of the ovarian pathways is wide: cholestasis is possible, ampullar stenosis is rare. To restore the passage of the duct, you may need endoscopic retrograde in case of papillosphincterotomy and skeletal introductions.
3. It is shown that the patient has thrombocytopenia (including associated with immunodeficiency), and drug therapy does not give an effect. The frequency is reduced and the lethality after the operation is dead.
4. Illness of the anus and rectum is often blamed on homosexuals infected with VIL. It is not uncommon to perform palliative operations to relieve the illness.
a. Gostrokintsev condylomas in osib, injurious VIL, can grow rapidly, zaluchayuchi significant areas of the mucosa and reaching great expansions. Often there is a neoplastic transformation.
b. Fistulas of the rectum are less likely to be treated for tissue necrosis.
v. Chronic anal symptoms. A biopsy is indicated to rule out malignancy. Follow-up microbiological studies for the detection of HSV, CMV, treponema, Chlamydia trachomatis, Haemophilus ducreyi and acid-resistant bacteria.
5. Colitis, vyklikaniy CMV. CMV infection can lead to vasculitis, ischemia and necrosis of the intestinal wall. In case of perforation, it is necessary to promptly insert. Do not worry, you can accurately determine the area of ​​​​the fire of the wound. Therefore, it is recommended to resect the resection of obviously changed cases to complete the formation of the terminal colostomy or ileostomy.
6. Non-Hodgkin's lymphoma and Kaposi's sarcoma affect HCT in the terminal stage of SNID. Possible symptoms: inflammation and inflammation or bleeding. The lesions sound multicentric and disseminated. Bazhano is more conservative likuvannya. The operation is carried out only if there are alternatives.
Z. Postoperative complications. The frequency is reduced in ailments, like suffering from VIL-infection, not more, less sound. Infectious complications vary depending on the severity of immunodeficiency.
1. Post-operative pneumonia is often blamed, especially in sick people, as they changed to SHVL. In patients who may have a low number of CD4+ T-lymphocytes, it is likely to suspect pneumocystis pneumonia.
2. For those who are ill, for no apparent reason, they are blamed for the postoperative care.

Quote

So. angry_alien
Accept this situation for yourself. I fantasize - you are not in Moscow.

So, do they test for hepatitis during planned surgeries?

I can’t say about the tools, but the operblock is the same.

and you don’t know how in the operating and other risky manipulations of the doctor it’s your fault to take care of all the safety calls, because it’s unknown what the patient is wearing?

Patients with a diagnosis of VIL, SNID have not surprised anyone for a long time. Before such ailments, the suspense was trained to be put like a normal zbіgu situation, and ailments do not feel like that, the shards of the development of medicine allow them to be felt by the full members of the modern suspension.

What plastic surgery is needed for immunodeficiency?

Having recognized the patient's identity or the results of an obstezhennya about an unacceptable diagnosis, plastic surgeons will undertake to operate on ailments with VIL or SNID. The whole thing was clear: the deputy directing us to the exact result of the operational brigade happened to be victorious on the nutrition of special security.

This is an important psychological aspect, which fahivtsy do not need to survive under the hour of the operation.

Krіm worry about the special security, the right surgeon-professional is unlikely to allow himself to risk the health and life of such a patient.

And how can a plastic operation be performed from VIL in the fire? Concomitant with immunodeficiency is naturally greater, lower in a healthy patient. Krym tsgogo, or ailments on SNID, constantly change to special therapy, and recover from anesthesia and other medical preparations that are practiced in the process of plastic surgery, and after that, they can also be added to the camp of a healthy patient.

Chi varto robiti plastic sick on VIL? As a result, a decision about plastic surgery was made and the patient's immunity is practically normal, and there are all chances for a favorable result of the operation.

Respect for the doctor - plastic surgeon

“Recently, I had an internship in plastic surgery in Barcelona. So the axis in Spain was created by the number of powers. program of support for HIV-infected patients, including plastic surgery. It's a pity that in Russia everything is not so good, and plastic surgeons simply do not undertake such operations. However, plastic surgery is not contraindicated for such patients, but even then, a special skin surgeon on the right takes care of it.

Іnsha rіch scho, yak i whether yaky Inshyj patsієnt VІL, іnfіkovanі hvorі povinnі zdat poperednі analіzi before operatsієyu i tіlki on pіdstavі Tsikh analіzіv mozhna zrobiti visnovok - chi vpline the camp Zdorov'ya patsієnta operatsіya chi ni, protipokazana Won Yomou chi ni. Come to the consultation, put the analysis. Skin changes are also individual, in my practice there were a lot of such patients, as I did plastic surgery.»

Plastic surgeon Anastasia Sergievna Borisenko does not start, but to perform plastic surgery for patients with a diagnosis of VIL, or, in case of emergency, you need to come to the front without cost consultation and analysis building. Only then will the remainder of the solution to the operation be praised. You can sign up for a free consultation for a fee.

Also, get to know the operations, how to work Anastasia Sergievna, you can ask for help -.

Operations for VIL help prolong the life of infected patients, and also make it easier to overcome concomitant illnesses that are less problematic. SNID itself ceased to be indicated before the operation. It is impossible to overcome the disease with a surgical path. A similar kind of introduction is needed in that moment, if the ailment reaches the singing stage and causes a difference in the side of the body. It is important to know what operations are to be carried out for VIL, but when it is necessary, special safety calls are low.

Who can assist in the operation for the VIL patient?

The cost of food is the highest, so you should follow us forward. Fahіvtsі in the gallery of medicine do not think of the right to take an infected patient to a surgical patient in that case, as if it does not threaten his life unconditionally. In emergency situations, surgical operations for VIL-infection are also carried out. Doctors in such situations do not hesitate to advance security calls. The same should be done and overcome, if a person with an unconfirmed immunodeficiency virus needs urgent help. Before the planned procedures, express or special analysis for the presence of any ailments is carried out obov'yazkovo. If there is a direct threat to the life of the patient, then the presentation is carried out without the results of the test for SNID, but for further advances, security calls are made.

Elective surgery in the presence of VIL may be considered, but it may not be cancelled. The transfer of these terms is due to the need for additional clinical and laboratory studies.

Surgery for VIL infection: in some cases it is indicated, planned visits

Preparation before the procedure in people with immunodeficiency virus is carried out in the standard mode. Physicians take anamnesis and conduct necessary clinical and laboratory investigations. It’s all to fight for the relief of the fact that ailments can attract a lot of threats. Look for opportunistic infections and other concomitant illnesses, which are asymptomatic at the singing stages. Acts from them can cause postponement of surgical intervention for a longer optimal period for this period. I have special respect for them, how to perform an operation on VIL-infected patients, they are tested for analysis, which reveals a large warehouse of CD4 cells. They help to determine the stage, where the virus is known to immunodeficiency at the moment, as well as the ignited state of the patient's immunity.

It is possible to carry out an operation for VIL, as if the disease was not infected with the virus. Acts of pathology and ailments with the syndrome of immunodeficiency are not directly related to it. The stench can appear in ailments like before an infection, so after a new one. In these vipads, the ceremony is also carried out, however, the stench will require the promotion of safe entry and the appearance of the infected camp.

Іsnuyatsiy, if patients have low contraindications, they are not associated with cis unsafe virus. Why rob the operation VIL-іnfіkovanim at tsomu vpadku? There is no single-valued food supply. Even if it is delivered as planned, it can be used for medical indications. Go about the problems with nirks, liver, heart-vascular system or the intestinal tract. In emergencies, doctors will always be aware of the possible threat to the life of the patient. If it is not true, then the operation is carried out for obvious contraindications.

What is the reason for surgery in VIL patients with intestinal obstruction? The food is also often disturbing to patients. Such a problem, due to the reasons that lie in the immunodeficiency virus, is blamed on about ten hundred ailments. Reshta їх kіlkіst pripadєє on zahvoryuvannya, yakі nіyak not pov'yazanі z ієyu unsafe disease. Operations in such cases are carried out, the shards of such a camp carry a direct threat to the life of the patient. Even the obstruction of the intestines for a long period of time can lead to a severe intoxication of the body.

Operation for VIL: how does it work on organisms, how are forecasts?

People with immunodeficiency virus, even if they only learned to diagnose, practically did not perform surgical interventions. Aje forecasts at that time were unfulfilling. Such patients lived for a short time, and the empty incisions festered strongly and caused a high death rate. In modern medicine, a lot of respect was attached to this nutrition. The methods of conducting surgical and laparoscopic interventions in infected people, as well as schemes for supporting therapy after such procedures, have been disaggregated. Through the war, the death rate after the great operatives among the VL іnfіkovany decreased. On this day, it will be about ten hundred square meters in the bud stage and thirty-three hundred square meters in the host phase. In most cases of various kinds, the introductions are productively introduced into the body of the body and allow you to continue living ill, as well as alleviate the symptoms of concomitant illnesses.

It is possible to perform an operation in case of VIL-infection - the disease is different, depending on a specific type.