THE CHOICE OF SURGICAL TACTICS IN PERFORATED TUBERCULOUS INTESTINAL ULCERS IN HIV PATIENTS

Abstract

The goal of the study: to find the best approaches to surgical treatment of perforated tuberculous intestinal ulcers in those at the advanced stage of HIV infection. Surgeries in 136 patients suffering from HIV infection and tuberculous intestinal ulcers were analyzed. Patients were divided into four groups depending on the type of surgery and post-operative tactics. In patients with HIV infection and perforated tuberculous intestinal ulcers, resection of the part of intestine with ulcers and delayed anastomosis (after remitting of peritonitis manifestations) or suturing of perforated ulcers, nasointestinal tube placement and programmatic sanitation of abdomen are the best options of surgical treatment, and when they are combined anti-tuberculosis therapy it reduces the number of post-operative complications and mortality.

Keywords

• вич-инфекция
• туберкулез кишечника
• резекция кишки
• межкишечный анастомоз
• перитонит
• назоинтестинальная интубация