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I do not know this order, I wrote it. I only know how everything happens in hospitals in Moscow and the Moscow Region. We (near zamkadye) - separate HIV + from HIV- as they can. In Moscow they are being taken to Sokolinka.
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Yes. angry_alien
Try this situation out for yourself. And let's fantasize - you are not in Moscow ....
Well, I tried it on, so what? At least where - HIV + will be cut only in emergency cases, if it is planned - then only in agreement with the doctors and te de and te pe. I am well aware of this, I can’t say that it pleases me, but such is the reality of our life.
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Yes, they test for hepatitis during elective surgeries?
During planned operations, a huge number of tests are performed. My daughters had an operation - they cut out an ingrown nail, so everything was there - from RW, HIV, hepatitis B and C to blood sugar and prothrombin time. Only during emergency operations there is no time for tests, therefore, when they bring in an ambulance, they do everything and everyone. And when the patient has MONTHS to prepare for the operation, during this time it is quite possible to go to the hospital that has the conditions for the treatment of HIV +. And their own nerves will be safer.
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I can’t say about the tools, but the operblock is the same.
They put it at the end of the day and then carry out an unscheduled general cleaning - don’t attach a room. hepatitis B and a separate one for hepatitis C. And everyone who had them on the tests received their own probes, which were sterilized in a separate container and did not come into contact with others. Reinsurance, yes, but the human factor is almost completely excluded (unless, of course, a person is a complete scumbag).
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But don't you think that in operating and other risky manipulations, doctors must comply with all safety measures, because it is not known what the patient is a carrier of?
And no one says they shouldn't. But one thing is a patient with a SUSPECTED carrier state, and another with a CONFIRMED one. And for the Ministry of Health, a confirmed carrier of something matters.
I, if anything, do not take the side of the Ministry of Health and do not give value judgments. It's just how it happens in our lives and we have to adapt to it. And even if we take to the streets, there is a strong argument against it, we are in the minority, and the Ministry of Health guards the health of HIV and minimizes all the chances of accidental spread of HIV, this is its priority. I'm afraid we are not yet in a position to re-scandal the Ministry of Health ...
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Few on this site know that I used to work in a laboratory for the diagnosis of HIV infection, hepatitis and syphilis. Even earlier, when I was studying, I would never have thought that I could go to work there. I didn't want to risk my life without having "tasted it" yet. Although I understand that the ways of infection can be different and it is not necessary to label a person as a drug addict or a prostitute.
There was a case in my life. I've just graduated. Went to work. I first took it in the clinic under the watchful eye of the mentors. Then I was quickly attached to the hospital as well. Well, one day I have a bunch of forms in the intensive care unit and gynecology. Resuscitation always comes first for me, because. it's always hard there. Not only to work, but also to be. People are not always in the recovery stage. It's easier in gynecology. Mostly young, sociable. Positive. ... There is one girl left. In the suitcase, everything is already prepared for blood sampling, the cotton wool is also at the ready. I take a scarifier, I prick, I'm going to throw it off and ..., it sticks to my glove and pierces my finger. The feeling of anxiety did not leave me, but I completed the work. Of course, she treated the wound, squeezed out the blood at the puncture site. But there was panic. I have never run so fast. Rather, for the device and the results of the girl’s blood are already in my hands. She was even healthier than me. Cosmonaut :) Laughter, laughter, but I'm all leading to this: Recently in our country more and more people live with terrible diagnoses - HIV-infected and AIDS.Not just the doomed, but the living. They, like all healthy people, live a full life: work, travel, marry, give birth and raise children. It must be understood that HIV-infected and AIDS patients are different stages of the disease. Their main difference is that the AIDS stage is more severe than the stage of HIV infection, so often an infected person feels quite healthy. It has been proven that from the stage of HIV infection to the development of AIDS, five to fifteen years can pass.How do plastic surgeons treat people with HIV infection and directly with the stage of AIDS? Could you, being in the place of a surgeon, not disdain and with operate on such a patient? Controversial question...
Surgery for HIV helps prolong the lives of infected patients, as well as make the course of comorbidities less problematic. AIDS itself is not an indication for surgery. Surgically, this disease cannot be cured. This kind of intervention is necessary when the disease reaches a certain stage and causes various complications in the body. It is important to know that HIV is operated on, but there are a number of special security measures.
Can a patient be denied surgery for HIV?
This question is the most acute, so it should be answered first. Medical professionals do not have the right to refuse surgical intervention to an infected patient if it does not directly threaten his life. In emergency situations, surgical operations for HIV infection are also carried out. Doctors in such cases observe increased security measures. The same applies to cases where a person with an unconfirmed immunodeficiency virus needs emergency help. Before planned procedures, an express or routine analysis for the presence of this disease is carried out without fail. If there is a direct threat to the patient's life, then the intervention is carried out without the results of an AIDS test, but with increased security measures.
Elective surgery for HIV detection may be delayed, but cannot be cancelled. The postponement of its terms occurs due to the need for additional clinical and laboratory studies.
Surgery for HIV infection: in what cases is indicated, planned activities
Preparation for this procedure in people with immunodeficiency virus is carried out in the standard mode. Specialists collect anamnesis and conduct the necessary clinical and laboratory studies. This is all done taking into account the fact that this disease can be fraught with a lot of threats. We are talking about opportunistic infections and other concomitant diseases, which at certain stages are asymptomatic. Some of them may cause the transfer of surgical intervention for a more optimal period of time for this. Before performing an operation in HIV-infected patients, special attention is paid to tests that reveal the quantitative composition of CD4 cells. They help determine the stage at which the immunodeficiency virus is currently located, as well as the general state of the patient's immunity.
Is it possible to do surgery for HIV, if the disease is not caused by this virus. Some pathologies and conditions of patients with immunodeficiency syndrome are not directly related to it. They can appear in patients both before infection and after it. In these cases, interventions are also carried out, however, they also require increased security measures and consideration of the general condition of the infected person.
There are situations when patients have a number of contraindications that are not related to this dangerous virus. Do operations make HIV-infected in this case? There is no single answer to this question. After all, if the intervention is planned, then it can be postponed for medical reasons. We are talking about problems with the kidneys, liver, cardiovascular system or gastrointestinal tract. In emergency cases, doctors always compare the possible threat to the patient's life. And if it really exists, then the operation is performed even if there are contraindications.
Is HIV surgery performed on patients with bowel obstruction? This issue also often worries patients. Such a problem, for reasons dependent on the immunodeficiency virus, occurs in about ten percent of patients. The rest of their number falls on diseases that are in no way connected with this dangerous disease. Operations in such cases are carried out, since this condition carries a direct threat to the life of the patient. After all, intestinal obstruction for a short period of time leads to general intoxication of the body.
Surgery for HIV: how does it affect the body, what are the prognosis?
People with the immunodeficiency virus at the time when they only learned to diagnose it, practically did not undergo surgical interventions. After all, the forecasts at that time were disappointing. Such patients did not live long, and abdominal incisions strongly festered and became the cause of a high percentage of mortality. In modern medicine, much attention has been paid to this issue. Techniques for surgical and laparoscopic interventions in infected people, as well as maintenance therapy regimens after such procedures, have been developed. As a result, mortality after extensive surgical interventions among HIV-infected people has decreased. Today it is about ten percent in the initial stage and thirty-three percent in the acute phase. In most cases, various interventions have a productive effect on the state of the body and allow prolonging the life of patients, as well as alleviating the symptoms of concomitant diseases.
Is it possible to do surgery for HIV infection - the doctor decides, based on the specific case.
Patients diagnosed with HIV, AIDS have long surprised no one. Society has learned to treat such diseases as a normal set of circumstances, and patients do not feel like such, since the development of medicine allows them to feel like full-fledged members of modern society.
Is plastic surgery necessary for immunodeficiency?
Having learned from the patient or according to the results of the examination about an unpleasant diagnosis, few plastic surgeons will undertake to operate on patients with HIV or AIDS. This is understandable: instead of focusing on a quality result, the operating team will have to be triple focused on personal safety issues.
This is a difficult psychological aspect that specialists do not want to experience during the operation.
In addition to concerns for personal safety, a true professional surgeon is unlikely to allow himself to risk the health and life of such a patient.
Is it possible to do plastic surgery with HIV at all? Complications in immunodeficiency can naturally be expected more than in a healthy patient. Among other things, carriers or patients with AIDS are constantly on special therapy, and the use of anesthesia and other medications practiced during and after plastic surgery can also affect the patient's health.
Is it worth doing plastic surgery for HIV patients? If the decision on plastic surgery is made and the patient's immunity is practically normal, there is every chance for a favorable outcome of the operation.
Doctor's Note - Plastic Surgeon
“I recently had a plastic surgery practice in Barcelona. So in Spain, a whole state has been created. a program to support HIV-infected patients, including in the field of plastic surgery. Unfortunately, in Russia this is not so well developed and many plastic surgeons simply do not undertake such operations. In general, plastic surgery is not contraindicated for such patients, but it is already a personal matter for each surgeon to undertake it or not.
Another thing is that, like any other patient, HIV-infected patients must pass preliminary tests before the operation, and only on the basis of these tests can one conclude whether the operation will affect the patient's health or not, whether it is contraindicated for him or not. Come for a consultation, get tested. Each case is individual, but in my practice there were many such patients whom I underwent plastic surgery. ”
Plastic surgeon Borisenko Anastasia Sergeevna does not always, but does plastic surgery for patients diagnosed with HIV, but in any case, you must first come to a preliminary free consultation and take tests. Only then will the final decision on the operation be made. You can sign up for a free consultation at the link -.
You can also familiarize yourself with the operations that Anastasia Sergeevna does at the link -.
