• The term congenital lacrimal-cutaneous fistula has been used to describe uncommon fistulas that exit through the skin, typically infranasal to the medial canthus (Fig 15-2). (aao.org)
  • Figure 15-2 Congenital lacrimal-cutaneous fistula (arrow) . (aao.org)
  • The etiology of preauricular sinuses and fistulas are not completely discovered, yet, they are thought of as Medfödd aurikulär fistel, (latin: congenital preauricular fistula) [1] eller preaurikulär cysta [2] är en vanlig medfödd missbildning som kännetecknas av en knöl, buckla eller grop belägen i anslutning till ytterörat. (web.app)
  • Cutaneous Fistula / congenital. (web.app)
  • The main indications for tracheal reconstruction include malignant tumours (squamous cell carcinoma, adenoid cystic carcinoma), tracheoesophageal fistula, trauma, unsuccessful surgical results for benign diseases and congenital stenosis. (ersjournals.com)
  • Tracheal reconstruction and replacement is a complex and vital surgical procedure with several indications, including primary tracheal neoplasm (adenoid cystic carcinoma and squamous cell carcinoma), thyroid cancer, extensive tracheoesophageal fistulas, unsuccessful previous surgery for benign tracheal diseases (re-stenosis, long-term stenosis that has been dilated or been non-surgically repaired) and, rarely, congenital tracheal stenosis. (ersjournals.com)
  • Congenital Lacrimal-Cutaneous Fistula-Induced Facial Cellulitis -- A Case Report And Review. (cgh.org.tw)
  • The purpose of this project is to develop, evaluate and implement novel bioimaging techniques for monitoring perfusion and oxygenation during pediatric surgery, with regard to congenital anorectal malformations, Hirschsprung's disease and tumors, and to assess the correlation to postoperative complications in the skin and intestine. (lu.se)
  • Every year, about 100 children undergo surgery with reconstruction of the rectum, pelvic floor and genitals due to malformations of the gastrointestinal tract such as anal atresia, Hirschsprung's disease, esophageal atresia, or urogenital malformations such as hypospadias, and congenital pelvic tumors such as sacrococcygeal teratoma. (lu.se)
  • Origins and spread, salivary gland fistulas, oral antral and oral nasal fistulas, iatrogenic fistulas (eg, dental implant placement), and miscellaneous orocutaneous fistulas are addressed here. (medscape.com)
  • Medical treatment appears to be effective for isolated ileo-vesical fistula, however the association with other fistula and the presence of complications would impose a possible surgery. (webmedcentral.com)
  • In the other 6 cases no major complications (necrosis or fistula) occurred. (thieme-connect.com)
  • Here we discuss a pectoralis major free flap reconstruction in an arteriopath who underwent a segmental mandibulectomy and examine post-operative complications of this surgery in the elderly. (cambridgemedicine.org)
  • Perianal fistulas represent one of the most critical complications of Crohn's disease (CD). (mattioli1885journals.com)
  • Repair of complications of primary surgery such as fistula repair with local tissue or free tissue transfer. (umplasticsurgery.my)
  • Data was collected on patient age, cause of stricture, location of stricture, the length of stricture, urethroplasty technique used, complications that occured after surgery and the immediate success of the procedure. (annalsofafricansurgery.com)
  • However, in some cases actinomycosis can be locally destructive and progress to generalized infections, causing complications including abscess formation with risk of rupture, fistula formation, or spread to neighboring and distant organs. (medscape.com)
  • Serious post-operative wound complications including dehiscence and cutaneous fistula formation have been reported from clinical experience when ADEPT ® was used in surgical cases with laparotomy incision. (baxter.com)
  • The hypothesis is that high tissue tension during surgical reconstruction during infant surgery results in decreased blood perfusion, that may be associated with an increased risk of treatment-requiring postoperative complications with wound healing problems and stricture development, and that these can be avoided by perioperative monitoring. (lu.se)
  • Stedman's Medical Dictionary defines a sinus as a fistula or tract leading to a suppurating cavity. (medscape.com)
  • [ 3 ] Conversely, a cutaneous lesion such as a furuncle can be misdiagnosed as a sinus tract to the skin of the face. (medscape.com)
  • The transit of the small intestine, hydrosulubles enema and colonoscopy may assist in identifying the orifice and the fistula tract as well as complete research of other CD intestinal lesions [3,4,8]. (webmedcentral.com)
  • The etiology of preauricular sinuses and fistulas are not completely discovered, yet, they are thought of as 2020-05-04 Perianal fistula (or fistula-in-ano) (plural: fistulae or fistulas) is the presence of a fistulous tract across/between/adjacent to the anal sphincters and is usually an inflammatory condition 4. (web.app)
  • In these cases the connection with the original fistula tract to the bowel is lost. (web.app)
  • Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract, vol. 23, no. 5, 2019, pp. 1015-1021. (unboundmedicine.com)
  • Anorectal Fistula An anorectal fistula is a tubelike tract with one opening in the anal canal and the other usually in the perianal skin. (msdmanuals.com)
  • Open surgical management with excision of the fistulous tract and interposition with myocutaneous flap is ideal for large fistulae. (org.pk)
  • The pediatric surgery in Lund is one of two of Sweden's national centers for malformations in children's gastrointestinal tract and genitals. (lu.se)
  • The cause of RAE is unknown, but it can be associated with infections, antiphospholipid syndrome, dysglobulinemia, cryoproteinemia, and lower extremities arteritis, and it may occur near arteriovenous fistulas. (thedoctorsdoctor.com)
  • Intravascular and diffuse dermal reactive angioendotheliomatosis secondary to iatrogenic arteriovenous fistulas. (thedoctorsdoctor.com)
  • We report two patients with reactive cutaneous angioendotheliomatosis appearing distally to arteriovenous fistulas used for hemodialysis because of chronic renal failure. (thedoctorsdoctor.com)
  • An orofacial fistula is a pathologic communication between the cutaneous surface of the face and the oral cavity. (medscape.com)
  • In its most severe form late radiation injuries of the head and neck can progress to cutaneous fistulas, trismus, pathologic fractures and osteoradionecrosis [ 8 ]. (biomedcentral.com)
  • 19] sub-sequently modified the classification system on the basis of radiologic anatomy on pelvic TABLE 1: Pelvic MRI Protocols for Perianal Fistula Evaluation Sequences and Slice Orientation No. of Signal The extrasphincteric fistula is uncommon and only seen in patients who had multiple operations. (web.app)
  • Surgical treatment is often required in the management of perianal fistula in patients with CD, which often have complex perineal findings. (mattioli1885journals.com)
  • Has untreated active external or perianal fistula or abscess. (penzugydrukker.hu)
  • Suresh Khanna Natarajan, MD, Darwin P, MD. Stanley Medical College & HospitalIntroductions: In spite of immense recent advancement in post-operative care, enterocutaneous fistulas (ECF) remain one of the fascinating challenges because of their anatomical abnormalities, metabolic derangement and associated extensive sepsis. (sages.org)
  • Multiplanar CT-enterography (Fig. 1) with oral polyethylenglycole solution confirmed two ventral enterocutaneous fistulas with characteristic tram-track appearance, mixed fluid and air content, and showed a markedly thickened ileal segment with non-stratified enhancement which appeared to infiltrate the anterior abdominal wall. (eurorad.org)
  • Laparotomic en-bloc resection of ileal mass, anterior abdominal wall and subcutaneous tissue involved by enterocutaneous fistulas and a segment of transverse colon was performed (post-surgical status shown in Fig. 2a, b). (eurorad.org)
  • Compared to past decades, currently enterocutaneous fistulas (ECFs) are rarely encountered in surgical practice. (eurorad.org)
  • Orocutaneous fistulas may be misdiagnosed as squamous cell carcinoma or a cystic lesion. (medscape.com)
  • In the literature, the terms fistulas and sinuses are often used interchangeably. (medscape.com)
  • Lymphangiomas are cystic lesions, caused Figure 1: A typically located preauricular branchial cysts, fistulae and sinuses. (web.app)
  • Figure 2: Preauricular CT or MRI imaging is not indicated unless a sinus is Jan 18, 2013 The most common branchial cleft anomalies are cysts, representing 75% of all cases, while 25% are fistulas and sinuses.42. (web.app)
  • As extraoral dental sinus is a rare condition it is often misdiagnosed initially as a more common skin condition such as a skin cancer , boil or other skin infection, pyogenic granuloma , trauma, foreign body or other granuloma, cyst or one of the other forms of face and neck sinuses and fistulae . (dermnetnz.org)
  • 2Northumbria NHS Trust, 1Kilimanjaro Christian Medical CentreBackground: We present the results from 10 years of practice since the introduction of laparoscopic surgery in Tanzania. (sages.org)
  • This study establishes the feasibility and safety of establishing laparoscopic surgery in a rural African nation. (sages.org)
  • The purpose of this study was to review our experience with laparoscopic colectomy and fistula resection, evaluate the frequency of conversion to open, and to compare the perioperative courses of the complete laparoscopic and conversion groups. (unboundmedicine.com)
  • Laparoscopic sigmoid colectomy for diverticular fistula is safe, with complication rates comparable to open sigmoid resection. (unboundmedicine.com)
  • Emergency surgery was decided and under general anesthesia, laparoscopic appendectomy with drainage of the peritoneal cavity was performed. (rojes.org)
  • What causes shoulder pain after laparoscopic surgery? (ancasta.pl)
  • Single-access surgery laparoscopic cholecystectomy and appendectomy, Advantages of Minimal Incision Laparoscopic Cholecystectomy. (ancasta.pl)
  • Shoulder pain after laparoscopic surgery has been thought to be due to the irritation of the phrenic nerve, which may be mainly caused by insufflated carbon dioxide. (ancasta.pl)
  • With the upcoming idea of Natural Orifice Transluminal Endoscopic Surgery (NOTES) in the recent years and noticing the lack of feasibility of the, Background: Modifications to conventional laparoscopic cholecystectomy (CLC) are aimed at decreasing abdominal wall trauma and improving cosmetic outcome. (ancasta.pl)
  • ADEPT® has been proven to reduce post-surgical adhesions in patients undergoing gynecological laparoscopic surgery. (baxter.com)
  • ADEPT ® is intended for use as an intraperitoneal instillate for the reduction of adhesions following gynecological laparoscopic surgery, and should be used as the irrigant during the course of that surgery. (baxter.com)
  • ADEPT ® is indicated to be used in gynecological laparoscopic surgery of the abdominal-pelvic cavity in adults. (baxter.com)
  • We report on our experiences with the superiorly based sternocleidomastoid myocutaneous (SCM) island flap (cutaneous island of 6 - 8 cm in diameter) in seven consecutive cases after resection of malignomas of the oral cavity and the pharynx. (thieme-connect.com)
  • Albeit difficult, preoperative diagnosis of malignant ECFs impacts treatment since it requires en-bloc resection plus chemotherapy. (eurorad.org)
  • A 48-year-old patient with hypopharyngeal carcinoma(postcricoid region, clinical T2N2M0)experienced refractory pharyngocutaneous fistula on the fifth day of concurrent radiotherapy and chemotherapy after tumor resection. (sdu.edu.cn)
  • A similar fistula occurred in another patient aged 62 with laryngeal carcinoma experiencing partial vocal fold resection by CO 2 laser 146 days after radiation therapy. (sdu.edu.cn)
  • Tracheo-cutaneous fistula secondary to a foreign body in a child is rarely reported. (edu.pk)
  • The entero-vesical fistula (EVF) secondary to Crohn's disease (CD) is a rare situation ( (webmedcentral.com)
  • This study aspires to assess the significative role of Magnetic Resonance Imaging (MRI) in the study of perianal fistulas, secondary extensions, and abscess in patients with CD. (mattioli1885journals.com)
  • Aug 10, 2018 highlighting their radiologic patterns of manifestation and correlating them with The gland is accessed through a preauricular-retrotragal approach, Results of physical examination confirmed the fistula to be Nov 1, 2016 At operation, the fistula extended towards the right tonsillar fossa and was excised. (web.app)
  • A fistula between a salivary duct or gland and the cutaneous surface of the oral cavity. (bvsalud.org)
  • A fistula is an abnormal pathway between two anatomic spaces or a pathway that leads from an internal cavity or organ to the surface of the body. (medscape.com)
  • 3 A preauricular cyst or fistula may form as the result of abnormal development of the first and second branchial arch and may manifest as persistent discharge or recurrent infection. (web.app)
  • Affiliated Hospital of Qingdao UniversityObjective: To investigate the clinicopathologic features and prognosis of patients with gastrointestinal stromal tumor (GIST) after surgery in Shandong Province. (sages.org)
  • Despite the effectiveness of medical treatment confirmed in some patients, the closing of the fistula can not often be obtained, which would require surgical treatment in most of these patients. (webmedcentral.com)
  • This study is a retrospective analysis of 111 consecutive adult patients with diverticular fistulae diagnosed clinically or radiographically over 11 years at a single institution. (unboundmedicine.com)
  • Many times nerve issues after surgery are temporary, for example, many patients have nerve problems after surgery that only last for a few weeks to months (2,3). (ancasta.pl)
  • During surgery patients were put in low or exaggerated lithotomy position according to the location of stricture. (annalsofafricansurgery.com)
  • Twenty-one (64) of the patients were older than one year at the time of surgery. (bvsalud.org)
  • Despite the availability of effective drug treatments and a better understanding of its disease condition and symptoms, the percentage of patients who require emergent surgery for complicated disease remains constant at 7% of hospitalized patients [ 41 - 50 ]. (rroij.com)
  • Method Two patients with refractory pharyngocutaneous fistula were reported in this article. (sdu.edu.cn)
  • The improved VSD devices was applied to assist fistula treatment in both patients, and the healing process was observed. (sdu.edu.cn)
  • Results After the application of the improved VSD device, the swelling of the fistula subsided on the sixth and third day in patients 1 and 2, and it was repaired when the wound area contracted obviously on days 58 and 38, respectively. (sdu.edu.cn)
  • Sixteen patients (ten with one or more intestinal fistula) developed abdominal wall dehiscence were included in this study. (who.int)
  • Simon Huf, one of the 2022 TUF Fellows, spent some time in Kisiizi, Uganda, helping the local surgeons improve their skills with endoscopic prostatic surgery. (baus.org.uk)
  • These anlage ducts or fistulas from an otherwise normal canalicular system or lacrimal sac are sometimes asymptomatic, or they may be associated with tears that appear on the skin. (aao.org)
  • This video demonstrates a cutaneous fistula of the lacrimal sac. (uiowa.edu)
  • Groin cutaneous free tissue flap using the epigastric vessels as the pedicle. (clevelandclinic.org)
  • Among the myocutaneous island flaps applied for reconstruction of large soft-tissue defects after ablative surgery for malignomas, the pectoralis major flap is the one most frequently used. (thieme-connect.com)
  • I had my gall bladder surgery in 2002, with pain immediately after I was told it was scar tissue. (ancasta.pl)
  • Cutaneous polyarteritis nodosa (CPN) is an uncommon form of vasculitis of the small-and medium-sized arteries in the reticular dermis and subcutaneous tissue. (annals.edu.sg)
  • We have recently implemented laser speckle contrast imaging for perfusion monitoring in reconstructive surgery and we have also developed spectroscopic techniques that can measure oxygenation and tissue composition, e.g. hyperspectral imaging and diffuse reflectance spectroscopy. (lu.se)
  • ECF is generally diagnosed on clinical grounds, as intermittent purulent discharge from cutaneous orifices within inflamed anterior abdominal wall. (eurorad.org)
  • 4.Petru E, Herzo Kurschel S, Tamussino K, Winter R. Vesico cutaneous fistula mimicking an abdominal wall abscess 2 years after radical abdominal hysterectomy. (org.pk)
  • preauricular pits, cervical fistulae ultrasound or abdominal X-ray in delineating. (web.app)
  • Has any malignancy or lymphoproliferative disorder other than nonmelanoma cutaneous malignancies or cervical carcinoma 6. (penzugydrukker.hu)
  • Most ECFs develop either through an abdominal scar weeks or months after gastrointestinal surgery, or as a complication of fistulizing Crohn's disease (CD). (eurorad.org)
  • Are perineal and luminal fistulas associated in Crohn's disease? (mattioli1885journals.com)
  • 5. Hellers G, Bergstrand O, Ewerth S, Holmstrom B. Occur rence and outcome after primary treatment of anal fistulae in Crohn's disease. (mattioli1885journals.com)
  • These tumors are rarely suspected before surgery, the final diagnosis being intraoperative and established by histopathological examination. (rojes.org)
  • Recurrence despite antibiotics or surgery is a clue to the correct diagnosis. (dermnetnz.org)
  • The treatment should consist of conservative surgery to obtain a firm histological diagnosis and to drain any collections. (medscape.com)
  • [ 2 ] The risk of misdiagnosis as malignancy is especially high when the fistula presents as extensively ulcerated. (medscape.com)
  • Also note that odontogenic cutaneous fistula and malignancy may appear simultaneously, as in the case of a 64-year-old patient intially diagnosed with fistula alone. (medscape.com)
  • Compared with the other conditions, fluctuant abscess formation is more likely to result in cutaneous fistulas. (medscape.com)
  • Chakrabarti S, Pal S, Biswas BK, Bose K, Pal S, Pathak S. Clinico-pathological study of cutaneous granulomatous lesions-a 5 yr experience in a tertiary care hospital in India. (edu.pk)
  • Reactive angioendotheliomatosis (RAE) is a benign cutaneous vascular disorder characterized by a distinct histologic and clinical appearance. (thedoctorsdoctor.com)
  • Reactive angioendotheliomatosis (RAE) is a rare benign cutaneous vascular proliferation characterized by intravascular hyperplasia of endothelial cells and tuft-like proliferation of vessels. (thedoctorsdoctor.com)
  • [ 5 ] recommend a dental examination and radiographs to rule out infection of dental origin to the cutaneous face or neck. (medscape.com)
  • Necrotizing Tenon's capsule infection in a lymphopenic Down syndrome patient following strabismus surgery. (ucla.edu)
  • The authors report a case of facial actinomycosis, which mimicked a cutaneous tumor both clinically and surgically in a 44-year-old woman with chronic renal failure and Hepatitis C viral infection. (medscape.com)
  • However, a treatment-resistant abscess, a fistula, or postsurgical excision of the mass formation that are infected can be treated with antibiotics as soon as possible, and recurrence of infection is prevented. (medscape.com)
  • The authors describe an unusual case of a 44-year-old woman with chronic renal failure and Hepatitis C viral (HCV) infection having primary cutaneous actinomycosis (PCA) of the left cheek. (medscape.com)
  • Infection probably occurred following direct inoculation of the bacteria after a previous surgery. (medscape.com)
  • Cutaneous biopsy revealed RAE characterized by the proliferation of epithelioid and spindle-shaped cells in superficial and middermis lining vascular channels, arranged in clusters, and sometimes displaying an intravascular growth pattern. (thedoctorsdoctor.com)
  • Yen YH, Hsieh TS, Hou SH, Simon Wu JH, Chen SC, Pu CM*. Using Segmental Renal Artery as Recipient Artery for Spinal Reconstructive Surgery. (cgh.org.tw)
  • When considering reconstructive surgery for facial vascular anomalies, it is important to consider both functional and cosmetic results of the procedure. (e-acfs.org)
  • By far the most common predictor of SINP is the severity of acute pain immediately following surgery. (ancasta.pl)
  • Conclusion The improved VSD device can be used flexibly according to the wound condition, and is helpful for treating refractory pharyngocutaneous fistula complicated with head and neck carcinoma. (sdu.edu.cn)
  • [ 1 ] Chronic dental periapical infections or dentoalveolar abscesses cause the most common intraoral and extraoral fistulas. (medscape.com)
  • On occasion, abdominal surgery can sometimes lead to chronic abdominal nerve pain or chronic pelvic nerve pain. (ancasta.pl)
  • Surgical antibiotic prophylaxis (SAP) refers to the administration of antibiotics prior to clean and clean-contaminated surgeries to prevent postoperative surgical site infections (SSIs). (annals.edu.sg)
  • Preoperative, intraoperative, and postoperative variables were collected from the colorectal surgery service database. (unboundmedicine.com)
  • Abscesses, internal and external fistulas, and bowel obstruction may arise. (msdmanuals.com)
  • Treatments of HNC include surgery, radiotherapy, chemotherapy or targeted therapy, administered either alone or in combination [ 3 ]. (biomedcentral.com)
  • Patient concerns: A 62-year-old patient (case 1), a 72-year-old male (case 2), and a 57-year-old patient (case 3) presented at the clinic with symptoms of neuropathic pain after RALP surgery. (ancasta.pl)
  • The biggest symptoms of nerve damage after surgery are usually numbness, tingling, burning, or muscle weakness or atrophy. (ancasta.pl)
  • Department of Radiology, Alder Hey Children's Hospital NHS Foundation Trust, or fistula forming, the location of which alters with the branchial arch involved. (web.app)
  • Tracheal reconstruction is one of the greatest challenges in thoracic surgery when direct end-to-end anastomosis is impossible or after this procedure has failed. (ersjournals.com)
  • During procedure, fistula between caudal pole of left kidney and left subcutaneous abscess was detected and suture material was identified. (e-jvc.org)
  • Courtney Cripps, MD, Parswa Ansari, MD, Gary Giangola, MD, Robert Andrews, MD. Northshore LIJ Lenox Hill HospitalObjective: To compare attending surgeon and resident perceptions of the weekly morbidity and mortality conference at an Accreditation Council for Graduate Medical Education (ACGME) accredited general surgery residency program. (sages.org)
  • Additionally General Surgery and Anti Reflux surgery is also detailed. (dssurgery.com)
  • Hina Toufique ( Department of Gynae and Obstetrics and General Surgery, Kulsoombai Valika Social Security Site Hospital, Karachi. (org.pk)
  • Abdul Jabbar Merani ( Department of Gynae and Obstetrics and General Surgery, Kulsoombai Valika Social Security Site Hospital, Karachi. (org.pk)
  • Only one total cutaneous necrosis was observed in a patient who had received prior radiation. (thieme-connect.com)
  • Delayed vesico cutaneous fistula after radiation therapy for advanced vulvar cancer. (org.pk)
  • Fistula Classification Initial classification of perianal fistulas was based on surgical anatomy described by Parks et al. (web.app)
  • A classification of fistula-in-ano. (mattioli1885journals.com)
  • Suzie Venn, Nikesh Thiruchelvam and Tamsin Greenwell visited KCH and the Freedom from Fistula Hospital in Lilongwe to scope out how Urolink could help colleagues improve the situation regarding women's health in Malawi. (baus.org.uk)
  • Parental antibiotics were given, and daily Pyodine dressing was done on cutaneous site of fistula. (org.pk)
  • Has ileostomy, colostomy, or short gut syndrome or is anticipated to require surgery in the next 6 months. (penzugydrukker.hu)
  • Although the focus has previously been on the management of obstetric fistula, it is now recognised that there is a large unmet need for successful treatment of female urinary incontinence. (baus.org.uk)
  • Urine analysis, urine culture, intravenous urogram, (IVU), voiding cystourethrogram (VCU) , cystoscopy , and sinogram done in our institution revealed communication between urinary bladder and cutaneous opening in left edge of abdominal scar. (org.pk)
  • As the presentation occurred at an early stage and the defect was small with no associated urinary pathology, conservative treatment cured this rare vesicocutaneous fistula. (org.pk)
  • Intravenous urogram, (IVU), voiding cystourethrogram (VCU) were done which showed a communication between bladder and cutaneous opening in left corner of abdominal wound (Figure). (org.pk)
  • 6 Anecdotal cases of vesicocutaneous fistula from inguinoscrotal hernia, 7 antenatal bladder aspiration, 8 Bladder instability, 9 factitious, 10 actinomycosis 11 have been also reported. (org.pk)
  • Vesicocutaneous fistula arising from a bladder diverticulum. (org.pk)
  • Dear Editor, Breast-conserving surgery (BCS) is often the preferred treatment in operable breast cancer.1 While tumour biology and systemic therapy are major determinants of disease. (annals.edu.sg)
  • Application of the improved vacuum sealing drainage device in the treatment of refractory pharyngocutaneous fistula[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 49-53. (sdu.edu.cn)
  • Between initial presentation and surgery, the tumour invaded the skin of the right cheek. (cambridgemedicine.org)
  • An 85-year-old gentleman was referred to Addenbrookes Oral and Maxillofacial Surgery unit with a six-week history of right sided facial swelling unresolved following a tooth extraction. (cambridgemedicine.org)
  • Understanding the mechanisms that lead to impaired wound healing and healing without stricture, could lead to safer surgeries and aftercare, reduce the child's suffering and also save families time and financial losses. (lu.se)
  • severe peritoneal contamination (P=0.291) and extensive surgery (P=0.089) did not. (bvsalud.org)