Transperitoneal laparoscopic repair of a dorsal lumbotomy incisional hernia
Bibliographic record
Abstract
Hernias are a rare complication following muscle-splitting dorsal lumbotomy surgery. At our centre, before the introduction of laparoscopic surgery, donor nephrectomy for renal transplantation was performed via a dorsal lumbotomy approach. We present a case of transperitoneal laproscopic repair of a dorsal lumbotomy incisional hernia following donor nephrectomy using a quilted 2-sided expanded polytetrafluoroethylene (ePTFE) mesh. The procedure was uncomplicated and required 2 hours operating time to complete. A 2-day stay in hospital was observed for convalescence and the patient quickly returned to routine activity after discharge. Advantages of the laparoscopic approach include excellent visualization and wide coverage of the hernia defect under direct vision. This case illustrates the benefits of laparoscopic repair of a rare lumbotomy complication.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".