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Record W2021128509 · doi:10.1055/s-0031-1272475

Management and Prevention of Pelvic Adhesions

2011· review· en· W2021128509 on OpenAlex
S.S. Al-Jabri, Togas Tulandi

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueSeminars in Reproductive Medicine · 2011
Typereview
Languageen
FieldMedicine
TopicIntestinal and Peritoneal Adhesions
Canadian institutionsMcGill University
Fundersnot available
KeywordsMedicineAdhesionSurgeryBowel obstructionIcodextrinPelvic pain

Abstract

fetched live from OpenAlex

Postsurgical adhesion formation is an important clinical problem within all surgical specialties. In gynecology, adhesions resulting from gynecologic procedures are a major clinical, social, and economic concern because they may result in pelvic pain, infertility, or bowel obstruction. In addition, it may lead to additional surgery to resolve the adhesion-related complications. This review evaluates the available evidence regarding the effectiveness of various strategies for reducing postsurgical adhesions. Those strategies include surgical techniques and adhesion-reducing substances. Postsurgical adhesions are natural consequences of tissue trauma and healing. Our review indicates that most of the effective adhesion-reducing substances decrease adhesion formation and reformation, but they do not prevent its occurrence. In fact, there is no single modality proven to be unequivocally effective in preventing adhesion formation. Current evidence suggests that the use of ORC (Interceed; Gynecare, Somerville, NJ), e-PTFE (Gore-Tex Surgical Membrane, Preclude; WL Gore, Flagstaff, AZ), HA-CMC (Seprafilm; Genzyme, Cambridge, MA), or 4% icodextrin (Adept; Baxter BioSurgery, Deerfield, IL) is justified. Their use, however, should not replace good surgical techniques. We recommend the use of microsurgical principles, minimally invasive surgery, and the use of adhesion-reducing agents.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.968
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.089
GPT teacher head0.381
Teacher spread0.292 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it