Laparoscopic versus Open Surgery for Malrotation Without Volvulus
Why this work is in the frame
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Bibliographic record
Abstract
Purpose: We wished to determine the risks and benefits of laparoscopic surgery when compared to the standard open approach in the management of children with malrotation without volvulus. Patients and Methods: Eighteen children undergoing laparoscopic surgery were compared to 20 similar children having open surgery during the same time period (1994-1999). Results: Three laparoscopic cases were converted. Six (33%) laparoscopic patients were found to have a broad-based mesentery at laparoscopy, and underwent appendectomy alone. The rest went on to a Ladd procedure. Eight (40%) open patients were found intraoperatively to have a broad-based mesentery. The laparoscopic group required less narcotic, was faster to full feeds, and had a shorter mean postoperative stay. On followup, there were no late complications in the laparoscopic group, but 2 (10%) open surgery patients developed adhesive small bowel obstruction. There were no cases of late volvulus following either laparoscopic or open surgery. Conclusion: Laparoscopy permits direct evaluation of the mesenteric base, with the option of a laparoscopic Ladd procedure if indicated. It results in less postoperative pain, decreased ileus, and a shorter hospitalization. The laparoscopic approach is safe and effective, and does not appear to be associated with an increased risk of late volvulus.
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Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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 it