Unidirectional Barbed Suture for Vaginal-Cuff Closure in Laparoscopic and Robotic Hysterectomy
Bibliographic record
Abstract
Objective: The aim of this research was to estimate the incidence of vaginal-cuff dehiscence in patients undergoing total laparoscopic hysterectomy (TLH) or TLH with robotic assistance, using a unidirectional barbed suture compared to a vicryl suture. Materials and Methods: For this retrospective cohort study (Canadian Task Force Classification II-3), a total of 474 patient records were reviewed for women who underwent either TLH or TLH with robotic assistance. The procedures were performed by experienced minimally invasive gynecologic surgeons at a tertiary-care university-based teaching hospital and a community hospital from July 2010 to November 2012. Results: The overall incidence of vaginal-cuff dehiscence was 0.6%. There were 3 patients in the unidirectional barbed suture group diagnosed with vaginal cuff dehiscence, (0.8%, 95% CI: 0.2 to 2.4%), compared with no vaginal-cuff dehiscence in the delayed absorbable suture group (0.0%, 95% CI: 0.0% to 3.2%). One patient had recurrent dehiscence. There were no significant differences in postoperative bleeding, cellulitis, granulation tissue, or overall complications between the unidirectional and conventional suture groups (2.7% versus 1%; p = 0.47). Conclusions: Use of a unidirectional barbed suture for vaginal-cuff closure during TLH or TLH with robotic assistance does not increase the risk of vaginal-cuff dehiscence. (J GYNECOL SURG 32:167)
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How this classification was reachedexpand
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 | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| 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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, 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".