Effectiveness of laparoendoscopic surgical treatment with single-site / single-incision laparoscopic surgery method in gynecological practice
Bibliographic record
Abstract
Laparoendoscopic single-site surgery (LESS) / single-incision laparoscopic surgery (SILS) is considered the effective minimally invasive laparoendoscopic method for solving gynecological problems. The aim of the study was to clinically analyze and evaluate the main advantages and disadvantages of transumbilical LESS / SILS surgeries used in the surgical treatment of patients with tubo-ovarian pathologies. Materials and methods. Depending on the tasks and the methods of examination and surgical treatment, patients were divided into 3 large groups: group I (comparison group I) patients underwent laparotomic surgical interventions on the pelvic organs; group II (comparison group II) patients were subjected to classical laparoscopic surgical treatment tactics, and group III (main group) patients underwent minimally invasive LESS / SILS surgeries. Results. Pain intensity was statistically significantly lower measuring to 1.8 ± 0.1 cm on the Visual Analogue Scale in the postoperative period when applying LESS compared to other methods. The final analysis of intraumbilical scar on the Vancouver Scar Scale has revealed the highest cosmetic effect with a statistically significant score of 0.14 ± 0.08 6 months after LESS. In the long-term postoperative period, the least statistically significant complications have been observed after LESS / SILS with a rate of ventral hernia of 2.1 % and adhesions – 6.3 %. Conclusions. The main advantages of LESS / SILS compared to laparotomy and laparoscopic surgeries are as follow: reduced blood loss, fewer postoperative complication rates, and faster recovery of patients in the early postoperative period. Since only a single incision is made, the pain sensation is minimal, and patients quicker return to usual daily activities. The main disadvantages of LESS are certain technical difficulties encountered during the procedure, as well as complications (conversion) observed during the intraoperative period. Since complications after LESS are minimal, this method is considered a more optimal approach for patients compared to classical laparoscopy. There is a need to optimize the application and functions of this method in clinical practice.
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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 | 0.005 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 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".