[Randomized controlled trial on the clinical efficacy of hernia needle combined with single port laparoscopic scrotal approach and testicular arch fixation for the treatment of middle and low cryptorchidism in children].
Bibliographic record
Abstract
OBJECTIVE: To explore the clinical effect of hernia needle combined with single-port laparoscopy-assisted transscrotal orchidopexy (HN-SLATO) in the treatment of mid-low cryptorchidism in children. METHODS: We selected 80 children with mid-low congenital cryptorchidism treated from January 2023 to January 2024, and equally randomized them into an observation and a control group to receive HN-SLATO and conventional laparoscopic orchidopexy (LO), respectively. We recorded the surgical parameters, the postoperative scores of the patients' on the Face-Legs-Activity-Crying-Consolability Scale (FLACC) and Vancouver Scar Scale (VSS), the serological indicators of interleukin-6 (IL-6), inhibitor B (INH-B) and high-sensitivity C-reactive protein (hsCRP), and the incidence of postoperative complications at 1 month after surgery between two groups, followed by comparison between the two groups. RESULTS: The total effectiveness rate of treatment was significantly higher in the observation than in the control group (97.5% vs 75.0%, P<0.05), and so was the success rate of testicular descent (100% vs 85.0%, P<0.05), but there was no significant difference in surgical time and postoperative hospital stay between the two groups (P > 0.05). The VSS score was remarkably lower in the former than in the latter group (3.3 ± 0.9 vs 4.3 ± 1.0, P<0.05). The FLACC scores were markedly increased in both the observation and control groups at 24 hours (3.6 ± 0.2 and 4.1 ± 0.3) and 72 hours (3.0 ± 0.3 and 3.5 ± 0.2) compared with those at 2 hours after surgery (2.2 ± 0.2 and 2.3 ± 0.1) (P<0.05), but less increased in the former group than in the latter (P<0.05). The postoperative levels of IL-6, INH-B, and hsCRP were all significantly elevated compared with the baseline in both groups, but less significantly in IL-6 and hsCRP in the observation than in the control group (P<0.05). The incidence of postoperative complications was dramatically lower in the former group than in the latter (2.5% vs 20.0%, P<0.01). CONCLUSION: HN-SLATO has a significant clinical efficiency and high safety in the treatment of mid-low cryptorchidism in children, which can effectively improve intraoperative fixation and postoperative aesthetics of the testis, as well as reduce pain, serum inflammatory indicators and postoperative complications.
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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 | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.004 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 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".