Laparoscopic pre-peritoneal mesh approach in Spigelian herniorrhaphy. A case report
Bibliographic record
Abstract
Abstract We present a unique case of a Spigelian hernia and its laparoscopic pre-peritoneal mesh herniorrhaphy. A Spigelian hernia is the only known interparietal hernia of the abdominal wall and its clinical diagnosis and management remain elusive. Various attempts at surgical repair have included open, laparoscopic and robotic techniques. The mesh placement has varied between an on lay, underlay, or pre-peritoneal fixation. Current hernia guidelines remain nebulous as to the correct technique and mesh placement. Our case remains unique because the peritoneum was quite emaciated and could not be used for a proper mesh reperitonealization. We, therefore, used the hernia sac to cover our non-absorbable nylon mesh. We believe this adds to the rarity of this case report. The patient`s recovery was uneventful. She has no hernia recurrence at six months post-surgical herniorrhaphy. A surgical follow-up of at least five years is required to determine the feasibility of our technique.
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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 | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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".