Clinical evaluation of gallium 67 citrate scanning in noninflammatory and nonmalignant pelvic conditions.

Gallium 67 citrate scanning has recently been introduced in the detection and localization of malignant and inflammatory pelvic processes. A total of 26 obstetrical and gynecological patients with proven benign and noninflammatory pelvic processes were injected with gallium 67 citrate and scanned. All the patients showed normal studies. Our results indicate that benign and noninfectious pelvic conditions do not show an increased uptake of gallium 67 citrate. It is concluded that the presence of a positive scan during the postpartum or postoperative period strongly suggests the possibility of infection. Benign pelvic tumors did not show an increased accumulation of the gallium 67 citrate. As a consequence an increased uptake by a pelvic mass strongly suggests the possibility of malignancy. An important observation from a clinical point of view was the absence of gallium uptake at the site of noninfected surgical incisions in the postoperative period.

The "intra-abdominal version technique" for delivery of transverse lie by low-segment cesarean section.

Cesarean section is the delivery method of choice in all shoulder presentations of viable fetuses. The classic cesarean section is usually recommended when there is a transverse lie because of the potential technical difficulties associated with extraction of the fetus when a low-segment incision is used. This paper illustrates a technique that avoids the need of a classic cesarean section and permits the use of the more desirable low-segment cesarean section. The advantages of the procedure are discussed.

Treatment of urinary stress incontinence. Use of dermal graft in the sling procedure.

Use of dermal graft for a urethral sling in treating urinary stress incontinence is described. This tissue has potential advantages of availability, strength, and freedom from side effects.