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Biomedical subjects

S T Scaling

Publications and source records attributed to S T Scaling.

4 recordsLinked to original sources
PubMed1988

External cephalic version without tocolysis.

The increased rate of cesarean section in the United States is in part the result of more liberal use of the operation because of breech presentation. In an attempt to reduce the incidence of breech presentation in labor in a group of private patients, 66 patients underwent 90 attempted external cephalic versions in my office without tocolysis. The success rate of external cephalic version at or before 34 weeks was 74.3%, and only 45.5% after 34 weeks. The overall success rate was 60.6%. Subsequent attempts in five patients who had spontaneous reversion to breech were successful. No fetal or maternal mortality or morbidity occurred. One patient with Rh negative blood may have become isoimmunized as a result of version manipulation. Successful external cephalic version without tocolysis was accomplished with gentle, nonpersistent manipulation at or before 34 weeks.

Breech Presentation↗
PubMed1979

Dermatomyositis and female malignancy.

All cases of dermatomyositis-polymyositis in women seen between 1970 and 1977 at Baylor Affiliated Hospitals were reviewed. Twenty-five patients were identified with this diagnosis. Of these women, 5 were found to have a malignant tumor: 3 ovarian carcinomas, 1 cervical intraepithelial carcinoma, and 1 colon carcinoma. Pertinent histologic and clinical findings in patients with dermatomyositis-polymyositis are discussed. The high prevalence of malignancy in these patients, previously recognized, is discussed. A case report is presented.

Adult↗
PubMed1978

The correlation of pelvic ultrasound and laparoscopy in the diagnosis and management of gynecologic disorders.

Cases were reviewed in which both laparoscopy and ultrasound were performed for diagnostic purposes at the Ben Taub General Hospital, Houston, Texas, from January 1976 through May 1977. Thirty patients were found to have undergone both procedures. The most common reason (13 cases) was the presence of an adnexal mass. The findings from both techniques agreed in 20 cases, for a positive correlation of 66.7%. Different diagnoses were found in 10 cases, for a negative correlation of 33.3%. The major cause of the discrepancy was the presence of pelvic adhesive disease, not diagnosed by ultrasound but observed via laparoscopy. When the ultrasound findings were reported as "normal," all were confirmed at laparoscopy. Eight laparotomies were performed, and in each case the laparoscopic findings were confirmed.

Adnexal Diseases↗