Understanding the MacCarty keyhole burr hole and the microsurgical anatomy of the inferior orbital fissure is essential to performing the FTOZ1 approach. The three types of FTOZ1 approach enable the surgeon to tailor the approach according to the surgical exposure needed for each lesion.

A 71-year-old woman who had had a previous abdominal hysterectomy and Burch operation presented with stress urinary incontinence due to intrinsic urethral sphincter deficiency. She underwent a technically difficult placement of a TVT tape in April 2002. After an uneventful recovery she was discharged after 72 hours but presented almost 5 months later with small bowel obstruction. At laparotomy she had a loop of ileum adherent to the left lower side wall of the pelvis, with the TVT tape penetrating and traversing this loop. The ileal segment was excised and an end-to-end anastomosis performed. Her recovery was uneventful and she is maintaining her urinary continence. Patients who have had previous combined pelvic intra- and extraperitoneal surgery should be operated on by experienced surgeons and be observed for 24 hours. The placement of a Uratape (Porges-Mentor) via a transobturator approach should also be considered in such cases.

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1. Studies were performed with female rats to examine the effect of various levels of orally administered oxytetracycline on body-weight, weight of various portions of the intestinal tract, weight of mesenteric lymph nodes, distribution pattern of the tissue elements in the terminal portion of the ileum, and on the susceptibility to invasion bySalmonella typhi-murium.2. There was no growth promotion resulting from any antibiotic treatment. A consistent finding was the decrease in the wet weight of mesenteric lymph nodes in the rats given antibiotic.3. In the bacteriological test, no differences between antibiotic-fed and control groups were observed in isolations from the liver, spleen or intestinal tissue. It was concluded that there were no effects of oxytetracycline administration on invasive capacity of orally administeredS. typhi-murium.

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