The major requirements are in the fields of instrumentation and guidance. The present armamentarium could usefully be expanded to enable better methods of lifting and incising tissues. Methods of image enhancement should be brought to bear so as to increase the information available from images obtained, especially with fiberoptic neuroendoscopes.
Concerns regarding transmissible disease are likely to grow, such that there will be demands for completely disposable instrumentation; the neuroendoscope designers and manufacturers should anticipate this need. Although several surgeons have found a useful dialogue between neuronavigation and neuroendoscopy, the present position is far from ideal, and there is a need for real-time intraoperative neuronavigation that would enable more accurate localization when dealing with complex anatomy. All of these developments will require a closer working relationship between the surgeons and the companies involved.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.