The application of resective techniques varies in extent and site and it is probably best to classify procedures into three groups: temporal resections, extratemporal resections and major resections. The use of local anesthesia to permit localization during epilepsy surgery is used less frequently because the use of the grid electrodes described above has resolved many localization problems. If it is necessary to explore the central area under local anesthesia, whatever the age of the patient, it is often best to perform the craniotomy under general anesthesia on one day and re-open it a few days later under local anesthesia. The range of resective operations carried out at the Maudsley Hospital between 1976 and 1995 is shown in detail in Table 34.3.
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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.