If surgery for problems other than those related to the graft is necessary, complications secondary to chronic steroids and immunosuppression should be anticipated. Also, caution must be taken in the presence of a coagulopathy. It is recommended that immunosuppression not be stopped unless there is sepsis, in which case the immunosuppression might need to be reduced. Two series looking at cardiac and general surgery showed no documented decline in graft function and no need for stress dosing of steroids.1 ,19
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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.