Types of abdominal and pelvic surgical incision

At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as 

Midline Incision: It s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and caesarean section.
Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
Gridiron s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
Kocher s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher s incision. This however is different from the same named incision used for the thyroid gland surgery.
Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision.

8 Types Abdominal and Pelvic Surgical Incisions

Hair fall has a direct impact on the way you feel about yourself, your self esteem and confidence. It is also true that it is a very common problem and can be controlled and stopped completely through proper treatment. Ayurvedic treatment for hair fall has long term effects and it brings out the best results since the issues get rectified from the inside, preventing them from coming back.
 
Ayurveda and Hair Loss
 
According to Ayurveda, hair fall is associated with body type that varies from person to person and also the stability of mind-body structure. Hair is considered a byproduct of bone formation, as stated by Ayurveda. The tissues which are responsible for the development of bones are also responsible for hair growth. Diet, yoga, meditation and medicated herbal oil massage are the Ayurvedic treatments generally recommended for hair loss.
 
Here are some ways through which Ayurveda addresses the problem of hair fall:
 
1.    Dietary modifications 

It is important to identify the lifestyle habits that cause hair fall problems. Consumption of alcohol, meat, coffee, tea and smoking are some of these habits. Hair fall can also be aggravated due to intake of too much greasy, spicy, oily, sour, fried and acidic foods.
 
Here are some ways suggested by Ayurveda to beat hair fall:
 
1.    Hair growth can be stimulated by drinking fresh juices of Pomegranate, carrot, spinach and Kokam.

2.     Sesame seeds promote hair growth as they are rich in magnesium and calcium.

3.     Cow's Ghee is a trusted remedy to resolve all scalp-related problems.

4.     Green vegetables and fruits are rich in fiber and hence help in preventing hair fall.

5.     To make the roots of hair strong, foods rich in vitamin C, vitamin B-complex, sulphur and zinc must be consumed, which are found in whole grains, soybeans, buttermilk, nuts and milk.

6.     Yoga and meditation: Inverted asanas help in stimulating the blood flow to the head. Additionally, practicing deep breathing exercises to control anxiety, stress and keep the mind balanced is also advisable.

7.     Ayurvedic herbs and medicated oil: Bhringaraaja, Brahmi, Amla, Neem, Ritha and Ashwagandha are some ayurvedic herbs rich in essential nutrients that help in reducing stress and promoting hair growth. Different types of oils including coconut oil, brahmi oil, amla oil or mustard oil are useful to control hair fall.

How To Control Hair Fall Through Ayurveda

If you are experiencing pain, irritation, or itchiness in your throat, the condition is referred to as a sore throat. It is likely for you to face difficulty in swallowing food and the pain worsens when you want to swallow. The primary symptom of a sore throat is throat pain. People of all ages can get affected by a sore throat.

Causes
There are several causes of a sore throat. The most common ones are as follows:

Viral infection
  Viral infections are the most common causes of sore throat.
  These are the infections that are caused by a virus, like the flu or cold.
  Measles, chicken pox, and croup are other viral infections that cause a sore throat.

Bacterial infection
  Several bacterial infections also lead to a sore throat.
  They may include strep throat, diphtheria, and whooping cough.

Environmental factors
  Several environmental factors also cause sore throat.
  Exposure to pollen, mold, pet dander, and several other irritants leads to postnasal drip.
  This causes throat pain and inflammation.
  Exposure to dry air, and smoking cigarettes are also common causes of a sore throat.

Diagnosis
  For the diagnosis of a sore throat, a physical examination of your throat is carried out, and your throat will be examined using a lighted instrument.
  Doctors usually look out for inflammations and white patches that indicate strep throat. Your breathing will also be checked.
  The back of your throat can be swabbed for examining samples in order to determine the virus.
  Certain blood tests may also be required to be undertaken.

Treatment
  The treatment of sore throat depends on the cause.
  In case your sore throat is caused by a bacterial infection, you will be prescribed antibiotics for killing the infectious bacteria.
  The medicines should be taken strictly according to a doctor s prescription.
  You should complete the course of 10 days to get effective results.
  If you stop the treatment at an early stage on noticing improvements, a sore throat can recur soon.

There are certain simple home remedies which are effective for curing the most common forms of sore throat. They include:
  Gargling with warm, salted water.
  Consuming warm fluids like soup, tea, and water.
  Having throat lozenges.
  Reducing the inflammation using ibuprofen and acetaminophen.
  Avoiding exposure to allergens and irritants.

In case your sore throat is caused by a viral infection, the virus should be left to run its course. During its course, you will be prescribed medicines like pain relievers and decongestants for relieving the symptoms. Antiviral drugs are also used in some cases for fighting the virus effectively.

Sore Throat - Factors That Can Put You At Risk!

Menopause is the loss of a woman's natural ability to conceive as she approaches the age of 50. The levels of the female sex hormones estrogen and progesterone begin to drop disrupting the ovulation and menstruation cycles. There are also associated symptoms of menopause, such as weigh gain, low sex drive and hot flashes. 

Here are 5 other problems you may experience after menopause:

Increased level of cholesterol: The human body comprises two types of cholesterol primarily: High Density Lipoprotein (HDL) and Low Density Lipoprotein (LDL). The former is known as "good cholesterol". Estrogen helps to keep your HDL high and LDL low. After menopause, the levels of LDL or "bad cholesterol" naturally go up even if HDL levels remain unaltered. Regular physical exercise can prevent the rise in the levels of LDL.
Dry skin: Estrogen is responsible for controlling the production of oil in your body. As estrogen levels fall, the oil secretion falls too. This leads to dry and scaly skin, especially skin of the face and arms. You can use moisturizers and creams to prevent flaking of the skin.
Hair fall: This is also a result of dry skin. The skin of the scalp dries up and cannot provide nourishment to the hair. This causes hair fall. The variability in the levels of the hormones also causes deficiency of certain proteins that are essential for the nails and hair. Use mild herbal shampoos to deal with the problem. Chemical treatment procedures often do more harm than good.
Unsocial tendencies: The irregularities in the production of the female hormones have an impact on your emotional and social behavior. You may want to spend more and more time by yourself instead of socializing with friends and relatives. These are not symptoms of depression or any other psychological condition. It is simply an emotional transference period.
Drowsiness: While insomnia is one of the most symptoms of menopause, the situation somewhat reverses after some time. Menopause causes changes in the body weight, hormone cycles and metabolism. All of these, in turn, affect your energy levels. You feel extremely sleepy during the day, especially in the afternoon. However, sleeping during the day can cause sleeping problems at night. So, do not take a nap for more than half an hour during the day.

5 Things You Would Experience After Menopause

Silk pillowcase slows down skin aging

Using silk pillowcase is known to slow down skin aging by giving you a wrinkle-free skin. This is due to many good qualities of silk fibers.

Silk is a natural fiber obtained from animals and contains amino acids which are compatible and friendly to the human skin. It also contains temperature regulators which adjust your skin to the changing temperatures. Hypoallergenic silk fibers resist many skin allergens like fungus, spores etc making it ideal for sensitive skin.

The tightly woven fiber which remains most in contact with your face retains moisture to your skin and keeps your skin well hydrated. Unlike dry and flaky skin, moistened skin cells are most likely to show fewer wrinkles and hence slow down skin aging process.

Did You Know a Silk Pillowcase Can Slow Down Your Skin's Aging?

There are glands inside the anus that secrete fluids. Sometimes these glands can get clogged. Pus builds up in the blocked clogs, which get infected. This is called an abscess. Unless the abscess is treated right away, it will keep growing. It eventually punches a hole through the skin near your anus to drain the infected tissues and pus. This tunnel that leads from the gland to the hole is called a fistula.

Usually, it is an abscess that causes a fistula. But sometimes a fistula can be caused by tuberculosis, a bowel illness or sexually transmitted diseases.

What are the symptoms of anal fistula?

The symptoms of anal fistula are-

  Pain while sitting down
  Soreness around the anus
  Swelling and redness
  Bleeding
  Painful defecation
  Fever
  Foul secretion from a hole near your anus

How is fistula diagnosed?

If you complain of any of the above symptoms, a doctor will perform a physical examination on you.

Sometimes a physical examination does not reveal a fistula because the fistula can close for a while and then open up again. So then your doctor might ask you to get the following tests done-

  A blue dye test
  Computerized tomography (CT Scan)
  Anorectal ultrasound
  Colonoscopy.

Treatment for anal fistula

Unfortunately, there are no medicines that can treat fistula. If you are diagnosed with fistula, you will require surgery. However, it is a minimally invasive surgery with no risks involved.

The surgery is performed under general anaesthesia. A fistula surgery can be done in the following ways-

  If the fistula is located beneath the sphincter muscles, the surgeon cuts the fistula open so that it can heal and new healthy tissues can develop there.
  If the fistula passes through the upper part of the sphincter muscles, then the surgeon runs a special stitch through the fistula (seton stitch) so that the fistula can drain properly and heal. It takes 6 weeks for the pus to drain and the wound to heal
  Sometimes, a doctor will simply plug the fistula so it does not seep pus.

General and specific complications of a fistula surgery

Though it is a safe surgery, some complications may arise, but rarely. These may be general or specific.

General complications-

  Bleeding and pain
  Scarring around the region of the surgery

Specific complications-

  Pain while urinating
  The involuntary passing of wind or lose faeces

An anal fistula is a painful condition that refuses to go away and the only way to cure it is surgery.

Can Medication Treat Anal Fistula? Find Out!

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