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What are the benefits of eating raw egg (without its shell) Does it help me in my future sexual life?(i guess I have premature ejaculation? Will it help my hair (i have hair fall problem) What is the best way of drinking it?
Early morning as soon as wake up my legs and hands will be swollen what would be the reason what test to be done for it.
Ideally, surgical incisions are primarily designed to allow easy access to the desired areas in addition to possibilities of extension, if required. Further, they should be designed to split muscles rather than cut them, with minimal scarring along with the aim of boosting regenerative and healing qualities.
Incisions can be classified under these three groups; Vertical, Transverse and Oblique incisions.
- Vertical incision
1. Midline incision: Almost all abdominal incisions can be performed using this technique. Starting from the midline of the abdomen, it can extend all the way down to the umbilicus.
a) Minimal blood loss
b) Minimal nerve injury
c) Minimal muscle injury
a) Midline scar
2. Paramedian incision: This technique provides more laterality to midline incisions, allowing access to such lateral organs such as spleen, kidney and adrenals.
a) Easy access to lateral structures
b) Closure between incisions in anterior and posterior sheath is more secure
c) Rectus muscle remains undivided
a) More time consuming
b) Difficulty in extension
c) Can result in atrophy of the muscle
3. Mayo-Robson incision: This incision is typically a paramedian incision, but which bend towards the xiphoid process and consequently allows for a larger and wider opening.
- Transverse incision
1. Transverse incision: This type of incision is made just above the umbilicus, and can dissect either one of the rectal muscles.
a) Least amount of pain and damage
b) Muscular segments can be reattached
c) Easier access to upper GI structures
a) Limited lateral access
b) Higher risk of wound infections
2. Subcostal incision: Also referred to as the Kocher subcostal incision, this type of incision starts from the midline and runs parallel to the costal margin. A double Kocher incision is known as a rooftop of Chevron incision and allows for access to the esophagus, kidney, stomach and liver. The Mercedes incision is yet another variant, characterized by a vertical incision from the rooftop incision to form the shape of a Mercedes sign.
a) Heals faster
b) Less risk of post-operative complications
a) Lengthy and time-consuming
- Oblique incisions
They are also known as Thoracoabdominal incisions, these incisions may either be situated in the RUQ or LUQ. They provide entry to the liver, lungs and spleen, as well as to the stomach and esophagus.
- Laparoscopic incision
This technique comprises of tiny cuts in the skin that allow laparoscopic tools and instrument access into the abdominal cavity
Related Tip: "Caring For Your Incision After Surgery?"
Hi doctor. I need a small information. Recently since from last month. On my left side and centre of the abdominal was severly paining. Especially on evening and nights. When I ran for 10 mins its will automatically pain was started. After eating food some times its will pain sir. Mostly on left side. Can you give mida suggestions. And one more thing headache also coming when stomach pain was started.
I want to gain weight what food should I eat though I not thin but still want to put on on my shoulders n legs.
I am 23 yr old and I have severe hairfall problem I have used anti dandruff shampoo and have changed oil but it made no. Change please help me.
I am 36 years old and want to improve my sexual strength. Can you please suggest any medicine to increase sexual duration.
My cousin is very thin and lean and she is 21 years old. She stays very upset because of her poor health. Whoever sees her tells her about her poor health and she also faces a lot of negligence at her work place. She is very upset and depressed with her poor health. Her parents are not fat too but not also thin. Please suggest her a way to get healthy so that she gets out of depression mode and does not have to face negligence from people around her.
Some kind of menstrual irregularity, often accompanied by pain in lower abdomen is one of the most common presenting complaints about a gynecologist.
An irregular period is generally a symptom of some hormonal imbalance (estrogen and progesterone) in the body and is commonly encountered in young girls at the time of menarche ( a time when a girl starts to have the menstrual cycle) and around menopause. Menstrual irregularity can also be seen immediately after childbirth or after removal of intrauterine contraceptive device (iucd). Other common causes include thyroid gland dysfunctions, the presence of fibroids or polyps inside the uterus and excessive stress, including examination stress.
It is important to know a few more important details in order to evaluate and understand the same and make any recommendations. These include-
- Duration of menstrual irregularity
- Kind of irregularity- the interval between two cycles, amount of blood flow and no of days of flow.
- Any associated pain in lower abdomen.
- Associated weight gain, a growth of excessive facial hair or discharge from nipples.
Early assessment of menstrual disorders also requires an ultrasound scan of the lower abdomen to assess the condition of uterus and ovaries, specifically to rule out polycystic ovaries, and estimation of following hormone levels in the body - tsh, fsh, lh, prolactin and testosterone. These blood tests should be done on the second or third day of the periods.
The women experiencing menstrual irregularities should try and manage their weight so as to maintain a bmi of less than 25 kg/m2.
A healthy lifestyle including intake of a balanced diet, moderate exercise and avoiding any stress are very useful simple steps every woman can take on their own. In cases with severe irregularity, the woman may be required to get rid of the iucd, start a birth control pill to regulate the sex hormone levels during cycle and treatment for thyroid dysfunctions, if required.
You can consult with me for more information or treatment for menstrual disorders.