Dr. Viquar Qureshi

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 

1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.

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A serious fever is something which can really be quite debilitating, to say the least. However, if a person who is on the mend from such an ailment is willing to make an effort to eat the right things, he or she will find that the time which is taken for him or her to recover is almost mysteriously reduced!

The thing which is to be done first and foremost is to make sure that a square, balanced meal plan is followed. The plan can be simple in nature but it is very important as it is this which provides the energy for the person to recover, sooner rather than later.

1. Have a balanced diet: All types of food groups should make their way to the plate from which a person is eating; these are pulses, cereals, as well as fruits and vegetables. In addition to just what is to be eaten, when it is to be eaten also makes a difference as if a person eats about 5 to 7 small but regular meals over the course of the day, he or she will be doing a lot better than if he or she was confined to just about three or four big ones. Turmeric added to warm milk, honey and lemon-grass juice and their ilk are great!
2. Include supplementary foods: Supplements, if they are consumed in a sufficient quantity, without a person going overboard, have a good impact on the recovery period as well, as they can do a lot to support a body which is not in its ideal state and help it repair itself in order to get there.
3. Support diet with self-care: If a person who is recovering finds there to be body pain, he or she should make the time to apply a hot water bottle to the areas where the pain is present and check with his or her doctor if the pain does not go away after a few days.
4. Get enough rest: However, apart from a diet, what is just as important is to get enough rest. It takes time for the repair to take place and if a person does not give his or her body the time which it really needs in order to be up and running, he or she is going to find a dire lack of improvement. Rest has two facets when it comes to recovering from a fever. One of these happens to be the literal meaning, as in the sleep which a person gets. Another is not engaging in activity which is strenuous in nature. Both are important.

As long as a person eats right and acts right, he or she will be fine in no time!