Physiotherapy in general surgical conditions

A. Thangamani ramalingam PT, MSc(PSY), MIAP

Reasons for surgery To remove diseased tissue (ectomy) For repair (rhaphy/ plasty) To produce an artificial

opening(otomy/ostomy) For inspection(scopy)

incisions Vertical Oblique transverse

Abdominal IncisionsKochers /Right Subcostal Open CholecystectomyUpper Midline Gastric Surgery Duodenal Surgery CholecystectomyRoof-Top/ Bilateral Subcostal Pancreatic SurgeryUpper Paramedian CholecystectomyLoin/Oblique Renal SurgeryLanz (McBurneys Point) AppendisectomyLower Midline Colonic Surgery Major Modern Gynae Any “older” Gynae inc CaesareanInguinal Inguinal HerniaPfannestiel Modern “routine” Gynae Full midline ( xiphisternum to pubis) Trauma Surgery Aortic Surgery

complications Respiratory Circulatory Wound related Joint mobility/muscle weakness Postural deformity others

Principles of physiotherapy in abdominal surgery

To prevent chest complication To prevent circulatory complication To maintain muscle power &joint ROM To prevent pressure sores To maintain good posture To improve &enhance bed mobility To gain cooperation &confidence

Common operations Gastrectomy Cholecystectomy Appendecectomy Colectomy Colostomy Ileostomy Herniotmy/ Herniorrhaphy/plasty Nephrectomy Prostatectomy Cystectomy Mastectomy Hysterectomy

THANK YOU