Physiotherapy in general surgical conditions-introduction

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  • 1. Physiotherapy in general surgical conditions A. Thangamani ramalingam PT, MSc(PSY), MIAP
  • 2. Reasons for surgery     To remove diseased tissue (ectomy) For repair (rhaphy/ plasty) To produce an artificial opening(otomy/ostomy) For inspection(scopy)
  • 3. incisions    Vertical Oblique transverse
  • 4. Abdominal Incisions Kochers /Right Subcostal Upper Midline Roof-Top/ Bilateral Subcostal Upper Paramedian Loin/Oblique Lanz (McBurneys Point) Lower Midline Inguinal Pfannestiel Full midline ( xiphisternum to pubis) Open Cholecystectomy Gastric Surgery Duodenal Surgery Cholecystectomy Pancreatic Surgery Cholecystectomy Renal Surgery Appendisectomy Colonic Surgery Major Modern Gynae Any “older” Gynae inc Caesarean Inguinal Hernia Modern “routine” Gynae Trauma Surgery Aortic Surgery
  • 5. complications       Respiratory Circulatory Wound related Joint mobility/muscle weakness Postural deformity others
  • 6. Principles of physiotherapy in abdominal surgery        To To To To To To To prevent chest complication prevent circulatory complication maintain muscle power &joint ROM prevent pressure sores maintain good posture improve &enhance bed mobility gain cooperation &confidence
  • 7. Common operations             Gastrectomy Cholecystectomy Appendecectomy Colectomy Colostomy Ileostomy Herniotmy/ Herniorrhaphy/plasty Nephrectomy Prostatectomy Cystectomy Mastectomy Hysterectomy
  • 8. THANK YOU