physiotherapy education

1. Physiotherapy in general
surgical conditions
A. Thangamani ramalingam
PT, MSc(PSY), MIAP

2. Reasons for surgery
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To remove diseased tissue (ectomy)
For repair (rhaphy/ plasty)
To produce an artificial
opening(otomy/ostomy)
For inspection(scopy)

3. incisions
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Vertical
Oblique
transverse

14. 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

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

18. Principles of physiotherapy in
abdominal surgery




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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

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

20. THANK YOU