Gynecological surgery refers to surgery on the female reproductive system. Gynecological surgery is usually performed by gynecologists. It includes procedures for benign conditions, cancer, infertility, and incontinence. Gynecological surgery may occasionally be performed for elective or cosmetic purposes.
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10-15 times in a row. Don't hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
HYSTERECTOMY
Hysterectomy
Hysterectomy
Term origin:
hyster + ectomy
uterus surgical removal
Definition:
Hysterectomy is defined as the surgical removal of uterus.
Routes for Hysterectomy
Abdominal Hysterectomy
Vaginal Hysterectomy
Laparoscopic Hysterectomy
Caesarean Hysterectomy
Types of Hysterectomy
Total Hysterectomy
Removal of entire uterus.
Subtotal Hysterectomy
Removal of body or corpus leaves behind the cervix.
Panhysterectomy / Hysterectomy with bilateral salpingo oophorectomy
Removal of uterus along with tubes and ovaries of
both sides.
Indications
This is a patient education presentation. It gives a brief a description of causes of back pain during pregnancy. It also give tips for avoiding and managing back pain during pregnancy.
Search terms for the article:
Back pain in pregnancy, Lumbar pain, labour pain, back bone problems, pregnancy and back pain
Dr.A.Mohan krishna
M.s.Ortho., MCh Ortho(U.K)
Consultant Orthopedic surgeon,
Apollo Hospitals.
Vcare Multispeciality Hospital,
Apollo Clinic SR nagar,
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10-15 times in a row. Don't hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
HYSTERECTOMY
Hysterectomy
Hysterectomy
Term origin:
hyster + ectomy
uterus surgical removal
Definition:
Hysterectomy is defined as the surgical removal of uterus.
Routes for Hysterectomy
Abdominal Hysterectomy
Vaginal Hysterectomy
Laparoscopic Hysterectomy
Caesarean Hysterectomy
Types of Hysterectomy
Total Hysterectomy
Removal of entire uterus.
Subtotal Hysterectomy
Removal of body or corpus leaves behind the cervix.
Panhysterectomy / Hysterectomy with bilateral salpingo oophorectomy
Removal of uterus along with tubes and ovaries of
both sides.
Indications
This is a patient education presentation. It gives a brief a description of causes of back pain during pregnancy. It also give tips for avoiding and managing back pain during pregnancy.
Search terms for the article:
Back pain in pregnancy, Lumbar pain, labour pain, back bone problems, pregnancy and back pain
Dr.A.Mohan krishna
M.s.Ortho., MCh Ortho(U.K)
Consultant Orthopedic surgeon,
Apollo Hospitals.
Vcare Multispeciality Hospital,
Apollo Clinic SR nagar,
THE URINARY INCONTINENCE AND IT'S MANAGEMENT DETAILS WITH APPROPRIATE EXPLANATION
Introduction of urinary incontinence,
Etiology of urinary incontinence,
Risk factors associated with urinary incontinence,
Types of urinary incontinence,
Pathophysiology of Urinary incontinence,
Clinical manifestations of urinary incontinence,
Diagnostic evaluations of urinary incontinence,
Management of urinary incontinence- Behavioural techniques, Drug therapy, surgical management, medical devices and Physiotherapy assessment and management in details with appropriate explanation with the help of the SlideShare .
Telegram channel - https://t.me/bhuneshwarmishra08/4?single
Facebook page - https://m.facebook.com/Bhuneshwarmishra08/
Instagram page - https://www.instagram.com/the_perfect_physio_tutorial/?r=nametag
YouTube channel - https://youtube.com/channel/UCCIEa_xDe3B-6BLfQaJb8PQ
Pelvic Floor Anatomy and Physiotherapy management Fabiha Fatima
Pelvic floor Rehab is one of the most trending fields of Physiotherapy. For a Physical Therapist, knowledge of the Anatomy and function of the Pelvic floor muscles is utmost important. Here this is explained in brief.
Furthermore, the signs and symptoms of conditions that require physiotherapy are explained briefly, along with Physiotherapuetic Assessment, Goals, Kegle Exercises are explained.
I hope this helps :)
I have taken the pictures from Google Images, and information from Google and various other websites, compiled them for the purpose of class presentation. i do not own any content.
Mastectomy is the removal of the whole breast. There are five different types of mastectomy: "simple" or "total" mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy.
Antenatal exercises aim at improving the physical and psychological well-being of an expected mother for labor and preventing pregnancy-induced pathologies by various physical means. It generally includes low impact aerobic exercises and stretching exercises.
THE URINARY INCONTINENCE AND IT'S MANAGEMENT DETAILS WITH APPROPRIATE EXPLANATION
Introduction of urinary incontinence,
Etiology of urinary incontinence,
Risk factors associated with urinary incontinence,
Types of urinary incontinence,
Pathophysiology of Urinary incontinence,
Clinical manifestations of urinary incontinence,
Diagnostic evaluations of urinary incontinence,
Management of urinary incontinence- Behavioural techniques, Drug therapy, surgical management, medical devices and Physiotherapy assessment and management in details with appropriate explanation with the help of the SlideShare .
Telegram channel - https://t.me/bhuneshwarmishra08/4?single
Facebook page - https://m.facebook.com/Bhuneshwarmishra08/
Instagram page - https://www.instagram.com/the_perfect_physio_tutorial/?r=nametag
YouTube channel - https://youtube.com/channel/UCCIEa_xDe3B-6BLfQaJb8PQ
Pelvic Floor Anatomy and Physiotherapy management Fabiha Fatima
Pelvic floor Rehab is one of the most trending fields of Physiotherapy. For a Physical Therapist, knowledge of the Anatomy and function of the Pelvic floor muscles is utmost important. Here this is explained in brief.
Furthermore, the signs and symptoms of conditions that require physiotherapy are explained briefly, along with Physiotherapuetic Assessment, Goals, Kegle Exercises are explained.
I hope this helps :)
I have taken the pictures from Google Images, and information from Google and various other websites, compiled them for the purpose of class presentation. i do not own any content.
Mastectomy is the removal of the whole breast. There are five different types of mastectomy: "simple" or "total" mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy.
Antenatal exercises aim at improving the physical and psychological well-being of an expected mother for labor and preventing pregnancy-induced pathologies by various physical means. It generally includes low impact aerobic exercises and stretching exercises.
Facing a laparoscopic hysterectomy can raise questions about recovery, risks, and the surgical process. This article targets these concerns head-on, providing detailed insights into how this minimally invasive procedure could lead to a smoother recovery and fewer postoperative complications. Let's explore more: https://www.southlakegeneralsurgery.com/laparoscopic-hysterectomy-recovery-benefits/
HOW TO DO A CESAREAN SECTION, EVIDENCE BASED by DR DELEKemi Dele-Ijagbulu
Introduction and Epidemiology, Indications and Classifications of Cesarean Section, Preoperative, Intra-operative and Postoperative Management, Complications, Concerns about Cesarean Sections, New Evidences on How To Perform a Caesarean Section, and Recommendations
https://physioaadhar.com/
Thermoregulation is a process that allows your body to maintain its core internal temperature. All thermoregulation mechanisms are designed to return your body to homeostasis. This is a state of equilibrium. A healthy internal body temperature falls within a narrow window.
https://physioaadhar.com/
When the body is exposed to extreme heat conditions, the body most important mechanism to dissipate heat and prevent an increase in core temperature is sweating but when in cold conditions, in order to prevent hypothermia, the body's main objective is heat conservation predominantly through peripheral vasoconstriction
https://physioaadhar.com/
Then there are factors such as temperature, allergens, pollution and altitude that cannot be controlled and can have serious effects on human performance. Environmental factors such as temperature during competition can hinder performance if not taken seriously. The average body temperature is 37°C
Heat and humidity themselves force athletes to slow down, as does subsequent dehydration (which is especially relevant to long course racing). ... Instead, athletes should rely more heavily on rated perceived exertion and heart rate within the race, both of which will be higher than on mild days.
Heat acclimatization occurs when repeated exercise-heat exposures are sufficiently stressful to invoke profuse sweating and elevate body temperatures. Generally, about 1-2-wk of daily exposures of 90 min are required; but highly aerobic fit athletes can heat acclimatize in half that time.
Thermoregulation is a process that allows your body to maintain its core internal temperature. All thermoregulation mechanisms are designed to return your body to homeostasis. This is a state of equilibrium. A healthy internal body temperature falls within a narrow window.
When the body is exposed to extreme heat conditions, the body most important mechanism to dissipate heat and prevent an increase in core temperature is sweating but when in cold conditions, in order to prevent hypothermia, the body's main objective is heat conservation predominantly through peripheral vasoconstriction
Then there are factors such as the temperature, allergens, pollution and altitude that cannot be controlled and can have serious effects on human performance. Environmental factors such as temperature during competition can hinder performance if not taken seriously. The average body temperature is 37°C
https://physioaadhar.com/physiotherapy-blogs/
These two categories of the theory are also referred to as non-programmed ageing theories based on evolutionary concepts (where ageing is considered the result of an organism's inability to better combat natural deteriorative processes), and programmed ageing theories (which consider ageing to ultimately be the result o
Elder Abuse Laws
Both federal and state laws address elder abuse, neglect and exploitation, but state law is the primary source of sanctions, remedies and protections related to elder abuse. Several tribes also have codes that address elder abuse (see the Native Indigenous Elder Justice Initiative for information on tribal codes and other resources). This page provides a brief overview of the major areas of federal and state law related to services for elder abuse victims, crimes against older persons, and civil remedies for elder abuse, neglect and exploitation. For information on laws related to elder abuse and guardianship for each of the states, see the state law map.
Cardio and muscle endurance
Aerobic exercise (also known as cardio) is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. Aerobic literally means "relating to, involving, or requiring free oxygen", and refers to the use of oxygen to adequately meet energy demands during exercise via aerobic metabolism. Generally, light-to-moderate intensity activities that are sufficiently supported by aerobic metabolism can be performed for extended periods of time
The below training fitness standards are different from the Applicant Physical Abilities Test (APAT) fitness standards.
This hand-out has been designed to educate the reader on the United States Secret Service Physical Fitness standards and the proper protocols necessary to accomplish those standards. Recruits who will be attending training at the James J. Rowley Training Center (JJRTC) are expected to arrive in good physical condition, ready to begin a functional fitness program.
The fitness evaluation measures strength, endurance, and aerobic capacity in four core elements. The core elements are Push-ups, Sit-ups, Chin-ups, and the 1.5 mile run. The fitness evaluation will be administered at the beginning, during, and end of training. Secret Service weapon carrying employees are additionally required to participate in the USSS Physical Fitness Evaluation quarterly.
The following point system will be applied to the fitness category level achieved by the student in accordance with their age and gender. The point system will be applied to the four (4) core elements of the U.S. Secret Service Individual Fitness Profile Evaluation.
A person may be referred to pelvic floor physical therapy to treat incontinence, difficulty with urination or bowel movements, constipation, chronic pelvic pain, and painful intercourse. Women may see a pelvic floor physical therapist for treatment of vaginismus or endometriosis.
The term metrorrhagia is often used for irregular menstruation that occurs between the expected menstrual periods. Oligomenorrhea is the medical term for infrequent, often light menstrual periods (intervals exceeding 35 days). Amenorrhea is the absence of a menstrual period in a woman of reproductive age.
Menopause is signaled by 12 months since last menstruation.
Common symptoms include hot flashes and vaginal dryness. There may also be sleep disturbances. The combination of these symptoms can cause anxiety or depression.
Menopause is a natural process with treatments that focus on symptomatic relief. Vaginal dryness is treated with topical lubricants or estrogen. Medications can reduce the severity and frequency of hot flushes. In special circumstances, oral hormone therapy may be used.
Job simulations are employment tests that ask candidates to perform tasks that they would perform on the job. Applicants complete tasks that are similar to tasks they would complete when actually working in the position on a day to day basis
Stay strong, be safe,geriatrics, fitness options and maintain your independence by integrating these top fitness options into your training plan. No matter your age, the best exercise for you is the one you enjoy the most. ...
Exercise tolerance testing (also known as exercise testing or exercise stress testing) is used routinely in evaluating patients who present with chest pain, in patients who have chest pain on exertion, and in patients with known ischaemic heart disease.
CBR vs IBR-CBR subject. Download [15.00 KB]. Author Amisha Angle Posted on December 2, 2016. Leave a Reply Cancel reply.Community Based Rehabilitation: With CBR, the locus of control should be with the community.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
More from Physioaadhar Physiotherapy Services (20)
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
2. INTRODUCTION
• Surgical procedures in Gynaecology requires
when there is emergency of labour,
Complications in labour, Underlying pathologies
of pelvic or abdominal organs.
• Basic principles of surgery are also applied for
the Gynaecological Surgery.
3. BASIC PRINCIPLES
• Preservation of Childbearing Potential
• Conservation of Ovarian Function
• Avoid Damage to Other Important
Structures
4. SURGICAL EMERGENCIES IN OBSTETRICS &
GYNAECOLOGY
• Laceration; like Vaginal or Vulvar, Bladder Lacerations,
Rectal Lacerations, Other Lacerations.
• Vulvar Hematoma
• Bartholin's Abscess
• Incomplete loss of Pregnancy/Abortion
• Ectopic pregnancy, ruptured or Un-ruptured.
• Ovarian torsion
• In the case of endometriosis.
5. COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
• Dilatation & Curettage : Under anesthesia, the
bladder is Catheterized Polyp forceps or Ring
forceps are used to remove any tissue from
uterus. Then a curette is gently inserted and
used to scrape any remaining tissue off the
uterine walls
6. • Salpingectomy: Salpingectomy (removal of the
fallopian tube) is uniformly effective, safe, simple, fast,
and well within the capabilities of an abdominal
surgeon.
• Lower midline incision is fast and gives excellent
exposure
• In small ectopic pregnancies (2-3cm. In diameter)
most commonly used is the ‘Linear salpingostomy.’
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
7. • Oophorectomy : When ovarian torsion is
encountered, the ovary and all affected tissue
should be simply removed.
• Ovarian Cystectomy : Emergency removal of
an ovarian cyst is usually necessitated because
of either severe pain or hemorrhage.
• In either case, the cyst can often be "shelled out“
from the ovary allowing ovarian conservation.
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
8. • Hysterectomy : A surgical procedure whereby the
uterus is removed. Performed for uterine fibroids,
cervical dysplasia, endometriosis.
• Types of incision- 1. Abdominal hysterectomy
2. vaginal hysterectomy
• A. Total Abdominal Hysterectomy: uterus with cervix
is removed
• B. LAVH (Laparoscopy assisted vaginal
hysterectomy)
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
9. • C. Supracervical hysterectomy: removal of uterus
without cervix
• D. Radical hysterectomy: removal of uterus, cervix ,
surrounding tissues and upper vagina.
• E. Myomectomy: removal of portion of uterus with
embolization
• F. Endometrial Ablation: surgical destruction of
lining tissues of uterus (endometrium)
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
10. • Episiotomy: Aim of this surgery is to avoid irregular
tearing of vagina which could be difficult to stich –
up than straight cut.
• Two types i) Midline
ii) Medio-lateral
• Midline is from vagina to perineum till anus and
Medio-lateral is from vagina to lateral to anus.
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
11. • Anterior Colporhaphy: In Cystocele or Urethrocele
• Posterior Colporhaphy: In Rectocele
• Manchester Repair: Uterine Prolapse
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
12. • Caesarian Section: Surgical procedure where
delivery of fetus at the end of 28th week is achieved
by incision on abdominal and uterine wall.
• Causes: Multiple bodies, prolonged labour or failure
of labour, Breech presentation, fetal abnormality,
placenta previa, prolapse of umblical cord,
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
13. • Incisions:
• Low horizontal incision: (LSCS / bikini line incision or
pfamenstein incision) 5 inches long and over the pubis
near top line of pubic hairs.
• Adv:
• Better cosmetic results
• Less painful healing
• Less post-operative complications
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
14. • Disadv:
• Less exposure
• More potential bleeding
• More time consuming
• Poor upper abdominal exposure
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
15. • Vertical Incision: (Upper Uterine Segment CS)
Extends from below navel or umbilicus to the top of
pubic hair line.
• Adv:
• Optimal exposure of abdomen
• Less potential blood loss
• Comparatively less infectious
• More expedient in opening
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
16. • Disadv:
• Less cosmetic
• More chance of herniation
• More painful
• More post operative complications
with respiration
COMMON SURGICAL PROCEDURES
PERFORMED IN GYNAECOLOGY
17. PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
• Aspects covered in Physiotherapy:
• Prevention of respiratory and circulatory
complications
• Facilitation of mobilization
• Education about back care and ergonomics
• Abdominal and Pelvic Floor Muscle
strengthening.
18. • Pre-operative Management:
• Can be given individually or in group
• Assess for risk factors
• Educate as what to expect post-operatively
• Teach immediate post-operative skills
• Overview of recovery course
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
19. • Pre-operative Programme:
• History and Subjective assessment
• Respiratory PT-
• ACBT
• Peak Expiratory Pressure Mask (PEP)
• Incentive spirometry
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
20. • Cardio PT-
• breathing exersices
• Coughing-Huffing techniques
• Ankle-toe movements
• Mobility Ex.-
• Bed mobility
• Matt Ex.
• Transfers from Bed to Chair and vice versa.
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
21. • Strengthening Ex.
• PFM strength. Ex.
• Core Strengthening
• Abdominal drawing in diff. positions
• Pelvic rocking ex.
• Instruction in defecation and urination
dynamics.
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
22. • Post-operative Physiotherapy:
• Day 1-
• Reading operative notes
• Assessing state of consciousness
• Pain Level
• Wound site if permissable
• Attachments (IV/IDC/ECG-BP Monitoring)
• Position
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
23. • Day 1-
• Sitting with legs out of bed for 10 min.
• Thoracic expansion ex.
• UL full ROM ex.
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
24. • Day 2-
• Ambulate short distance
• Pelvic Rocking
• Abdominal drawing in
• Coughing with abdominal support
• Incentive spirometry
• In case of IM Narcotics very early ambulation
should be avoided.
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY
25. • Longer sitting period
• Abd. drawing in in standing
• 5 repetitions In 5 sec for PFM ex.
PHYSIOTHERAPY IN GYNAECOLOGICAL
SURGERY