Physiotherapy in general surgical conditions-introduction
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Physiotherapy in general surgical conditions
A. Thangamani ramalingam PT, MSc(PSY), MIAP
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Reasons for surgery To remove diseased tissue (ectomy) For repair (rhaphy/ plasty) To produce an artificial
opening(otomy/ostomy) For inspection(scopy)
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incisions Vertical Oblique transverse
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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
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complications Respiratory Circulatory Wound related Joint mobility/muscle weakness Postural deformity others
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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
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Common operations Gastrectomy Cholecystectomy Appendecectomy Colectomy Colostomy Ileostomy Herniotmy/ Herniorrhaphy/plasty Nephrectomy Prostatectomy Cystectomy Mastectomy Hysterectomy
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THANK YOU