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Physiotherapy
CONTENT
Introduction
Cholecystectomy
Colostomy
Gastrectomy
Hernias
Mastectomy
Nephrectomy
Prostatectomy
Introduction
It is not proposed to deal at length with any specific operations
Cholecystectomy
Physiotherapy
Colostomy
COMPLICATIONS
There are a number of problems for a patient with a
permanent colostomy.
Firstly, there is the worry about the success of the
operation if it has been carried out to remove a
malignant tumor.
Secondly, the patient will probably be concerned about
his ability to manage a colostomy, particularly if he is
elderly.
Thirdly, the patient will be concerned about whether he
can lead a normal life, and once out of hospital may tend
to shun social activities.
Physiotherapy
As this operation Involves the lower part of the
Ileostomy
Gastrectomy
Complications
Immediate postoperative complications may be a
Physiotherapy
As the operation is closely related to the diaphragm
If the patient has been ill for some time before the
Hernias
A hernia is a protrusion of a viscus or part of a viscus
Hiatal hernia
Physiotherapy
This is similar to the treatment described for a
Inguinal hernia
This may be indirect or direct and is a protrusion of a
Femoral hernia
These are more common in women and are a
Strangulated hernia
Physiotherapy
For patients undergoing surgery for an inguinal hernia,
Umbilical hernias
These are more common in children although they
Incisional hernias
These may occur through previous operation scars,
Mastectomy
This entails removal of part or the whole of one
Types
A simple mastectomy removes the breast and if
surgery.
mastectomy
B axillary lymph nodes: levels I
C axillary lymph nodes: levels II
D axillary lymph nodes: levels III
E supraclavicular lymph nodes
F internal mammary lymph nodes
Physiotherapy
General pre- and postoperative care should be given to
Nephrectomy
The kidney may be removed because of a malignant tumor
Complications
During the operation the lung cavity may be entered
Physiotherapy
To avoid respiratory complications, educate the
Home advice
Recovery time after this operation varies but generally you
should feel improvements 2 -3 weeks after your operation.
During the first 2 -3 weeks you should not drive.
Avoid heavy lifting for 2-3 weeks
Exercise should be increased gradually. Start with short
walks and gentle exercise.
Getting back to work will depend on the type of job that you
do. Usually 2- 3 weeks off work are needed.
Drink plenty of fluids and pass urine regularly; this will help
to keep your remaining kidney healthy.
Sexual activity can resume 3 -4 weeks after your operation.