The Effect of Different Physiotherapy Methods Applied After Gynecological Abdominal Surgery on Postoperative Symptoms

Condition(s) studied

Investigational drug(s) / intervention(s)

Routine care: This group will be the control group. Routine care practices carried out in the hospital (vital sign monitoring, administration of analgesics, anti-inflammatory and antibiotics when necessary, and mobilization starting from the 6th hour) will be applied and the data will be recorded.

Routine care + Physiotherapy: In addition to routine care practices, this group will receive physiotherapy and rehabilitation. During the postoperative period, the intervention will be applied twice a day. Posture training: Information about posture will be provided in different positions and training will be conducted. Breathing training (Diaphragmatic breathing, thoracic expansion exercises) In-bed mobilization (Lower and upper extremity exercises, foot-ankle exercises (dorsiflexion-plantar flexion / inversion-eversion), hip and knee flexion-extension exercises, cervical region joint range of motion and stretching exercises, upper extremity exercises (shoulder elevation, circumduction, elbow and wrist flexion-extension exercises), pelvic floor training and exercises) Out-of-bed mobilization (Sitting, standing, walking training after the 6th hour)

Routine care + Vagal stimulation: In addition to routine care practices, this group will receive vagal stimulation. The stimulation will be applied to the cervical region at 10 Hz, 200 μs for 20 minutes, twice a day.

Routine care + Physiotherapy + Vagal stimulation: In addition to routine care practices, this group will receive physiotherapy and rehabilitation, along with vagal stimulation.

Study summary

Gynecological pelvic surgeries include procedures such as myomectomy, hysterectomy, and removal of ovarian cysts performed in the pelvic region of women. In the postoperative period following these surgeries, symptoms such as pain, decreased bowel motility, gastrointestinal problems, nausea, and vomiting are commonly observed. Effective management of these symptoms is important to accelerate the recovery process and improve the quality of life of patients.

This study is planned to evaluate the effectiveness of physiotherapy during the hospitalization period after gynecological abdominal surgery and to examine the effects of different approaches on postoperative symptoms.

In our study, participants who undergo gynecological abdominal surgery and meet the inclusion and exclusion criteria will be divided into four groups for intervention. In addition to routine care, interventions including physiotherapy, vagal stimulation, and a combination of physiotherapy and vagal stimulation will be applied from the postoperative period until discharge. The effects of these interventions on pain, bowel function, autonomic functions, pelvic floor function, and walking will be examined.

Eligibility

Primary outcome measure(s)

• Postoperative Pain (VAS) — Day 1 and Day 2
  Pain will be assessed before and after each session. Visual Analog Scale (VAS) will be used for this. Minimum value is 0 and max value is 10. Ten is a higher pain. Zero means no pain.
• Pain threshold measurement — Baseline and Day 2
  A digital algometer device will be used to determine the pain threshold.
• Assessment of Autonomic Functions — Day 1 and Day 2
  The recording will be made with an ECG device.R-R waves will be examined.
• Assessment of Autonomic Functions — Day 1 and Day 2
  heart rate collected before and after the session.
• Assessment of Autonomic Functions — Day 1 and Day 2
  Blood Pressure collected before and after the session.
• Assessment of Autonomic Functions — Day 1 and Day 2
  respiratory rate collected before and after the session.
• Assessment of saturation (SpO₂) — Day 1 and Day 2
  arterial oxygen saturation (SpO₂) levels of participants will be evaluated. The unit of measurement will be the percentage of oxygen saturation.
• Postoperative period — From enrollment to the end of treatment at 2 day
  The time when the first feeling of needing to pass gas time and defecation occurs will be noted.
• The walking time — Postoperative
  The time of first walking will be noted.
• First food intake — Postoperative
  The time of First food intake will be noted.
• Take a medicine — Day 1 and Day 2
  Analgesics and other medications taken will be noted.
• Umblikus — Day 1 and Day 2
  Umbilicus circumference will be measured with a tape measure.
• xiphoid - pubis distance — day 1 and day 2
  The distance between the xiphoid and pubis will be measured with a tape measure. It will be noted in cm.
• Postoperative period — Postoperative
  The time when the first feeling of needing to urinate occurs and the time when the feeling of micturition occurs will be noted.

Trial sites (1)

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