Case Report
BibTex RIS Cite

Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report

Year 2020, Issue: 2, 334 - 337, 04.06.2020
https://doi.org/10.18521/ktd.696445

Abstract

In this study, the effectiveness of physiotherapy and rehabilitation was investigated in a patient with pain in the shoulder region after gynecological laparoscopic surgery. In the study, posture after surgery, shoulder joint active amount of motion, respiration capacity and perception of pain were evaluated of a 41-year-old female patient (58 kg, 158 cm) who underwent laparoscopic hysterectomy (L / S) + Bilateral Salpingectomy (BS) and myoma uteri operation (MUOP) with the diagnosis of uterine intramural leiomyoma. This patient received posture training, low-intensity stability training, diaphragmatic abdominal breathing exercises, neutral spine position control training, in-bed exercises, and scapulatoracic mobilization. Physiotherapy and rehabilitation was applied as 2 days and 4 sessions. After physiotherapy, the patient showed an increase in active joint movement and a decrease in perception of pain. These study results shed light on randomized controlled advanced studies in future larger samples.

References

  • 1-Göney E. Endoskopik (Laparaskopik ) cerrahinin tarihçesi. Turkiye Klinikleri J Med Sci. 1994;14(2):79-86
  • 2- İ Yavaşcaoğlu, Y Kordan, HS Doğan, Danışoğlu ME, Gökçen K, Gökten ÖE, et al. Laparaskopik transperitoneal adrenalektomi: Uludağ Üniversitesi deneyimi. Türk Üroloji Dergisi – Turkish Journal of Urology 2009;35(4):341-46
  • 3- Acar C, Toktaş C. Laparoskopik cerrahinin temel fizyolojik etkileri. Turk Urol Sem. 2010;1:119-25, 4- Kalaycı G, Çakıl D, Ekici F. Laparoskopik cerrahi ve kardiyorespiratuar fonksiyonlara Etkileri. AİBÜ İzzet Baysal Tıp Fakültesi Dergisi. 2011;6(2):1-7
  • 5- Memedov C, Menteş Ö, Şimşek A, Kece K, Yağcı G, Harlak A, et al. Laparoskopik kolesistektomi sonrası postoperatif ağrının önlenmesinde çoklu bölgeye lokal anestezik infiltrasyonu: ropivakain ve prilokainin plasebo kontrollü karşılaştırılması. GülhaneTıp Dergisi. 2008; 50:84-90
  • 6- Radosa J.C, Radosa M.P, Mavrova , Rodi A, Juhasz-Böss I, Bardens D et al. Five minutes of extended assisted ventilation with an open umbilical trocarval vesignificantly reduces postoperativeabdominal and shoulder pain in patients undergoing laparoscopic hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2013;171(1):122-27
  • 7- Collins, S.L., Moore, R.A., McQuay, H.J. The visual analog uepainin tensity scale: what is moderate pain in millimetres? Pain. 1997;72:95-7.
  • 8- Melzack R, Katz J. The MC GillPainQuestionnaire: AppraisedandCurrentStatus, Handbook of PainAssessment, New York, The Guilford Press; 1992
  • 9-Comerford M. Corestability: Priorities in rehabilitation of the athlete. SportEX Medicine. 2004;22:15-22.
  • 10-Rechtien JJ, Andary M, Holmes TG, Wieting JM. Manipulation, MassageandTraction. In:DeLisa and Bruce Ed. Rehabilitation Medicine: Principles and Practice, Third Edition. Philadelphia 1998:22:521-535.
  • 11-Bayrakçı Tunay V, Akbayrak T, Kaya S. The Effect of multidimensional physiotherapy program on shoulder function, pain and lymphoedama after surgery in elderly breast cancer patients, Top GeriatrRehabil. 2012 ;28(4): 281-86 (SCI Expanded)
  • 12-Phelps P, Cakmakkaya O.S, Apfel C.C, Radke O.C. A simple clinical maneuver to reduce laparoscopy-inducedshoulderpain: a randomized controlled trial. Obstet Gynecol. 2008;111(5):1155-60
  • 13- Joris J, Thiry E, Paris P, Weerts J, Lamy M. Pain after laparoscopic cholecystectomy: characteristics and effect of intraperitoneal bupivacaine. Anesth Analg. 1995;81(2):379-84.
  • 14-P Narchi. D Benhamou. H Fernandez. Intraperitoneal local anaesthetic for shoulder pain after day-case laparoscopy. TheLancet. 1991; 338:1569-1570
  • 15- Kreindler G, Attias S, Kreindler A, Hen H, Haj B, Matter I, et al. Treating Postlaparoscopic Surgery Shoulder Pain with Acupuncture Evid Based Complement Alternat Med. 2014;2014:120486.

Jinekolojik Laparoskopik Cerrahi Sonrası Gelişen Omu zAğrısında Fizyoterapi ve Rehabilitasyon: Bir Vaka Sunumu

Year 2020, Issue: 2, 334 - 337, 04.06.2020
https://doi.org/10.18521/ktd.696445

Abstract

Bu çalışmada, jinekolojik laparoskopikcerrahi sonrası omuz bölgesinde oluşan ağrısı olan bir olguda fizyoterapi ve rehabilitasyon uygulamasının etkinliği araştırılmıştır. Çalışmada, 41 yaşında uterus intramural leiomiyomu tanısı ile myoma uteri operasyonu (MUOP), laparoskopik histerektomi (L/S) + Bilateral Salpenjektomi (BS) cerrahisi yapılan kadın hastanın (Ağırlığı 58 kg, Boy uzunluğu 158 cm) cerrahi sonrasında postürü, omuz çevresi aktif eklem hareket miktarı, solunum kapasitesi ve ağrı algısı değerlendirildi. Bu hastaya postür eğitimi, düşük şiddetli stabilite eğitimiyle birlikte diyafragmatik karın solunumu egzersizleri, nötral omurga pozisyon kontrol eğitimi, yatak içi egzersizleri ve skapulatorasik mobilizasyon uygulaması yapıldı. Fizyoterapi ve rehabilitasyon toplam 2 gün 4 seans şeklinde uygulandı. Fizyoterapi sonrası hastanın aktif eklem hareket miktarında artış ve ağrı algılamasında azalma görülmüştür. Bu çalışma sonuçları gelecekteki yapılabilecek büyük örneklemlerde randomize kontrollü ileri çalışmalara ışık tutucudur.

References

  • 1-Göney E. Endoskopik (Laparaskopik ) cerrahinin tarihçesi. Turkiye Klinikleri J Med Sci. 1994;14(2):79-86
  • 2- İ Yavaşcaoğlu, Y Kordan, HS Doğan, Danışoğlu ME, Gökçen K, Gökten ÖE, et al. Laparaskopik transperitoneal adrenalektomi: Uludağ Üniversitesi deneyimi. Türk Üroloji Dergisi – Turkish Journal of Urology 2009;35(4):341-46
  • 3- Acar C, Toktaş C. Laparoskopik cerrahinin temel fizyolojik etkileri. Turk Urol Sem. 2010;1:119-25, 4- Kalaycı G, Çakıl D, Ekici F. Laparoskopik cerrahi ve kardiyorespiratuar fonksiyonlara Etkileri. AİBÜ İzzet Baysal Tıp Fakültesi Dergisi. 2011;6(2):1-7
  • 5- Memedov C, Menteş Ö, Şimşek A, Kece K, Yağcı G, Harlak A, et al. Laparoskopik kolesistektomi sonrası postoperatif ağrının önlenmesinde çoklu bölgeye lokal anestezik infiltrasyonu: ropivakain ve prilokainin plasebo kontrollü karşılaştırılması. GülhaneTıp Dergisi. 2008; 50:84-90
  • 6- Radosa J.C, Radosa M.P, Mavrova , Rodi A, Juhasz-Böss I, Bardens D et al. Five minutes of extended assisted ventilation with an open umbilical trocarval vesignificantly reduces postoperativeabdominal and shoulder pain in patients undergoing laparoscopic hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2013;171(1):122-27
  • 7- Collins, S.L., Moore, R.A., McQuay, H.J. The visual analog uepainin tensity scale: what is moderate pain in millimetres? Pain. 1997;72:95-7.
  • 8- Melzack R, Katz J. The MC GillPainQuestionnaire: AppraisedandCurrentStatus, Handbook of PainAssessment, New York, The Guilford Press; 1992
  • 9-Comerford M. Corestability: Priorities in rehabilitation of the athlete. SportEX Medicine. 2004;22:15-22.
  • 10-Rechtien JJ, Andary M, Holmes TG, Wieting JM. Manipulation, MassageandTraction. In:DeLisa and Bruce Ed. Rehabilitation Medicine: Principles and Practice, Third Edition. Philadelphia 1998:22:521-535.
  • 11-Bayrakçı Tunay V, Akbayrak T, Kaya S. The Effect of multidimensional physiotherapy program on shoulder function, pain and lymphoedama after surgery in elderly breast cancer patients, Top GeriatrRehabil. 2012 ;28(4): 281-86 (SCI Expanded)
  • 12-Phelps P, Cakmakkaya O.S, Apfel C.C, Radke O.C. A simple clinical maneuver to reduce laparoscopy-inducedshoulderpain: a randomized controlled trial. Obstet Gynecol. 2008;111(5):1155-60
  • 13- Joris J, Thiry E, Paris P, Weerts J, Lamy M. Pain after laparoscopic cholecystectomy: characteristics and effect of intraperitoneal bupivacaine. Anesth Analg. 1995;81(2):379-84.
  • 14-P Narchi. D Benhamou. H Fernandez. Intraperitoneal local anaesthetic for shoulder pain after day-case laparoscopy. TheLancet. 1991; 338:1569-1570
  • 15- Kreindler G, Attias S, Kreindler A, Hen H, Haj B, Matter I, et al. Treating Postlaparoscopic Surgery Shoulder Pain with Acupuncture Evid Based Complement Alternat Med. 2014;2014:120486.
There are 14 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Berrin Aktan 0000-0003-4840-5720

Türkan Akbayrak 0000-0001-5840-5252

Publication Date June 4, 2020
Acceptance Date March 23, 2020
Published in Issue Year 2020 Issue: 2

Cite

APA Aktan, B., & Akbayrak, T. (2020). Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report. Konuralp Medical Journal, 12(2), 334-337. https://doi.org/10.18521/ktd.696445
AMA Aktan B, Akbayrak T. Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report. Konuralp Medical Journal. June 2020;12(2):334-337. doi:10.18521/ktd.696445
Chicago Aktan, Berrin, and Türkan Akbayrak. “Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report”. Konuralp Medical Journal 12, no. 2 (June 2020): 334-37. https://doi.org/10.18521/ktd.696445.
EndNote Aktan B, Akbayrak T (June 1, 2020) Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report. Konuralp Medical Journal 12 2 334–337.
IEEE B. Aktan and T. Akbayrak, “Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report”, Konuralp Medical Journal, vol. 12, no. 2, pp. 334–337, 2020, doi: 10.18521/ktd.696445.
ISNAD Aktan, Berrin - Akbayrak, Türkan. “Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report”. Konuralp Medical Journal 12/2 (June 2020), 334-337. https://doi.org/10.18521/ktd.696445.
JAMA Aktan B, Akbayrak T. Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report. Konuralp Medical Journal. 2020;12:334–337.
MLA Aktan, Berrin and Türkan Akbayrak. “Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report”. Konuralp Medical Journal, vol. 12, no. 2, 2020, pp. 334-7, doi:10.18521/ktd.696445.
Vancouver Aktan B, Akbayrak T. Physiotherapy and Rehabilitation in Shoulder Pain After Gynecological Laparoscopic Surgery: A Case Report. Konuralp Medical Journal. 2020;12(2):334-7.