PHYSIOTHERAPY IN POST TOTAL HYSTERECTOMY: A CASE REPORT

Abstract

Introduction: Total hysterectomy is the surgical removal of the uterus for medical reasons. From the post-medical procedure and the effects of bed rest, complications can arise. Therefore, it is necessary to provide physiotherapy measures. Case Presentation: A 44-year-old woman came for pain treatment after total hysterectomy surgery. Pain is felt at the incision site for a total hysterectomy. Pain in the lower abdomen is felt when going up and down stairs and activities, so that he cannot bend down and sit on the floor, as well as constipation and incontinence. Management and Outcome: The interventions used Pelvic Floor Muscle Training, Static Contraction in the abdominal muscles, Active Exercise on the hip joint flexors and trunk flexors, Breathing Exercises, Massage on the large intestine with repeaters 8 times per session 3 times a day and gradually increased and education, then Incision pain is reduced, constipation and incontinence are gone, functional ability is increased, muscle strength and range of motion are increased. Discussion: After the administration of physiotherapy modalities with repetition and a gradual increase in repetition, the patient’s complaints are reduced. Conclusion: Complications after total hysterectomy surgery in this case can be resolved by pelvic floor muscle training, static contraction of the abdominal muscles, active exercise on the hip joint flexors and flexors trunk, breathing exercise, colon massage and education.