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

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.