Textbook of Physiotherapy in Surgical Conditions Pushpal K Mitra
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1Textbook of Physiotherapy in Surgical Conditions2
3Textbook of Physiotherapy in Surgical Conditions
Pushpal K Mitra BSc (Physiotherapy) MIAP SRP (UK) MCSP (UK) Senior Faculty National Institute for Orthopaedically Handicapped Kolkata, West Bengal, India Examiner and Paper Setter West Bengal University of Health Sciences, Kolkata, West Bengal, India Utkal University, Bhubaneshwar, Odisha, India Patna University, Patna, Bihar, India Guru Nanak Dev University, Amritsar, Punjab, India Delhi University, New Delhi, India Nagpur University, Nagpur, Maharashtra, India Foreword SS Rau
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This book has been published in good faith that the contents provided by the author contained herein are original, and is intended for educational purposes only. While every effort is made to ensure a accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the author. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Textbook of Physiotherapy in Surgical Conditions
First Edition: 2013
9789350902066
Printed at
7Foreword
The Textbook of Physiotherapy in Surgical Conditions written by my colleague Pushpal K Mitra, will be useful for students, practitioners and teaching physiotherapists alike.
The topics covered in this textbook have been explained in a lucid and simple manner, which makes it easy-to-comprehend for the beginners in the profession.
Dr Mitra has used his vast clinical experience in explaining each topic in adequate detail, which enhances the appeal and style of the book.
Each topic is self-explanatory, adorned with ample illustrations and tables, and therefore appropriate for the practitioners and students of physiotherapy.
Practitioners and students of allied disciplines like occupational therapy and even nursing may also find the volume useful for their purpose.
As far as I know, no Indian author has till now written a book on the therapeutic management of surgical conditions, and I appreciate the labor and dedication put in by the author in writing this textbook.
In my opinion, this volume will definitely live up to its promise in helping the new generation of professionals in physiotherapy and allied disciplines.
SS Rau DPT BPT MPT
Professor and Head
Department of Physiotherapy and Incharge Academics
National Institute for the Orthopaedically Handicapped Kolkata, West Bengal, India8
9Preface
Surgery is an invasion of the living body. It is a veritable blow to the closed environs of the body, upsetting many self-regulating physiological functions, causing anatomical derangement and disfigurement, as well as causing anxiety and depression in the patient.
The adverse outcome of surgery in the short-term are acute pain, hemorrhage, respiratory and circulatory failure, infections, muscle weakness and general debility. In the long-term, it may give rise to complications such as chronic pain, cardiovascular deconditioning, respiratory incompetence, non-healing wounds, incisional hernia, scarring, contractures, deformities and disability.
Preoperative care of the patient focuses on identifying and treating pre-existing disorders that can create problems after the surgery and for preparing the patient's body and mind for the rigors of surgery, so that the postoperative complications can be minimized.
Recovering from a surgery begins from the day after. It is a process that can be both physically and emotionally challenging. The postoperative care focuses on minimizing complications after the surgery, so that the patient can resume normal life at the earliest.
Apart from inputs from the doctor incharge of the case, successful preoperative and postoperative care involves the inputs from nurses, physical therapists and occupational therapists, working as a part of the surgical team.
It has been my experience, that barring one or two exceptions, comprehensive textbooks on role, scope and techniques of therapeutic interventions in general surgery do not exist.
This volume is designed to provide the students and practitioners of nursing, physical therapy and occupational therapy with an insight into various aspects of common abdominal surgery, cardiothoracic surgery, breast surgery, burns and plastic surgery, obstetrics and gynecology.
Information in adequate detail, tailored to meet the needs of the therapists and nurses, has been provided about the indications and contraindications of surgery, outline of surgical procedures adopted and fundamentals of preoperative and postoperative care. It has been my conscious effort to keep the language as simple as possible, drive home a point with the aid of copious illustrations, figures, tables and charts, frequent “Points to ponder” to summarize important issues and an annexure that holds important information in a nutshell. I shall consider my effort amply rewarded if this volume proves to be useful to the students and fellow professionals for whom it has been written.
Pushpal K Mitra10
11Acknowledgments
I humbly acknowledge the eager anticipation of my beloved students and encouragement of my colleagues at National Institute for the Orthopaedically Handicapped, Kolkata, West Bengal, India and elsewhere, for providing the motivation to present this volume on applied aspects of physiotherapy.