Subscribe to RSS
DOI: 10.1055/s-0044-1800981
Comprehensive Inpatient Rehabilitation Protocol for Acquired Diaphragmatic Hernia Repair: A Case Report
Abstract
This case report presents a comprehensive rehabilitation approach for a 32-year-old female patient who underwent diaphragmatic hernia repair. The rehabilitation protocol aimed to improve postoperative recovery, promote independence, and enhance the patient's quality of life. The study outlines a 2-week treatment plan with specific goals and interventions for each phase. Our findings reveal promising outcomes, demonstrating the positive impact of rehabilitation on postoperative recovery. The rehabilitation interventions not only contributed to enhanced diaphragmatic muscle mobility, vital parameters, chest expansion, pulmonary function, and respiratory muscle strength but also lead to improved breathing patterns. The outcomes of this study emphasize the crucial role of customized rehabilitation programs in maximizing respiratory function, fostering mobility, mitigating complications, and facilitating functional recovery. Through a comprehensive case report, we showcase the efficacy of integrating tailored rehabilitation strategies into the postoperative care paradigm in promoting overall recovery and elevating the well-being of individuals undergoing diaphragmatic hernia repair.
Patient Consent for Publication
Informed consent was obtained from the patient for being included in the study.
Publication History
Article published online:
18 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Chandrasekharan PK, Rawat M, Madappa R, Rothstein DH, Lakshminrusimha S. Congenital diaphragmatic hernia: a review. Matern Health Neonatol Perinatol 2017; 3: 6
- 2 Katukuri GR, Madireddi J, Agarwal S, Kareem H, Devasia T. Delayed diagnosis of left-sided diaphragmatic hernia in an elderly adult with no history of trauma. J Clin Diagn Res 2016; 10 (04) PD04-PD05
- 3 Testini M, Girardi A, Isernia RM. et al. Correction to: emergency surgery due to diaphragmatic hernia: case series and review. World J Emerg Surg 2019; 14: 48
- 4 Cortes M, Tapuria N, Khorsandi SE. et al. Diaphragmatic hernia after liver transplantation in children: case series and review of the literature. Liver Transpl 2014; 20 (12) 1429-1435
- 5 Reeve J. Physiotherapy interventions to prevent postoperative pulmonary complications following lung resection. What is the evidence? What is the practice?. N Z J Physiother 2008; 36 (03) 118-130
- 6 Wang Q, Liu Q, Zang J, Wang J, Chen J. Risk factors affecting postoperative pulmonary function in congenital diaphragmatic hernia. Ann Surg Treat Res 2020; 98 (04) 206-213
- 7 Hanekom SD, Brooks D, Denehy L. et al. Reaching consensus on the physiotherapeutic management of patients following upper abdominal surgery: a pragmatic approach to interpret equivocal evidence. BMC Med Inform Decis Mak 2012; 12: 5
- 8 Haines KJ, Skinner EH, Berney S. Austin Health POST Study Investigators. Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study. Physiotherapy 2013; 99 (02) 119-125
- 9 Belda J, Cavalcanti M, Iglesias M, Gimferrer J, Torres A. Respiratory infections after lung cancer resection. Clin Pulm Med 2006; 13 (01) 8-16
- 10 Gosselink R, Bott J, Johnson M. et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med 2008; 34 (07) 1188-1199
- 11 Joseph CN, Porta C, Casucci G. et al. Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension 2005; 46 (04) 714-718
- 12 Zwoliński T, Wujtewicz M, Szamotulska J. et al. Feasibility of chest wall and diaphragm proprioceptive neuromuscular facilitation (PNF) techniques in mechanically ventilated patients. Int J Environ Res Public Health 2022; 19 (02) 960