Impact of Comprehensive Rehabilitation in an 11year old patient undergone exploratory laparotomy in right ovarian mass

Gunjan Shende, Ruchika Zade, Tejaswini B Fating, Shruti Deshpande, Neha Chitale

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Childhood ovarian masses are the most common cysts, which can be solid or mixed types. Ovarian masses are usually asymptomatic and diagnosed by ultrasound. Laparotomy diverse range of non-traumatic pathologies, with intestinal obstruction. An 11-year-old female patient reported to the department with complaint of pain in abdomen and back for 8 days. She reported worsening abdominal pain and backache. Fever since 2-History of Typhoid fever 10 days back. Upon physical examination, determined that she was febrile. Pallor present. Lymphadenopathy present bilaterally at submandibular region. Further, her abdomen was examined. Lump sees over lower abdomen. No dilated veins. Mild distention present. On palpation Lump is present which occupies hypogastrium and bilateral iliac region which extends 2-3cm above the umbilicus. Lump is hard to touch. It is having a restricted mobility. Tenderness present over all abdomen more over the lower abdomen. Ascites present. Exercises and bed mobility training had an impact on improving exercise patient’s quality of life Functional re-education increased strength and endurance of the muscle as well as it increased pelvic stability which improved her postural stability also. Abdominal strength was achieved by the patient.

Keywords:

Ovarian Mass, Exploratory laparotomy, Rehabilitation