Gynecological pelvic surgeries include procedures such as myomectomy, hysterectomy, and removal of ovarian cysts performed in the pelvic region of women. In the postoperative period following these surgeries, symptoms such as pain, decreased bowel motility, gastrointestinal problems, nausea, and vomiting are commonly observed. Effective management of these symptoms is important to accelerate the recovery process and improve the quality of life of patients. This study is planned to evaluate the effectiveness of physiotherapy during the hospitalization period after gynecological abdominal surgery and to examine the effects of different approaches on postoperative symptoms. In our study, participants who undergo gynecological abdominal surgery and meet the inclusion and exclusion criteria will be divided into four groups for intervention. In addition to routine care, interventions including physiotherapy, vagal stimulation, and a combination of physiotherapy and vagal stimulation will be applied from the postoperative period until discharge. The effects of these interventions on pain, bowel function, autonomic functions, pelvic floor function, and walking will be examined.
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Postoperative Pain (VAS)
Timeframe: Day 1 and Day 2
Pain threshold measurement
Timeframe: Baseline and Day 2
Assessment of Autonomic Functions
Timeframe: Day 1 and Day 2
Assessment of Autonomic Functions
Timeframe: Day 1 and Day 2
Assessment of Autonomic Functions
Timeframe: Day 1 and Day 2
Assessment of Autonomic Functions
Timeframe: Day 1 and Day 2
Assessment of saturation (SpOâ‚‚)
Timeframe: Day 1 and Day 2
Postoperative period
Timeframe: From enrollment to the end of treatment at 2 day
The walking time
Timeframe: Postoperative
First food intake
Timeframe: Postoperative
Take a medicine
Timeframe: Day 1 and Day 2
Umblikus
Timeframe: Day 1 and Day 2
xiphoid - pubis distance
Timeframe: day 1 and day 2
Postoperative period
Timeframe: Postoperative