Operations on the stomach and duodenum

Deep breathing, with the participation of the diaphragm sharply increases pain in the surgical wound. So day 1 after surgery breathing should be predominantly breast (every 20-40 minutes 3-4 breathing). With the help of the instructor patient doing exercises for distal lower and upper limbs, rotary motion in the hip joint (by 3-4 times, if necessary, with pauses for rest). On the 2nd or 3rd day, holding postoperative wound, he performs exercises independently and more often. In addition, it is recommended to massage the chest with the methods of stroking, rubbing, light vibration. On the 3-4th day in classes include General and special exercises. The patient should as often as possible to turn on his side. In this position 1-2 times a day do a back massage. After that the patient gives elevated position, resting on the back cushion, or raised the head end functional beds; legs bent at the knee joints, they put a cushion. The patient sits 5-10 min (3-5 times a day). In this position he performs static and dynamic respiratory exercises. In the original position lying sick "walks" with a small range of motion in knee joints, slipping his feet on the bed.
When smooth postoperative period the patient is allowed on 4-5 day to sit down with beds feet. After sufficient adaptation to sitting in classes include exercises for the upper and lower extremities, head tilts and rotational motion of her, exercises for the body (forward bends should be performed with great caution). You are then allowed to stand, leaning first hands on the back of a chair. After resection of the stomach and duodenal ulcers with good endurance previous load to stand recommended by 6-9 day.
At first, the lessons are conducted in the house, in the original position sitting on a chair, including in the complex restorative, respiratory exercises, exercises for strengthening the abdominal muscles, for the formation of the rolling postoperative scar, correct posture, normalization of function of the intestine (prevention adhesive disease). From 9-10-day training held in the hall gymnastics therapeutic exercise them precedes the morning hygienic gymnastics in the house). The focus is on the restoration of diaphragmatic breathing. In the classes include exercises to strengthen the abdominal muscles, correction of posture, exercise, with shells. Duration of training 20-25 minutes In the complex of exercises for self-study include walking along the corridor and stairs (stairs is done on the exhale).
After discharge from the hospital the patient continues to do gymnastics in the clinic. Sports exercises (skiing, skating, swimming, boating, and other) are resolved with treatment-and-prophylactic purpose in 6 months after operation.