Optimizing Recovery: Comprehensive Physiotherapy Management Following Ward Mayo's Repair and Hernioplasty: A Case Report

Background: An inguinal hernia is the protrusion of the contents of the abdominal cavity through the inguinal canal resulting in a bulge at the groin area. Whereas pelvic organ prolapse refers to descent of pelvic organs like the bladder, uterus or rectum due to the loss of anatomical supports. While uterine prolapse and inguinal hernia occur in different regions they share several common etiological factors, such as weakened connective tissue, increased intra-abdominal pressure, and the impact of pregnancy and childbirth. Understanding these links can help in the comprehensive assessment and management of patients who present with either condition Case presentation: A 60-year-old Indian female with grade 3 uterine prolapse, cystocele, and an inguinal hernia presented with mixed urinary incontinence, nocturnal enuresis, lower back, and lower abdominal pain. She underwent hernioplasty and Ward Mayo hysterectomy. Post-operatively, she experienced pain at the surgical site, had expectorations, and felt anxious. The physiotherapy management for her was customized to address both short-term and long-term goals. This included breathing exercises, mobility exercises, core strengthening, and ergonomic guidance.Results: Following the intervention, the patient's functional independence measure improved from admission to discharge. Her hospital anxiety score decreased signicantly from 7 to 3 out of 21, and her Oswestry low back pain disability questionnaire score reduced from 22 to 10.Conclusion: Early therapeutic exercise is benecial in achieving early postoperative functional goals.