Effect of Integrated Yoga Program Along With Pilates in Abdominal Hysterectomy Patients: A Case Report

Abdominal hysterectomy is a surgical procedure that involves the removal of the uterus through an incision in the abdominal wall. Hysterectomy is associated with a number of complications; hence, early mobilization and physiotherapy are necessary following surgery. This is a case report of a 45-year-old female who presented with complaints of abdominal pain associated with white discharge. Investigations showed an anterior submucosal fibroid measuring 3.2x2.7 cm and the patient underwent an abdominal hysterectomy. Early mobilization and physiotherapy were started on Day 6, which included breathing exercises, upper limb mobility, lower limb mobility, and positioning and postural advice. Yoga and pilates therapy were integrated into the protocol starting from the second week. The patient attended 30 days of therapy in two phases and was advised to continue even after discharge. We concluded that this unique approach of including pilates and yoga showed a positive impact on the patient's condition in terms of her quality of life, strength, endurance, and power, even decreasing her difficulty in performing activities of daily living.