Physiotherapy Approach In Meigs Syndrome: A Case Report

Abstract

Meigs syndrome is the triad of ascites, pleural effusion and benign ovarian tumour which usually resolves after resection of the tumour. Meigs syndrome is rare. The surgical treatment of choice is exploratory laparotomy with surgery and staging. Fibroma account around 3 % of all ovarian tumours and Meigs syndrome for 1-2% of those. There is a risk of severe adverse outcomes in Meigs syndrome patients which could lead to hampered quality of life. Collaboration between medical intervention and early and sustained comprehensive Physiotherapy rehabilitation play an important role in patient recovery from acute care to discharge. Physiotherapist, who play an important role in multidisciplinary treatment contribute majorly to improve patient’s lung, functional capacity and prevention of post operative complications. Thus, improving overall quality of life after the surgery.

Case Description: A 25-year-old female diagnosed with Meigs syndrome who underwent debulking surgery focusing on the role of Physiotherapy in collaboration with medical management and outlining the pathway of recovery from ICU to discharge.

Intervention: Physiotherapy intervention protocol consisted of deep breathing exercises, thoracic mobility exercise, forced expiratory technique, TENS for incisional pain, effleurage technique and ambulation was given to patient for 30 sessions.

Conclusion: The physiotherapy management post-surgery has significant in Meigs syndrome with complications like breathlessness, pedal edema, fatigue, and reduced functional capacity.