Immediate preoperative yoga based interventions and risk stratification to enhance recovery and outcomes in robotic gynecological surgery An open labelled double arm pilot randomized controlled trial

This thesis aims to assess the effects of short-term yoga on respiratory function and recovery in women undergoing robotic gynecological surgeries. These surgeries can impair lung function due to factors like pneumoperitoneum and patient positioning, leading to complications such as atelectasis, increased anxiety, and delayed recovery. Yoga, especially pranayama and breathing exercises, has shown benefits in improving lung capacity, reducing stress, and enhancing respiratory muscles. This study involves two groups: one receiving standard care with incentive spirometry, and the other receiving additional yoga sessions over three days before surgery. Outcomes measured include lung function (using Wright respirometer), anxiety, pain, recovery milestones, wound healing, nutrition, inflammation, and patient satisfaction. The hypothesis is that yoga will improve pulmonary rehabilitation and psychological readiness, resulting in better recovery compared to standard care. The study uses a randomized controlled design with a total of 60 participants. Expected benefits are improved lung function, reduced anxiety and pain, faster recovery, enhanced wound healing, and shorter hospital stays. This research explores yoga as an adjunctive, non-pharmacological intervention to optimize perioperative care in robotic gynecological surgery.