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First Rib Resection Versus Avulsion for Thoracic Outlet Syndrome

First Rib Resection Versus Avulsion for Thoracic Outlet Syndrome

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Phase N/A

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Overview

The management of thoracic outlet syndrome can be either surgical or nonsurgical. Fewer than 20% of patients experience benefits from nonsurgical treatments. Regarding the surgical approach, there's considerable debate about whether to resect the first rib or if a scalenectomy alone suffices. Recently, many experts have concurred on the resection of the first rib. Based on our observations, avulsion of the first rib results in improved outcomes and reduced post-operative pain compared to simple resection. Thus, this study aims to compare the outcomes of first rib resection versus its avulsion in patients with thoracic outlet syndrome.

Eligibility

Inclusion Criteria: any patient diagnosed as a case of neurogenic thoracic outlet syndrome

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Exclusion Criteria: patients with other types of thoracic outlet syndrome (vascular TOS)

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Study details
    Thoracic Outlet Syndrome

NCT06095700

University of Sulaimani

21 May 2024

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