[Transaxillary approach first rib resection for thoracic outlet syndrome].

Area of Science:

• * Neurosurgery
• * Vascular Surgery
• * Thoracic Surgery

Context:

• * Thoracic outlet syndrome (TOS) is a complex condition involving compression of nerves and/or blood vessels in the thoracic outlet.
• * The transaxillary approach provides direct access to the first rib for decompression.

Purpose:

• * To evaluate the indications, surgical methods, and outcomes of transaxillary first rib resection for TOS.
• * To determine the efficacy of this surgical technique in managing TOS.

Summary:

• * Twenty-six patients diagnosed with thoracic outlet syndrome underwent transaxillary first rib resection between 1981 and 1991.
• * The study analyzed the specific reasons for surgery, the surgical technique employed, and the resulting patient outcomes.
• * Results indicate that transaxillary first rib resection is a highly effective treatment for TOS.

Impact:

• * Demonstrates the long-term viability and success of the transaxillary approach for TOS.
• * Provides evidence supporting transaxillary first rib resection as a primary surgical option for thoracic outlet syndrome.
• * Contributes to the understanding of surgical management strategies for neurovascular compression in the thoracic outlet.