Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reoperation for thoracic outlet syndrome.

R T Sessions1

  • 1Department of Surgery, Kennestone Hospital, Marietta, Georgia.

The Journal of Cardiovascular Surgery
|May 1, 1989
PubMed
Summary

Reoperation for thoracic outlet syndrome (TOS) addresses severe pain from scar tissue. Key surgical strategies include removing causes of recurrence, nerve decompression, and using membranes to prevent scarring.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Recurrent thoracic outlet syndrome: causes and treatment.

Southern medical journal·1982
Same author

CARCINOMA OF THE COLON IN THE FIRST TWO DECADES OF LIFE.

Annals of surgery·1965
Same author

CARDIOPULMONARY RESPONSE TO THE INJECTION OF ANGIOGRAPHIC CONTRAST MEDIUM.

The Journal of thoracic and cardiovascular surgery·1964
Same author

MULTIPLE-INJECTION TOXICITY OF ANGIO-CONRAY.

Surgery·1964
Same author

MALIGNANCY OCCURRING DURING THE FIRST TWO DECADES OF LIFE: AN ANALYSIS OF 35 YEARS' EXPERIENCE.

Acta - Unio Internationalis Contra Cancrum·1964
Same author

THE RELATIVE TOXICITY OF ANGIOGRAPHIC CONTRAST MEDIA.

Vascular diseases·1964

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Vascular Surgery

Background:

  • Recurrent thoracic outlet syndrome (TOS) causes severe arm, shoulder, and neck pain.
  • Scar tissue fixation of the brachial plexus is a common cause of TOS recurrence.
  • Identifying upper tract (neck) or lower tract (thoracic outlet) recurrence is crucial.

Purpose of the Study:

  • To present clinical history and operative findings in 60 patients undergoing reoperation for TOS.
  • To outline causes of TOS recurrence discovered during surgery.
  • To discuss surgical management principles and adjuncts for recurrent TOS.

Main Methods:

  • Review of clinical data and operative findings in 60 patients with recurrent TOS.
  • Identification of causes of recurrence, including scar fixation.
  • Surgical techniques: neurolysis, nerve coverage with fat, and use of expanded PTFE (Gore-Tex) membrane.

Main Results:

  • Scar fixation of the brachial plexus was a primary finding in recurrent TOS.
  • Surgical principles focused on eliminating recurrence causes and thorough nerve decompression.
  • Expanded PTFE membrane use was discussed as an adjunct to prevent scarring.

Conclusions:

  • Effective management of recurrent TOS requires addressing specific causes of recurrence.
  • Thorough neurolysis and nerve protection are essential surgical steps.
  • Surgeons must be prepared for potential intraoperative complications like nerve injury and bleeding.

Related Experiment Videos