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Related Experiment Video

Updated: Feb 25, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

4.3K

SUPRACLAVICULAR FIRST RIB RESECTION FOR TREATMENT OF THORACIC OUTLET SYNDROME.

K M Rai1, K K Singh2, K K Maudar3

  • 1Vascular Surgeon & Reader, Department of Surgery, AFMC, Pune - 411040.

Medical Journal, Armed Forces India
|August 4, 2017
PubMed
Summary
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Surgical resection of the first rib effectively treats debilitating thoracic outlet syndrome (TOS). This supraclavicular approach provided symptom relief for most patients, highlighting its value for incapacitating TOS cases.

Area of Science:

  • Vascular Surgery
  • Neurosurgery
  • Thoracic Surgery

Background:

  • Thoracic outlet syndrome (TOS) is a potentially underdiagnosed condition.
  • Neurogenic TOS is the most common presentation, but arterial TOS can also occur.
  • Symptoms often necessitate surgical intervention.

Purpose of the Study:

  • To evaluate the efficacy of supraclavicular first rib resection for treating thoracic outlet syndrome.
  • To assess the outcomes in patients with both neurogenic and arterial TOS.

Main Methods:

  • Retrospective analysis of 12 patients operated for TOS over 15 months.
  • Diagnosis confirmed by clinical history and stress tests.
  • Supraclavicular first rib resection with cervical rib excision when present.
Keywords:
Cervical rib syndromeThoracic outlet syndrome

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Last Updated: Feb 25, 2026

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Main Results:

  • 11 of 12 patients experienced symptom relief post-surgery.
  • Cervical ribs were present in 7 patients.
  • No major operative complications were reported.

Conclusions:

  • Supraclavicular first rib resection is an effective surgical treatment for severe TOS.
  • The procedure yields good results in the majority of patients with incapacitating symptoms.
  • Early diagnosis and surgical intervention are crucial for managing TOS.