Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Pneumothorax-II

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

Pleural Effusion II: Symptoms and Management

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:

You might also read

Related Articles

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

Sort by

Same author

One connection at a time.

Surgery·2026

Same author

Development and validation of a real-time computer-aided measuring system for colorectal polyp size (with video).

Gastroenterology report·2026

Same author

Classifying biophysical subpopulations of insulin secretory granules using quantitative whole-cell structure analysis.

Structure (London, England : 1993)·2026

Same author

Invited Commentary: Ask and You Will Receive: Avoiding Invisibility and Creating a Team.

Journal of the American College of Surgeons·2026

Same author

Adoption and Barriers to CAD/CAM Technology Among Dentists in the Dominican Republic: A Cross-Sectional Study.

International dental journal·2026

Same author

Not All Coronary Artery Bypass Grafts Are Created Equal.

JAMA surgery·2026

Search research articles

Related Experiment Video

Updated: Jul 10, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

Patient Reported Long-Term Quality of Life and Symptom Resolution after First Rib Resection and Anterior

Justin Linden¹, Lydia Faber¹, Lillian Sutton²

¹Wake Forest University School of Medicine, Winston-Salem, NC.

Journal of Vascular Surgery

|July 8, 2026

Summary

Long-term outcomes for neurogenic and venous thoracic outlet syndrome (nTOS and vTOS) patients after first rib resection and anterior scalenectomy (FRRAS) are favorable. Younger patients generally experience longer symptom-free periods, though most patients report improved quality of life post-surgery.

Keywords:

neurogenic thoracic outlet syndrome patient outcomes venous thoracic outlet syndrome

More Related Videos

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Published on: January 23, 2026

Related Experiment Videos

Last Updated: Jul 10, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Published on: January 23, 2026

Area of Science:

Vascular Surgery
Thoracic Surgery
Neurosurgery

Background:

Thoracic Outlet Syndrome (TOS) encompasses neurogenic (nTOS) and venous (vTOS) subtypes.
First rib resection and anterior scalenectomy (FRRAS) is a common surgical intervention for TOS.
Long-term patient-reported outcomes following FRRAS require further investigation.

Purpose of the Study:

To evaluate patient-reported long-term outcomes in nTOS and vTOS patients after FRRAS.
To identify factors influencing long-term quality of life (QOL) and symptom recurrence.
To compare outcomes between nTOS and vTOS subtypes.

Main Methods:

Retrospective chart review of 204 patients undergoing FRRAS from 2015-2025.
Collection of baseline demographic and clinical data for patients operated on at least one year prior.
Administration of a 5-question QOL survey via phone or electronic health record; statistical analysis using Fisher's exact and rank sum tests.

Main Results:

104 patients (57 nTOS, 47 vTOS) completed the survey; nTOS patients had longer preoperative symptom duration (median 24 vs 2 months).
Most nTOS (75.4%) and vTOS (87.2%) patients reported improved QOL; younger patients showed better outcomes in vTOS.
Recurrent symptoms were more common in older nTOS patients; paresthesias persisted in 52.6% of nTOS patients, but most did not require chronic medication.

Conclusions:

FRRAS yields favorable long-term patient-reported outcomes for both nTOS and vTOS.
Age is a significant factor in long-term QOL, with younger patients experiencing more sustained symptom relief.
While a minority experience symptom recurrence, the majority report enhanced quality of life after surgery.