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

Subclavicular approach to first rib resection

T O Murphy, C A Piper, E A Kanar

    American Journal of Surgery
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    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

    Duplex-guided compression of iatrogenic femoral pseudoaneurysms.

    Journal of the American College of Surgeons·1995
    Same author

    Snuffbox arteriovenous fistula for hemodialysis.

    American journal of surgery·1982
    Same author

    Surgical management of chylothorax.

    The American surgeon·1977
    Same author

    Prestrung prosthetic valves.

    The American surgeon·1977
    Same author

    Complications of left heart catheterization.

    The American surgeon·1971
    Same author

    Pacemaker-controlled hypotension in surgery.

    Surgery·1967

    Surgical treatment for thoracic outlet syndrome is considered when conservative methods fail. The subclavicular approach for first rib resection offers advantages like speed, visibility, and low complication rates for effective symptom relief.

    Area of Science:

    • Thoracic Surgery
    • Vascular Surgery
    • Neurosurgery

    Background:

    • Thoracic outlet syndrome (TOS) affects 50-70% of patients who may benefit from conservative treatment.
    • Persistent TOS symptoms after conservative therapy warrant surgical intervention.
    • Scalenotomy alone has shown limited success in relieving TOS symptoms.

    Purpose of the Study:

    • To evaluate the efficacy and advantages of the subclavicular approach for first rib resection in treating TOS.
    • To compare the subclavicular approach with previous surgical methods like scalenotomy.

    Main Methods:

    • Surgical treatment involving subclavicular first rib resection.
    • Assessment of operative ease, visibility, safety, and complication rates.
    • Inclusion of upper extremity sympathectomy as an optional procedure.

    Related Experiment Videos

    Main Results:

    • The subclavicular approach is characterized by ease and speed of operation.
    • Excellent visibility of the operative field and safety for the neurovascular bundle.
    • Low infection rates and adequate first rib resection are achieved.
    • The subclavicular scar's cosmetic impact is minimal with lateral placement.

    Conclusions:

    • The subclavicular approach to first rib resection is a safe and effective surgical option for refractory thoracic outlet syndrome.
    • This method offers significant advantages over previous techniques, including improved outcomes and reduced complications.
    • The procedure allows for comprehensive treatment, including the option for upper extremity sympathectomy.