Subclavicular approach to first rib resection
| Autor: | Robert A. McAlexander, Thomas O. Murphy, Clinton A. Piper, Edmund A. Kanar |
|---|---|
| Rok vydání: | 1980 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment First rib resection Ribs Methods medicine Humans Brachial Plexus Cervical Rib Syndrome Aged Thoracic outlet syndrome Rib cage business.industry Syndrome General Medicine Middle Aged Neurovascular bundle medicine.disease Clavicle Symptomatic relief Surgery Thoracic Outlet Syndrome medicine.anatomical_structure Sympathectomy Female business Brachial plexus |
| Zdroj: | The American Journal of Surgery. 139:634-636 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/0002-9610(80)90351-7 |
| Popis: | As discussed by Urschel [13], 50 to 70 percent of patients with symptoms of thoracic outlet syndrome may be treated conservatively by nonsurgical methods. Patients who still have symptoms after years of such therapy are referred to us for surgical treatment. Failure to obtain symptomatic relief after scalenotomy alone [8] caused us to abandon this treatment. The advantages of the subclavicular approach to first rib resection are as follows: (1) The operation is easy and fast. (2) There is good visibility in the operative field. (3) The neurovascular bundle to the arm lies cephalad and out of harm's way. (4) The complication (infection) rate is very low. (5) The operation allows adequate resection of the first rib. (6) The operation allows the addition of upper extremity sympathectomy. The disadvantage is the position of the scar in a young woman, although lateral placement of the scar does not seem to cause much emotional trauma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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