Transthoracic approach in the thoracic outlet syndrome: an alternate operative route for removal of the first rib.

Détails

ID Serval
serval:BIB_8D02A3BBBA18
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Transthoracic approach in the thoracic outlet syndrome: an alternate operative route for removal of the first rib.
Périodique
Surgery
Auteur(s)
Prêtre R., Spiliopoulos A., Mégevand R.
ISSN
0039-6060 (Print)
ISSN-L
0039-6060
Statut éditorial
Publié
Date de publication
11/1989
Peer-reviewed
Oui
Volume
106
Numéro
5
Pages
856-860
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
This retrospective study compares the results of two surgical procedures, a transaxillary and a transthoracic (that is, anterolateral thoracotomy) approach, in the treatment of the thoracic outlet syndrome by first rib resection. After transaxillary first rib removal (13 cases), initially our procedure of choice, 84% of conditions were improved, 8% were unchanged, and 8% were worse after 1 year. One permanent, disabling brachial plexus injury occurred after this operation. Transthoracic first rib resection (18 cases), presently our preferred technique, resulted in improvement in 87% of cases, with 13% of symptoms unchanged after 1 year. Although two female patients felt mild paresthesia of the mammary gland, no one has been made worse following this route. These two approaches have achieved similar results in the surgical management of this syndrome. Nevertheless, when first rib resection is indicated, our favored and recommended procedure is transthoracic, because this route appears less hazardous for brachial plexus damage.

Mots-clé
Adult, Brachial Plexus/injuries, Evaluation Studies as Topic, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Ribs/surgery, Thoracic Outlet Syndrome/surgery, Thoracotomy/adverse effects, Thoracotomy/methods, Time Factors
Pubmed
Création de la notice
08/12/2016 14:30
Dernière modification de la notice
03/03/2018 19:14
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