Thoracic Outlet Syndrome
Conditions
Brief summary
The management of thoracic outlet syndrome can be either surgical or nonsurgical. Fewer than 20% of patients experience benefits from nonsurgical treatments. Regarding the surgical approach, there's considerable debate about whether to resect the first rib or if a scalenectomy alone suffices. Recently, many experts have concurred on the resection of the first rib. Based on our observations, avulsion of the first rib results in improved outcomes and reduced post-operative pain compared to simple resection. Thus, this study aims to compare the outcomes of first rib resection versus its avulsion in patients with thoracic outlet syndrome.
Interventions
PROCEDUREfirst rib resection
standard first rib resection
PROCEDUREFirst rib avulsion
As the active treatment, just instead of resectioning the first rib, we will do an avulsion of the first rib through the same incision
Sponsors
University of Sulaimani
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
any patient diagnosed as a case of neurogenic thoracic outlet syndrome -
Exclusion criteria
patients with other types of thoracic outlet syndrome (vascular TOS) \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| patient satisfaction | six months | Numeric Rating Scale (NRS) is used to measure satisfaction, the patients are asked to rate their satisfaction on a scale from 0 to 10, with 0 representing completely dissatisfied and 10 representing completely satisfied. |
| post operative pain | four weeks after the operation | we use the Visual Analogue Scale. A range of scores from 0-100. A higher score indicates greater pain intensity. the least value is zero and the highest value is 100 |
Countries
Iraq
Contacts
Primary Contactfahmi H Kakamad, PhD
Backup ContactPavel M Kareem, BN
Outcome results
None listed