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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rib Resection Group | Active Comparator | This arm undergoes first rib resection, as mentioned in the textbook. |
|
| Rib Avulsion Group | Experimental | This group of patients undergo first rib avulsion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| first rib resection | Procedure | standard first rib resection |
|
| Measure | Description | Time Frame |
|---|---|---|
| patient satisfaction | 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." | six months |
| post operative pain | 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 | four weeks after the operation |
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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)
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| fahmi H Kakamad, PhD | Contact | +9647717267454 | fahmi.hussein@univsul.edu.iq | |
| Pavel M Kareem, BN | Contact | 009640915252 | fahmihussein35@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| fahmi Kakamad, PhD | University of Sulaimani | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Smart Health Tower | Recruiting | Sulaymaniyah | 0043 | Iraq |
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| ID | Term |
|---|---|
| D013901 | Thoracic Outlet Syndrome |
| ID | Term |
|---|---|
| D009408 | Nerve Compression Syndromes |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| First rib avulsion | Procedure | As the active treatment, just instead of resectioning the first rib, we will do an avulsion of the first rib through the same incision |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |