First Rib Resection Versus Avulsion for Thoracic Outlet Syndrome

University of Sulaimani

Status: Enrolling

Conditions: Thoracic Outlet Syndrome

Treatments: Procedure: first rib resection; Procedure: First rib avulsion

Study type: Interventional

Funder types: Other

Identifiers

NCT06095700

UniSulaimani

Details and patient eligibility

About

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.

Enrollment: 50 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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50 participants in 2 patient groups

Rib Resection Group

Active Comparator group

Description:

This arm undergoes first rib resection, as mentioned in the textbook.

Treatment:

Procedure: first rib resection

Rib Avulsion Group

Experimental group

Description:

This group of patients undergo first rib avulsion

Treatment:

Procedure: First rib avulsion