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- Title
Outcome of Trans-Axillary Approach for Surgical Decompression of Thoracic Outlet: A Retrospective Study in a Tertiary Care Hospital.
- Authors
Riyaz Lattoo, Mohd; Majeed Dar, Abdul; Lateef Wani, Mohd; Akbar Bhat, Mohd; Gani Ahangar, Abdul; Nabi Lone, Gh; Singh, Shyam; Zaman, Muzaffar; Ahmad Lone, Reyaz
- Abstract
Objective: The aim of this study was to evaluate the trans-axillary surgical approach in patients with thoracic outlet syndrome. Methods: This retrospective study is comprised of data acquired from January 1998 until Oct 2008. Case histories of all the patients were reviewed from the Medical Records Department of Sheri- Kashmir Institute. Relevant information and follow-up of the patients was carried out by examining the relevant clinical notes available by telephone interviews and personal contact whenever possible. All data was compiled and analyzed statistically. Results: There were a total of 139 patients. The female: male ratio was about 6:1. Pain was the most common presenting symptom followed by weakness and parasthesia. Nerve conduction velocity was abnormal in 111 patients. Twenty-eight patients had abnormal Doppler study of subclavian vessels. Preoperative symptoms persisted in 13 patients. Overall, 126 patients showed improvement in symptoms and no recurrence or persistence of symptoms on follow-up examination. Conclusion: Trans-axillary approach provides a good exposure and cosmesis in patients with thoracic outlet syndrome. It should be considered as the gold standard in the management of thoracic outlet syndrome.
- Subjects
SURGICAL decompression; INTERVIEWING; NEURAL conduction; HEALTH outcome assessment; THORACIC outlet syndrome; EVIDENCE-based medicine; COLOR Doppler ultrasonography; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Oman Medical Journal, 2014, Vol 29, Issue 3, p214
- ISSN
1999-768X
- Publication type
Article
- DOI
10.5001/omj.2014.52