First Rib Resection Versus Avulsion for Thoracic Outlet Syndrome

Not Applicable

Recruiting

• Conditions: Thoracic Outlet Syndrome
• Interventions: Procedure: First rib avulsion; Procedure: first rib resection

• Registration Number: NCT06095700
• Lead Sponsor: University of Sulaimani

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-01
• Study First Submitted: 2023-09-15
• Study First Submitted QC: 2023-10-17
• Study First Posted: 2023-10-23
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-11
• Last Update Posted: 2024-05-14
• Primary Completion: 2024-06-01
• Study Completion: 2024-06-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

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)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Rib Avulsion Group	First rib avulsion	This group of patients undergo first rib avulsion
Rib Resection Group	first rib resection	This arm undergoes first rib resection, as mentioned in the textbook.

Primary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Smart Health Tower; 🇮🇶 Sulaymaniyah, Iraq