Transaxillary Resection of the First Rib and Excision of the Cervical Rib at Sheikh Shakhbout Medical City (SSMC)
Transaxillary resection of the first rib and excision of the cervical rib are specialized surgical procedures aimed at alleviating symptoms associated with thoracic outlet syndrome (TOS). At Sheikh Shakhbout Medical City (SSMC), we provide expert care in performing these surgeries to improve patient outcomes.
Understanding Thoracic Outlet Syndrome (TOS)
Thoracic outlet syndrome occurs when blood vessels or nerves in the thoracic outlet become compressed. This condition can lead to a range of symptoms, including:
- Pain: Discomfort in the neck, shoulder, or arm.
- Numbness: Tingling sensations in the fingers or hands.
- Weakness: Reduced strength in the affected arm.
Indications for Surgery
Surgical intervention is often indicated for patients who do not respond to conservative treatments, such as physical therapy or medication. The transaxillary approach is particularly effective for:
- Cervical ribs: Extra ribs that can compress nerves and blood vessels.
- Severe cases of TOS: Where significant anatomical changes require surgical correction.
The Surgical Procedure
Transaxillary Approach
The transaxillary approach involves accessing the thoracic outlet through an incision made in the underarm. This method offers several advantages:
- Cosmetic Benefits: The incision is less visible compared to other approaches, such as supraclavicular incisions.
- Direct Access: Surgeons can directly visualize and remove the first rib and any cervical ribs present.
Procedure Steps:
- Anesthesia: The patient is placed under general anesthesia.
- Incision: An incision is made in the axilla (underarm) to access the thoracic outlet.
- Muscle Division: The surgeon carefully divides muscles such as the subclavius and scalene muscles.
- Rib Resection: The first rib and any cervical rib are excised to relieve compression on nerves and blood vessels.
The entire procedure typically lasts between one to one and a half hours.
Postoperative Care and Recovery
After surgery, patients can expect:
- Hospital Stay: Most patients are discharged within one day post-surgery.
- Pain Management: Mild soreness may persist for about a week, manageable with prescribed medications.
- Rehabilitation: Physical therapy usually begins two to three weeks post-surgery to restore mobility and strength.
At Sheikh Shakhbout Medical City, our skilled surgical team is dedicated to providing high-quality care for patients requiring transaxillary resection of the first rib and excision of cervical ribs. By utilizing advanced surgical techniques, we aim to alleviate symptoms associated with thoracic outlet syndrome effectively. If you are experiencing symptoms related to TOS, contact SSMC today for a consultation and explore your treatment options
