What is first rib resection and scalenectomy?
In these cases, the “gold standard” treatment is considered to be first rib resection and scalenectomy (FRRS). The procedure is usually performed unilaterally by a transaxillary or supraclavicular approach and consists of division of the anterior scalene muscle and removal of the first rib.
Why do a first rib resection?
The First Rib Resection is a decompression surgery for Thoracic Outlet Syndrome. The surgery is to help relieve pain felt in the arm or hand, or to reduce the risk of having a further upper arm venous clot.
Is thoracic outlet syndrome debilitating?
Pain, numbness and tingling in the hands or arms can be debilitating. These symptoms can make it difficult or impossible for a person to work or carry out normal daily activities.
What happens after your first rib resection?
Recovery: Most patients will feel some level of discomfort/pain as they recover from surgery for at least 1-2 weeks. Return to activity: Patients often to return to light activity in seven to 10 days. Returning to work, therefore, will depend on the physical demands of the job.
Why would you have 2 ribs removed?
Rib removal may be medically approved in several situations. If a rib is fractured in such a way that it might puncture a vital organ, it may be safer to remove it than wait for it to heal. A cancerous rib may be removed to stop the cancer from spreading. Rib bone material may be used for a bone graft.
How long does TOS surgery take?
This surgery takes about two hours to complete and requires a one- to three-day stay in the hospital. Recovery can take several weeks, during which your doctor may recommend restricting activities.
Does thoracic outlet syndrome get worse over time?
Can thoracic outlet syndrome improve on its own? No. For people who have mild TOS, lifestyle changes may be enough to make the symptoms go away. But more serious TOS should be treated by a doctor as soon as possible.
How long does rib resection surgery take?
The surgeon cuts and removes the extra rib and closes the incision with stitches, which dissolve in a few weeks. This surgery takes about two hours to complete and requires a one- to three-day stay in the hospital. Recovery can take several weeks, during which your doctor may recommend restricting activities.
Can thoracic outlet syndrome come back after surgery?
Recurrent symptoms develop in 15% to 20% of patients undergoing either first rib resection or scalenectomy for thoracic outlet syndrome. Over the past 22 years 134 operations for recurrence were performed in 97 patients.
How much does it cost to have a rib removed?
How much does a rib removal surgery cost? Given the complexity of the procedure, the price of rib removal (11 and 12) costs $25,000.
What are the results of a scalenectomy and first rib resection?
The good-to-excellent long-term results following 239 scalenctomies and 214 first rib resections were almost identical, 68% and 70%, respectively, with fair results in 20% and 13%, respectively.
How long does it take to recover from a scalenectomy?
This surgery takes about two hours to complete and requires a one- to three-day stay in the hospital. Recovery can take several weeks, during which your doctor may recommend restricting activities.
When to have a rib resection for thoracic outlet syndrome?
Rib Resection. People with damage to an artery or vein are typically treated with a rib resection. People with neurogenic thoracic outlet compression, may have a rib resection if physical therapy hasn’t alleviated their symptoms.
Is there a recurrence of a first rib resection?
Five years ago a follow-up study of first rib resections disclosed a recurrence rate of over 15%. Many patients were reexplored supraclavicularly, and in every case the anterior scalene muslce was found to be reattached to the bed of the first rib. Scalenectomy invariably was successful, which led t …