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Outcome of trans-axillary approach for surgical decompression of thoracic outlet: a retrospective study in a tertiary care hospital.
[thoracic outlet syndrome]
The
aim
of
this
study
was
to
evaluate
the
trans-axillary
surgical
approach
in
patients
with
thoracic
outlet
syndrome
.
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
Sher-i-
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
.
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
.
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
.
