What question did this study set out to answer?

This study aims to evaluate the outcomes after transaxillary first rib resection with anterior scalenotomy for Thoracic Outlet Syndrome.

April 15, 2026MedicinaOpen Access

Postoperative Outcomes of Transaxillary First Rib Resection with Anterior Scalenotomy for Thoracic Outlet Syndrome: An Ambispective Multimodal Cohort Study

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Authors

TMThrasyvoulos P MichosNational and Kapodistrian University of Athens ARAnastasia RoumpakiEvangelismos Hospital EKEmmanouil Ι. KapetanakisNational and Kapodistrian University of Athens

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Implication

Ambispective cohort study evaluates postoperative improvements in Thoracic Outlet Syndrome patients, suggesting effective outcomes from the Roos procedure.

Key Points

This study aims to evaluate the outcomes after transaxillary first rib resection with anterior scalenotomy for Thoracic Outlet Syndrome.
Ambispective observational cohort design including 32 patients
Classification of patients by type of Thoracic Outlet Syndrome (neurogenic, vascular, mixed)
Mixed linear and logistic regression models for analyzing outcomes
Predefined postoperative protocol for follow-ups
All analyzed symptoms improved post-surgery (p < 0.05)
Significant reduction in upper limb edema (OR = 0.44, p = 0.002)
Decrease in positive provocative tests across maneuvers
Pathological ultrasound findings of upper limb vessels resolved during follow-up
Notable improvement in nerve conduction parameters of median sensory and motor functions

Cite This Study

Michos et al. (2026) studied this question.

synapsesocial.com/papers/69df2abce4eeef8a2a6afc0a https://doi.org/10.3390/medicina62040735

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Implication

Ambispective cohort study evaluates postoperative improvements in Thoracic Outlet Syndrome patients, suggesting effective outcomes from the Roos procedure.

Postoperative Outcomes of Transaxillary First Rib Resection with Anterior Scalenotomy for Thoracic Outlet Syndrome: An Ambispective Multimodal Cohort Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Postoperative Outcomes of Transaxillary First Rib Resection with Anterior Scalenotomy for Thoracic Outlet Syndrome: An Ambispective Multimodal Cohort Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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