2006, Number 2
Thoracic Outlet Syndrome surgery. Results of a decade
Vejerano APP, Vejerano GP, Ramos CR, Selva PCI, Rodríguez MJ, Quintero GO, Esteva GA, Peña GR
Full text
Language: Spanish
References: 8
Page: 45-49
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ABSTRACT
Background: Thoracic Outlet Syndrome (TOS) is a pathology whose diagnosis and treatment has been accompanied by controversial pro and against debates even in the last fifty years.Patients and method: An observational and descriptive study was made, 29 surgical interventions performed by the Ross technique in 23 patients with TOS in the Angiology and Vascular Surgery Service of the University Hospital “General Calixto García,” Havana, Cuba, between July 1994 and June 2004 both months included; the variables used: age, sex, predominant clinical manifestations grouped as neurological, arterial and venous; hospital stay, medical state when discharged, considering this release as the one made by external consultation 45 days after submission to surgery and reincorporation to his or her normal activities.
Results: Age average was 29.9 years; predominant sex was female 95.7%. Leading manifestations were mostly neurological in 55.2%, arterial 31% and venous 13.8%. One of the cases presented minimum compressive injury of brachial plexus during the surgery, after which the patient recovered.
The results after 45 days, clinical discharge and reincorporation to normal activities were: improvement in 82.8%, without changes 10.3% and paresthesias in 6.9%.
Conclusions: Although the casuistry is considered low by the authors and the surgical criteria of this pathology were left as a last option, based on what the facts demonstrated in results we considered this therapeutical option as good, attainable and necessary.
Recommendations: We suggest to improve the diagnosis quality, based on the best clinical practice, utilizing all diagnostic means available at hand and making well known this so needed surgical skillfulness.
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