Neurosurgery: Thoracic outlet syndrome by Dr. Bosnjak

[melanieinengland]

very good video, i had two operation on my rightside, i'm left with so much pain, i'm on nerve blocking pills (gabapentin ) for a week now 2 days on (Lyrica) Both have left me feeling drunk all the time. Please is there anything that anyone can suggest, T.O.S .If you have every broken a bone , the pain is awful, that is what i'm living with every day!

please help!!

I have looked on every site, thankyou for reading this statement.

[melanieinengland]

i had the extra rib on both sides, had surgery on my right side 4 years ago, then had surgery again 12 months later again on the right, lots of things went wrong after the surgery, 3 years later still in a great deal of pain.

i couldn't face anymore surgery as i nearlly died.

what do you think they could do for me now,

i had to see the surgeon this week, he said that they couldn't do anymore surgery.

i would love to go back to hairdressing, please help..

the video was very good, thankyou

[Alshaw33]

I aspire to become a neurosurgeon, and as I am now watching this video I am realizing all the anatomy that you must memorize. Not only in the brain, but along the spine, nervous system, and the back

[forum2cracka]

try the whole body. its one of the hardest professions to get into. good luck though.

[divabarbie82]

I was diagnosed with TOS when I was 17, in 1999. I was the drum major for marching band & the directing is where my symptoms started. I also ended up having the R and L rib removal. What I want to know, is where is the incision in this video? Mine are about 6 in. long & are under each armpit. TMC515, I feel your pain. I felt like I'd been hit by a truck when I woke up. Hospital time was 4 days, w a chest tube, in ATL. After that, it was a bout 6 wks b4 I could move my arms above my head.

[Tuliomurillo]

this is the approach I prefer; transaxilar I think is too elaborated and the exposure doesn`t give you as much view as with the supraclavicular. Nive video, very anatomic, thanks

[annakara]

Fascinating! I had this done in1997 after years of pain and severe muscle wastage in my hand. The operation was a success with minimal discomfort afterwards, and I was home within 48 hours. I have been pain free ever since and not a day goes by without my sincerest gratitude to the surgeons.

[all66books]

@annakara Yours' seems to be the only success story of all the posts I've seen! I have TOS bilaterally after years of heavy weightlifting. Where did you have your surgery?

[locket07]

i had 2 extra ribs and had to have them removed im 18 now an still very poorly from them opertions i had to have a blood trasfuions aswell but im glad i watched this after i had it done

[wendy5391]

Very intriging.. I have TOS and will most likely need surgery

[tmc515]

What approach is this? What approach is suggested for 1st rib removal for TOS?

[skybond007]

This si supra-clavicular approach (left-sided in this case). A 5-6 cm incision is made parallel and just above the clavicle between the strenocleidomastoid muscle and trapezius (subclavian triangle).

The same approach is used for 1st rib removal - only up to 3cm segment of the 1st rib is removed just below the inferior trunk. This is rarely indicated.

[tmc515]

I had this procedure done in 1990. It helped alleviate symptoms and pain of a left sided thoracic outlet. However, it felt like I was hit by a train when I awoke from the surgery (real long recovery). I always wanted to see how it was done. Thanks for posting the video!