Supraclavicular First Rib Resection - Operative Techniques in …
The anterior scalene muscle is then partially divided medially and laterally directly on the scalene tubercle exposing part of the first rib. The central part of the muscle remains attached to the rib, as this connection facilitates division of the cephalad portion of the anterior scalene muscle.
Transthoracic robotic first rib resection: Twelve steps - PMC
2020年1月18日 · Scalene muscle fiber bundles are dissected and divided at their intersection with the first rib. The rib is released and temporarily placed to the side. If scalenectomy is desired, 2 cm or more of the middle and anterior scalene muscles …
Scalenectomy - Importance, Risks and Recovery - Sutured
2018年12月13日 · Scalenectomy refers to the surgical removal of the scalene muscle. The scalene muscles are a group of three pairs of muscles in the lateral neck. They include the anterior scalene, middle scalene and posterior scalene.
The supraclavicular approach to scalenectomy and first rib resection …
The anterior scalene muscle lies exposed beneath the fat pad with the phrenic nerve on its surface, usually, but not always, on the medial edge; the nerve is freed on its lateral side only. Lifting the SCM muscle with the Richardson retractor will elevate the phrenic nerve without the necessity of touching it.
First Rib Resection - an overview | ScienceDirect Topics
The anterior scalene is divided sharply and anteriorly. The subclavius muscle and tendon that commonly compress the vein are also divided. The first rib is divided with a bone cutter and the cut edges smoothed appropriately. One can get an excellent view and a complete resection of the first rib through the transaxillary approach.
Anatomy, Head and Neck, Scalenus Muscle - StatPearls - NCBI Bookshelf
2023年4月10日 · The anterior scalene originates from the anterior tubercles of the transverse processes of the cervical vertebrae, from the third to the sixth vertebrae. It is inserted into the scalene muscle tubercle of the upper face of the first rib. Some fibers of the anterior scalene can touch the pleural dome.
Robotic-Assisted Left First Rib Resection | CTSNet
2024年9月27日 · Completion of the rib resection was achieved after sequential dissection of the subclavicular muscle, costoclavicular ligament, and the middle scalene, followed lastly by the anterior scalene muscle. The rib was then completely excised. ultrasound Doppler.
Technical Aspects of Robotic First Rib Resection
2023年5月25日 · First rib resection and scalenectomy (FRR) is the surgical treatment of thoracic outlet syndrome. The transthoracic robotic approach to FRR provides outstanding exposure of thoracic outlet. Transthoracic FRR allows conduct of the operation without retraction of neurovascular structures.
Management of Nerve Dysfunction after First Rib Resection
2021年1月26日 · Surgical decompression of thoracic outlet syndrome (TOS) can be accomplished with first rib resection and/or anterior and middle scalenectomy. Approaches include transaxillary and supra- or infra-clavicular.
Bilateral first rib resection and scalenectomy is effective for ...
2013年9月8日 · Relief from preoperative anterior scalene block with bupivacaine or lidocaine confirmed a diagnosis of neurogenic TOS in select cases, in which relief is defined as symptom resolution of more than 50%.