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Originally Posted by chroma
I am curious why American doctors seem to favor the rib resection to start with. Seems like scalenectomy is the right place to start.
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Many call it a more 'complete' decompression. However Sanders / Annest in Denver, prefer Scalenectomy alone. According to their research, the statistical outcome is the same long term regardless of procedure.
http://www.ecentral.com/members/rsanders/
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it was observed that the failure rate for scalenectomy with rib resection or without rib resection was the same. This has led us to use scalenectomy without rib resection as our operation of choice. However, when during the operation we observe the nerves to the arm being pressed by the first rib, we will remove the rib during that operation.
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