Assessment of the results of treatment of patients with cervical rib syndrome in the postoperative period

The pectoral exit syndrome is of undoubted interest for surgeons, angiosurgeons and neurologists due to the possible compression of the vascular-nervous plexus, causing certain symptoms and reducing work abilities. Objective To conduct an analysis of the results of the treatment of patients with cervical rib syndrome in the short and remote observation periods in the postoperative period. Material and methods 138 patients with abnormal cervical ribs were the clinical material and the object for the study, abnormal cervical ribs caused the extravasal compression of the vascular bunch of the upper extremities at the exit from the chest. These patients were treated and were operated on in the vascular surgery department of the Republican Scientific Center of Cardiovascular Surgery from January 1990 to May 2020. Results Good postoperative results were observed in 89.1 % of patients in the short postoperative period. Intraoperative complications were noted in 5 (3.6 %), and in the short postoperative period – in 10 (7.2 %) patients. In the remote period, relapse of preoperative symptoms of the disease was noted in 8 (5.8 %) of all 138 patients observed. Relapse (or renewal of the symptoms of Reino) was mainly observed in the period of up to 3 years. At different times of observation, 5 patients were lost from sight. In the remote period, in terms of up to 1 year of observation, a good result was 97.2 %, from 2–3 years to more than 5 years – 90.6 %. Conclusions The early identification of intraoperative and postoperative complications allows to timely eliminate these complications. In the nearest postoperative period, only the hemodynamic effect of decompression operations and selective cervical-breed sympathctomy is obvious. Neurological symptoms regressed gradually in the remote period. In this case, it is necessary to emphasize the importance of timely rehabilitation therapy, the implementation of the recommendations of a specialist, since the restoration of dystrophic changes in the nerve trunks is a long process.