Amnion membrane improves results in treating neurogenic thoracic outlet syndrome

A patient with neurogenic thoracic outlet syndrome was initially treated with scalenectomy, first rib resection, and wrapping of the brachial plexus (BP) with amnion membrane (AM) to prevent postoperative adhesions. Twelve months later, at reoperation for recurrent symptoms, the AM was observed to b...

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Main Authors: Richard J. Sanders, MD, Stephen J. Annest, MD
Format: Article
Language:English
Published: Elsevier 2018-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718300534
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spelling doaj-c47c6d82649c42689ad1e00df81164b52020-11-24T23:10:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872018-06-0142163165Amnion membrane improves results in treating neurogenic thoracic outlet syndromeRichard J. Sanders, MD0Stephen J. Annest, MD1Department of Surgery, University of Colorado Health Science Center, Aurora, Colorado; Correspondence: Richard J. Sanders, MD, Department of Surgery, University of Colorado Health Science Center, 8 Parkway Dr, Englewood, CO 80113Presbyterian/St. Lukes Hospital and St. Joseph Hospital, Denver, ColoradoA patient with neurogenic thoracic outlet syndrome was initially treated with scalenectomy, first rib resection, and wrapping of the brachial plexus (BP) with amnion membrane (AM) to prevent postoperative adhesions. Twelve months later, at reoperation for recurrent symptoms, the AM was observed to be intact. The BP had no scar tissue around it. Recurrence was due to scarring around the nerve roots superior to the portion of the plexus that had been wrapped with AM. It was concluded that the AM had successfully protected the portion of the BP that had been wrapped. Longer term studies are in progress.http://www.sciencedirect.com/science/article/pii/S2468428718300534
collection DOAJ
language English
format Article
sources DOAJ
author Richard J. Sanders, MD
Stephen J. Annest, MD
spellingShingle Richard J. Sanders, MD
Stephen J. Annest, MD
Amnion membrane improves results in treating neurogenic thoracic outlet syndrome
Journal of Vascular Surgery Cases and Innovative Techniques
author_facet Richard J. Sanders, MD
Stephen J. Annest, MD
author_sort Richard J. Sanders, MD
title Amnion membrane improves results in treating neurogenic thoracic outlet syndrome
title_short Amnion membrane improves results in treating neurogenic thoracic outlet syndrome
title_full Amnion membrane improves results in treating neurogenic thoracic outlet syndrome
title_fullStr Amnion membrane improves results in treating neurogenic thoracic outlet syndrome
title_full_unstemmed Amnion membrane improves results in treating neurogenic thoracic outlet syndrome
title_sort amnion membrane improves results in treating neurogenic thoracic outlet syndrome
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2018-06-01
description A patient with neurogenic thoracic outlet syndrome was initially treated with scalenectomy, first rib resection, and wrapping of the brachial plexus (BP) with amnion membrane (AM) to prevent postoperative adhesions. Twelve months later, at reoperation for recurrent symptoms, the AM was observed to be intact. The BP had no scar tissue around it. Recurrence was due to scarring around the nerve roots superior to the portion of the plexus that had been wrapped with AM. It was concluded that the AM had successfully protected the portion of the BP that had been wrapped. Longer term studies are in progress.
url http://www.sciencedirect.com/science/article/pii/S2468428718300534
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