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The First Rib Resection is a decompression surgery for Thoracic Outlet Syndrome. The surgery is to help relieve pain felt in the arm or hand, or to reduce the risk of having a further upper arm venous clot.
Pressure on the blood vessels or nerves that supply blood to your arm and hand can cause blood flow issues or nerve damage. To relieve the pain, your surgeon will remove the first rib, certain muscles or surrounding tendons and fibrous bands that were pressing on the vessels and nerves.
You will have an appointment at the
Pre-Admission Clinic within 2 weeks before your operation. This visit is very important to assess your health and help you prepare for your surgery and recovery. Plan for your visit to take 2 to 5 hours. On the day of your pre-admission visit, take your medications and eat as usual, unless you were given other instructions.
Pre-Admission Clinic at
Toronto General HospitalEaton Building – Ground Floor, Room 400
What should I bring to my pre-admission appointment?
What happens during my pre-admission visit?
Depending on your needs, you may also meet:
The day before your surgery
Stop smoking before your surgery: learn how smoking and tobacco can affect your recovery after surgery, and how
quitting can improve your health.
What Should I do the day of my surgery
Arrive 2 hours before your scheduled operation time.
Surgical Admission Unit (SAU) at
Toronto General HospitalPeter Munk Building – 2nd FloorAll hospital entrances are open by 6:00 am. However, Elizabeth St. and University Ave. are easiest to access.
You will stay in the
Post Anesthesia Care Unit (PACU) for a few hours. After you have recovered, you will be moved to the
Vascular Surgical Inpatient Unit.
What can I expect to have on my body?
You will be attached to some or all of these machines and tubes:
Where and when
2 weeks after your operation, you will have an appointment at the
Vascular Clinic. You will have another appointment about 3 months after the operation.
Who do I call with general post-operative questions?
Call your surgeon's office:
Dr. George OreopoulosPhone: 416 340 3275
Dr. Graham Roche-NaglePhone: 416 340 5332
Who do I call if I experience complications
Go to the hospital nearest emergency room if you have: