NTOS: Postoperative care

Abstract

Postoperative management for neurogenic thoracic outlet syndrome (TOS) begins with preoperative preparation of the patient. Obtaining informed consent includes reviewing with the patient the risks and complications of surgery, how soon symptoms will subside, and expectations for return to work and recreation. Postoperatively, a chest x-ray in the recovery room is obtained to detect pneumothorax, to look for apical fluid collection, and to view position of the hemidiaphragm. Medication for nausea, sleep, and pain should include anticipation of constipation from narcotics. Other postoperative considerations include deep vein thrombosis prophylaxis, diet, ambulation, and instructions for postoperative activity and physical therapy.