Scalenotomy Treatment in Turkey
About Scalenotomy
Key Highlights
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Targeted relief from Thoracic Outlet Syndrome (TOS) symptoms like arm pain and numbness.Decompresses nerves (brachial plexus) and blood vessels (subclavian artery/vein).Can be performed as a standalone procedure or combined with other decompressive surgeries (e.g., first rib resection).Minimally invasive approaches (e.g., transaxillary, supraclavicular) may reduce scarring and recovery time.Aims to restore normal upper limb function and improve quality of life when conservative treatments fail.
Who is this surgery for?
- Confirmed Neurogenic Thoracic Outlet Syndrome (NTOS) with compression by the scalene muscles.
- Vascular Thoracic Outlet Syndrome (venous or arterial) where muscle compression is a contributing factor.
- Persistent pain, paresthesia (tingling/numbness), or weakness in the shoulder, arm, or hand unresponsive to physical therapy.
- Positive clinical findings (e.g., positive Adson's test, Roos test) and corroborative imaging (MRI, ultrasound) or electrodiagnostic studies.
- Atrophy of hand muscles (e.g., in Gilliatt-Summer hand) in severe, long-standing cases of nerve compression.
How to prepare
- Comprehensive diagnostic workup including physical exam, nerve conduction studies, and imaging (MRI, CT angiography, or ultrasound).
- Complete medical history review and physical examination to assess surgical risk.
- Pre-operative blood tests, ECG, and chest X-ray as required.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the surgeon, typically 5-7 days prior.
- Fasting for 6-8 hours before the surgery (nil by mouth).
- Discussion of anesthesia options (general anesthesia is standard) and signing of informed consent.
Risks & possible complications
- General surgical risks: Reaction to anesthesia, bleeding, infection, or hematoma at the incision site.
- Nerve injury: Potential damage to the brachial plexus, phrenic nerve (causing diaphragm paralysis), or long thoracic nerve (causing winging of the scapula).
- Vascular injury: Rare risk of damage to the subclavian artery or vein, which could lead to significant bleeding or thrombosis.
- Pneumothorax (collapsed lung) if the pleural cavity is inadvertently entered.
- Persistent or recurrent symptoms if decompression is incomplete.
- Scarring and potential for chronic pain at the surgical site.
- Lymphatic injury (e.g., chyle leak) in left-sided procedures near the thoracic duct.
Recovery & hospital stay
- Hospital stay is typically short, often 1-2 days for observation and initial pain management.
- Arm may be placed in a sling for comfort initially, but early gentle movement is encouraged to prevent stiffness.
- Pain medication and antibiotics may be prescribed to manage discomfort and prevent infection.
- Incision care: Keep the surgical site clean and dry; follow instructions for dressing changes and showering.
- Gradual return to activities: Avoid heavy lifting, pushing, or pulling for several weeks as directed.
- Formal physical therapy is usually started within 1-2 weeks post-surgery to restore strength, flexibility, and function.
- Follow-up appointments are crucial to monitor healing and assess the resolution of symptoms.
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Typical hospital stay:
1-2 days
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Expected recovery time:
2-4 weeks for initial recovery; 3-6 months for full functional recovery
Frequently Asked Questions
If you are considering scalenotomy in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for scalenotomy in Turkey include Liv Hospital Bahçeşehir, Istinye Üniversitesi Hastanesi Liv, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform scalenotomy. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for scalenotomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 870 – USD 2,719 | 1-2 days | ~ 2-4 weeks for initial recovery; 3-6 months for full functional recovery | Know More |
| Turkey | USD 6,442 – USD 20,131 | 1-2 days | ~ 2-4 weeks for initial recovery; 3-6 months for full functional recovery | Know More |
Top hospitals for Scalenotomy in Turkey
These partner hospitals in Turkey have dedicated general surgery teams and experience managing patients undergoing scalenotomy.
Istanbul, Turkey
140 Doctors
I was a total wreck before...
I was a total wreck before my appointment. First time seeing a doctor on my own and I was convinced it was something serious. Dr. Ram just listened, didn't rush me, and explained everything in a way that actually calmed me down. The hospital is huge and a bit overwhelming, but he made it feel okay. Left feeling like I could breathe again.
General surgeons for Scalenotomy
Explore experienced general surgeons who regularly perform scalenotomy and provide pre- and post-operative care in Turkey.
- 31 Years Experience
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Liv Hospital Ankara
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Liv Hospital Ankara
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- 25 Years Experience
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Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 25 Years Experience
- General surgeon
Liv Hospital Ankara
- 24 Years Experience
- General surgeon
Liv Hospital Ankara
- 24 Years Experience
- General surgeon
Liv Hospital Ankara
- 24 Years Experience
- General surgeon
Liv Hospital Ankara
- 24 Years Experience
- General surgeon
Liv Hospital Ankara
- 31 Years Experience
- General surgeon
Liv Hospital Ankara