A supine position was used during a supraclavicular approach for a cervical rib resection or total scalenectomy ... and a 512 Endopath SD trocar (Ethicon Endo-Surgery, Cincinnati, OH) is placed ...
Surgery should be considered only after conservative measures ... Removal of taut bands or scar tissue Splitting of or removal of abnormal muscles Removal of a cervical rib or a first thoracic rib ...