Venous TOS: Early postoperative care

Comprehensive surgical management of subclavian vein thrombosis due to venous TOS begins with venography and thrombolysis, followed by anticoagulation and planning for surgery. Surgical treatment revolves around first rib resection and various approaches to achieve a patent subclavian vein, which has an important influence on postoperative care in recovery, rehabilitation, and follow-up. The main concerns during the immediate postoperative hospitalization include the most appropriate anticoagulation regimen, early recognition and intervention for subclavian vein thrombosis, detection and management of lymph leak, pain management, dietary recommendations, monitoring for and treatment of complications, and early implementation of physical therapy. Development and use of a consistent protocol for surgical treatment and early postoperative care is of great value to the surgeon and clinical team responsible for patients with venous TOS.