Empyema, Haemothorax
Conditions
Keywords
VATS( Video-Assisted Thoracoscopy ), Thoracostomy Tube, Empyema, Thoracotomy
Brief summary
This is a prospective, randomized study comparing VATS( Video-Assisted Thoracoscopy ) to reinsertion of a Thoracostomy Tube in patients with retained haemothorax. The hypothesis is that early VATS as opposed to reinsertion of a thoracostomy tube , will lead to less complications and shorter hospital stay.
Interventions
PROCEDUREVATS ( Video-Assisted Thoracoscopy )
the patients were randomized to a Video-Assisted thoracoscopy( VATS )for retained haemothorax
PROCEDUREThoracostomy Tube reinsertion
the patient is randomized to reinsertion of a Thoracostomy Tube for retained haemothorax
Sponsors
University of Cape Town
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Clinical and radiological diagnosis of retained haemothorax * Thoracostomy tube blockage or failure to drain
Exclusion criteria
* more than one attempt at thoracostomy tube drainage * unable to consent to trial * coexisting pathology requiring other interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| duration of hospitalization | patients will be followed during their hospital stay, average 5-14 days | number of days spent in hospital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of patients that develop empyema | 2 months form initial injury | each arm of the study will be monitored for septic complications , specifically empyema of the pleural cavity |
Other
| Measure | Time frame | Description |
|---|---|---|
| number of patients requiring thoracotomy | 2 months from initial injury | the patients that develop empyema will require a thoracotomy for clearance of the pleural cavity |
Countries
South Africa
Outcome results
None listed