Thoracic Empyema
Conditions
Keywords
pediatric empyema, VATS decortication
Brief summary
Thoracic surgeons have developed a thoracoscopic procedure which is less intrusive method allows complete evacuation and washing of the debris from the pleural cavity. This approach may also have the benefit of less invasive maneuver, a shorter hospital stay and a decreased rate of postoperative complications. The aim of this study is to evaluate the advantages and disadvantages of the video-assisted thoracoscopic surgery (VATS) approach in comparison with thoracotomy in management of empyema in pediatric patients.
Detailed description
comparison between VATS decortication and open thoracotomy in cases of pediatric empyema
Interventions
PROCEDUREvideo assisted thoracoscopy (VATS)
the investigators compare the outcomes of intervention by VATS and doing complete decortication or open surgery thoracotomy
PROCEDUREopen thoracotomy
the investigators assess the outcomes of intervention by doing complete decortication through open surgery thoracotomy
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* pediatric patients 1 yrs. : ≤ 18 yrs. * Patients with empyema due to pneumonia. * Patients with empyema had lasted for fewer than 3 weeks.
Exclusion criteria
* Patients \< 1 yrs. old. * Patients with whom pleural empyema had lasted for more than 3 weeks. * Patients with empyema had been caused by trauma. * Patients whose parents refuse to be included in the study. * Patients with empyema due to ruptured lung abscess. * Patients with empyema due to chest wall abscess. * Patients with empyema due to rib osteomyelitis. * Patients with bronchopleural fistula. * Patients with post-surgical empyema.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Early mobilization. | during 1week post operative | how many days |
| hospital stay | 1week post operative | by days post operative |
| air leak duration | during 1week post operative | by days and takes how many days to stop air leakage |
| pain score | during 1week post operative. | through pain score scale 0 No Pain 1-3 Mild Pain (nagging, annoying) 4-6 Moderate Pain 7-10 Severe Pain (disabling) |
| wound size | after 1week post operative | by centimeters |
| wound infection | during 1week post operative | which degree of infection or if there is a burst wound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| avoidance of scoliosis | after 1month post operative | which degree |
| shoulder muscle girdle weakness and deformity. | after 1month post operative | yes or no |
| chronic pain | after 1month post operative | presented or not |
Countries
Egypt
Contacts
Primary Contactali zein eladein, Ass.Lect.
Backup Contacthussein Elkhayat, Assoc. Prof.
Outcome results
None listed