Second Stage Empyema
Conditions
Brief summary
The goal of this clinical trial is to compare between outcome of inter-costal tube drainage and video assisted thoracoscopic surgery in management of patients with second stage empyema. It compares the outcome of both interventions in hospital stay, cost, wether need of decortication later on or not.
Interventions
PROCEDUREIntercostal tube
Intercostal tube drainage as a first management of second stage empyema
PROCEDUREVideo assisted thoracoscope
Video assisted thoracoscopic surgery as a first management for second stage empyema
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients both adults and children diagnosed as Empyema thoracis in early stages based on clinical examination, imaging modalities and pleural fluid analysis
Exclusion criteria
* Empyema due to carcinoma, terminally ill patients, patients with severe respiratory distress at admission, patients not fit for surgery, patients with co morbid diseases like cardiac disorders and immunosuppression.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the length of hospital stay | From enrollment to 4 weeks | Comparison between both intercostal tube drainage and video assisted thoracoscopic surgery in management of patients with second stage empyema, we will compare the length of hospital stay of each group of patients |
| cost of treatment of the patients' in each group | 4 weeks | Comparison between both intercostal tube drainage and video assisted thoracoscopic surgery in management of patients with second stage empyema, we will compare cost of treatment of the patients' in each group |
| number of participants with needs of decortication later on or not, assessed by the chest X-ray and CT chest. | 4 weeks | Comparison between both intercostal tube drainage and video assisted thoracoscopic surgery in management of patients with second stage empyema, we will compare with the chest X-ray and CT chest if there is residual empyema and whether the patients will need decortication later on or not |
Contacts
Primary ContactMostafa Sayed Khalaf
Outcome results
None listed