VATS Evacuation Compared to Reinsertion of Thoracostomy Tube in Persistent Traumatic Haemothorax
NCT03501524 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2
Last updated 2025-01-20
Summary
This is prospective, randomized study comparing VATS (video- Assisted Thoracoscopy) to reinsertion of a thoracostomy tube in patients with persistent traumatic haemothorax. The incidence varies and can be as high as 20%, but in most studies is found to be 1-4% after initial tube thoracostomy for chest trauma. The most accepted complication of retained hemothorax is empyema.Retained hemothorax treatment started by physiotherapy and early withdrawal of tube thoracostomy which lead to more complications as empyema, fibro thorax/entrapped lung, flail chest and diaphragmatic hernia. Early VATS is an alternative treatment for retained hemothorax with evidence that it is a superior intervention when compared to a second tube thoracostomy.
Conditions
- Hemothorax; Traumatic
Interventions
- DEVICE
-
VATS evacuation
the patient will be randomized to a Video-Assisted thoracoscopy for retained haemothorax
- DEVICE
-
thoracostomy tube
the patient is randomized to reinsertion of a Thoracostomy Tube for retained haemothorax
Sponsors & Collaborators
-
Assiut University
lead OTHER
Principal Investigators
-
Mohammed Khalil salama Ayyad, PHD · Assiut University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-07-01
- Primary Completion
- 2018-07-30
- Completion
- 2018-07-30
Countries
- Egypt
Study Locations
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