Comparative Study Between Outcome of ICT Drainage and VATS in Management of Second Stage Empyema (ICT and VATS)

Sohag University

Status: Not yet enrolling

Conditions: Second Stage Empyema

Treatments: Procedure: Video assisted thoracoscope; Procedure: Intercostal tube

Study type: Interventional

Funder types: Other

Identifiers

NCT06680024

Soh-Med-24-09-10MS

Details and patient eligibility

About

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.

Enrollment: 40 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Intercostal tube

Active Comparator group

Description:

Intercostal tube as a primary intervention for treatment of second stage empyema

Treatment:

Procedure: Intercostal tube

Video assisted thoracoscope

Active Comparator group

Description:

Video assisted thoracoscopic evacuation as a primary intervention for treatment of nd stage empyema

Treatment:

Procedure: Video assisted thoracoscope