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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thoracostomy Tube | Active Comparator | patients selected for thoracostomy tube reinsertion after failure of drainage with first thoracostomy tube for traumatic haemothorax |
|
| VATS | Active Comparator | patients selected for VATS after failure of first thoracostomy tube drainage of traumatic haemothorax will undergo a Video-Assisted Thoracoscopic clearance of the persistent/retained haemothorax |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VATS ( Video-Assisted Thoracoscopy ) | Procedure | the patients were randomized to a Video-Assisted thoracoscopy( VATS )for retained haemothorax |
|
| Measure | Description | Time Frame |
|---|---|---|
| duration of hospitalization | number of days spent in hospital | patients will be followed during their hospital stay, average 5-14 days |
| Measure | Description | Time Frame |
|---|---|---|
| number of patients that develop empyema | each arm of the study will be monitored for septic complications , specifically empyema of the pleural cavity | 2 months form initial injury |
| Measure | Description | Time Frame |
|---|---|---|
| number of patients requiring thoracotomy | the patients that develop empyema will require a thoracotomy for clearance of the pleural cavity | 2 months from initial injury |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sorin Edu, MD,FCS | University of Cape Town | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Trauma Center, Groote Schuur Hospital,University of Cape Town | Cape Town | Western Cape | 7925 | South Africa |
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| ID | Term |
|---|---|
| D006491 | Hemothorax |
| D004653 | Empyema |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D020775 | Thoracic Surgery, Video-Assisted |
| ID | Term |
|---|---|
| D013906 | Thoracoscopy |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D019937 | Diagnostic Techniques and Procedures |
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| Thoracostomy Tube reinsertion | Procedure | the patient is randomized to reinsertion of a Thoracostomy Tube for retained haemothorax |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D013492 | Suppuration |
| D007239 | Infections |
| D007249 | Inflammation |
| D003933 | Diagnosis |
| D020535 | Video-Assisted Surgery |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019616 | Thoracic Surgical Procedures |