VATS ( Video-Assisted Thoracoscopy) Compared to Reinsertion of a Thoracostomy Tube for Persistent Haemothorax

N/ACompletedNCT02014077

University of Cape Town62 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Haemothorax Empyema

Interventions

VATS ( Video-Assisted Thoracoscopy )PROCEDURE

the patients were randomized to a Video-Assisted thoracoscopy( VATS )for retained haemothorax

Thoracostomy Tube reinsertionPROCEDURE

the patient is randomized to reinsertion of a Thoracostomy Tube for retained haemothorax

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Clinical and radiological diagnosis of retained haemothorax * Thoracostomy tube blockage or failure to drain Exclusion Criteria: * more than one attempt at thoracostomy tube drainage * unable to consent to trial * coexisting pathology requiring other interventions

Locations (1)

Trauma Center, Groote Schuur Hospital,University of Cape Town

Cape Town, Western Cape, South Africa

Outcomes

Primary Outcomes

duration of hospitalization

number of days spent in hospital

Time frame: patients will be followed during their hospital stay, average 5-14 days

Secondary Outcomes

number of patients that develop empyema

each arm of the study will be monitored for septic complications , specifically empyema of the pleural cavity

Time frame: 2 months form initial injury

Data from ClinicalTrials.gov

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