Thoracic surgeons have developed a thoracoscopic procedure which is less intrusive method allows complete evacuation and washing of the debris from the pleural cavity. This approach may also have the benefit of less invasive maneuver, a shorter hospital stay and a decreased rate of postoperative complications. The aim of this study is to evaluate the advantages and disadvantages of the video-assisted thoracoscopic surgery (VATS) approach in comparison with thoracotomy in management of empyema in pediatric patients.
comparison between VATS decortication and open thoracotomy in cases of pediatric empyema
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
73
the investigators compare the outcomes of intervention by VATS and doing complete decortication or open surgery thoracotomy
the investigators assess the outcomes of intervention by doing complete decortication through open surgery thoracotomy
Assiut University Hospital
Asyut, Egypt
RECRUITINGwound size
by centimeters
Time frame: after 1week post operative
wound infection
which degree of infection or if there is a burst wound
Time frame: during 1week post operative
hospital stay
by days post operative
Time frame: 1week post operative
air leak duration
by days and takes how many days to stop air leakage
Time frame: during 1week post operative
pain score
through pain score scale 0 No Pain 1-3 Mild Pain (nagging, annoying) 4-6 Moderate Pain 7-10 Severe Pain (disabling)
Time frame: during 1week post operative.
Early mobilization.
how many days
Time frame: during 1week post operative
chronic pain
presented or not
Time frame: after 1month post operative
avoidance of scoliosis
which degree
Time frame: after 1month post operative
shoulder muscle girdle weakness and deformity.
yes or no
Time frame: after 1month post operative
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