Thoracoscopic Exploration in Comparison to Exploratory Thoracotomy in Chest Trauma

NCT ID: NCT05991570

Last Updated: 2023-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-30

Study Completion Date

2026-01-15

Brief Summary

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Video-assisted thoracic surgery has a standard role in diagnosis and therapy in thoracic surgery, In the past, most patients necessitating surgical treatment secondary to chest trauma was exposed to open thoracotomy, which was the most morbid of surgical incisions

Detailed Description

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Video-assisted thoracoscopic surgery has become a popular and acceptable method for diagnosis of intra-thoracic lesions since 1990s with the developments in surgical techniques. It is also used for treatment of retained pleural collections, it is a simple alternative to open thoracotomy. Although it's multiple advantages, timing of surgery and its effects on patients' results are not well elucidated. Multiple studies report that prognosis of patients is better with the earlier interventions in injured chest. However, there is so many differences for the optimal time for surgery in these studies .

Indications of VATS have been extended for management of diagnosis and treatment of chest trauma since 1990. This approach has multiple advantages as chest tube setting, minimally invasive surgery, less postoperative pain, and chest exploration. Today, VATS is used for empyema, persistent pneumothorax, retained haemothorax, mediastinal and diaphragmatic exploration, pleuro-pericardial ruptures, surgery for thoracic duct injury and aspiration of symptomatic foreign bodies.

Conditions

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Thoracic Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

cohort study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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case

Use of vedio assisted thoracoscopic surgery in exploration in diagnosis and treatment of chest trauma patients whos heamodynamically stable

Group Type OTHER

Video Assisted Thoracoscopic Surgery (VATS)

Intervention Type PROCEDURE

VATS is minimally invasive procedure for exploration to diagnose and treat thoracic injuries alternative to exploratory thoracotomy.

control

exploratory thoracotomy inchest trauma patients in failure of vedio assisted thoracoscopic surgery or in haemodynamically instable patients

Group Type OTHER

Video Assisted Thoracoscopic Surgery (VATS)

Intervention Type PROCEDURE

VATS is minimally invasive procedure for exploration to diagnose and treat thoracic injuries alternative to exploratory thoracotomy.

Interventions

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Video Assisted Thoracoscopic Surgery (VATS)

VATS is minimally invasive procedure for exploration to diagnose and treat thoracic injuries alternative to exploratory thoracotomy.

Intervention Type PROCEDURE

Other Intervention Names

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Thoracoscopic Exploration

Eligibility Criteria

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Inclusion Criteria

1. patient aged more than 13 yards old
2. Hemo-dynamically stable patients with chest trauma
3. Willing and able to provide written informed consent and comply with study requirements.

Exclusion Criteria

1. patient aged less than 13 yards old.
2. Hemo-dynamically instable patients
3. Head trauma patients.
4. missing informed consent
5. Participation in another clinical research.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mohammed Hussein Rushdi

Assistant Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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AssiutCTS

Identifier Type: -

Identifier Source: org_study_id

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