OUTCOMES OF VIDEO ASSISTED THORACOSCOPIC DECORTICATION VERSUS CONVENTIONAL OPEN DECORTICATION IN PATIENTS WITH STAGE II OR STAGE III EMPYEMA

Objective: To compare outcomes of video assisted Thoracoscopic Decortication (VATD) with conventional open decortication (COD) in patients with stage–II or stage–III empyema thoracic. Study Design: Prospective comparative study. Place and Duration of Study: Department of Thoracic Surgery, Combined M...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2021-08, Vol.71 (4), p.1261-64
Main Authors: Baloch, Ibrahim, Umair, Bilal, Asghar, Asif, Khan, Muhammad Imtiaz, Hanif, Muhammad Shoaib, Bilal, Azfar
Format: Article
Language:English
Subjects:
Age
Bacterial pneumonia
Blood
Care and treatment
conventional open decortications (cod)
Disease
Empyema
empyema thoracic
Gender
Hospitals
Informed consent
Length of stay
Meta-analysis
Morbidity
Ostomy
Pain
Patient outcomes
Pneumonia
Sample size
Statistical significance
Success
Thoracic surgery
Variables
video-assisted thoracoscopic decortication (vatd)
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Summary:Objective: To compare outcomes of video assisted Thoracoscopic Decortication (VATD) with conventional open decortication (COD) in patients with stage–II or stage–III empyema thoracic. Study Design: Prospective comparative study. Place and Duration of Study: Department of Thoracic Surgery, Combined Military Hospital, Rawalpindi, Pakistan, from Jun 2018 to May 2019. Methodology: A total 60 patients underwent in this study. Patients of both gender who reported for decortication of empyema thoracic were evaluated. All patients diagnosed to have Stage II or III empyema with age 25-50 years were studied for outcomes. All patients were evaluated for operative time, blood loss, post-operative pain, pneumonitis, duration of airleak and post-operative drainage, duration of chest drains and length of hospital stay. Results: Mean operative time in group-1 was 133.63 ± 8.55 min and in group-2 was 147.83 ± 10.36 min (p-value 0.037). Mean blood loss in group-1 was 296.66 ± 46.11 while in group-2 was 207.30 ± 53.81. Post-operative pain score on VAS for pain was 5.8 ± 1.7 for group-1 and 4.06 ± 1.4 for group-2 (p-value 0.032). Chest tubes were retained for an average of 5.58 ± 0.8 days in group-1 while 3.86 ± 0.8 days in group-2 (p-value
ISSN:0030-9648
2411-8842
DOI:10.51253/pafmj.v71i4.5436