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Comparing Outcome of Thoracocentesis and Pigtail Catheter Drainage in Treatment of Patients With Hepatic Hydrothorax

Not Applicable
Recruiting
Conditions
Hepatic Hydrothorax
Interventions
Procedure: Thoracocentasis
Registration Number
NCT06319547
Lead Sponsor
Sohag University
Brief Summary

Hepatic hydrothorax (HH) is a pleural effusion that develops in a patient with cirrhosis and portal hypertension in the absence of cardiopulmonary disease (Lv et al., 2018). Several factors are known to contribute to the development of effusion; the most accepted mechanism of which is the direct delivery of ascitic fluid from the peritoneal cavity to the pleural cavity by "positive" intra-abdominal pressure and a "negative" intrathoracic pressure of the pleural cavity through microscopic congenital diaphragmatic defects (Han et al., 2022).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Patients who met the following inclusion criteria were enrolled:
  • Liver cirrhosis (with or without hepatocellular carcinoma).
  • Hepatic hydrothorax (bilateral or unilateral).
Exclusion Criteria
  • patients with a pleural effusion due to a condition other than HH.
  • who had a diagnosis of tuberculosis pleurisy, parapneumonic effusion, inflammatory pleuritis, other neoplasms, and congestive heart failure.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
hepatic hydrothoraxThoracocentasispatient with hepatic hydrothorax that develop pleural effusion either unilateral or bilateral
Primary Outcome Measures
NameTimeMethod
percentage of empyema in patients with hepatic hydrothorax after thoracocentesis12 months

Patients with hepatic hydrothorax that undergo repeated thoracocentesis will be monitored for presence of any side effects as empyema

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sohag University hospitals

🇪🇬

Sohag, Egypt

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