Evaluation of Video assisted thoracoscopic surgery (VATS) efficacy in stage-2 Empyema thoracic vs other treatment modalities at tertiary health care centre.

AIIMS Rishikesh0 个研究点目标入组 0 人开始时间: 待定最近更新: 2021年11月24日

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•1.Patients adults (more than 18 years) diagnosed as Empyema thoracic in fibrinopurulent stage-II.
•2. Thoracic empyema will be defined as pleural effusion that fulfilled at least one of following criteria:
•(a) Presence of frank pus on pleural aspiration.
•(b) Presence of organism on pleural fluid culture.
•(c) Positive pleural fluid Gram stain.
•3. Tuberculous empyema will be defined as empyema with one of following:
•(a) Pleural fluid smear positive for acid fast bacilli (AFB).
•(b) Sputum positive for AFB and radiological lesions consistent with active parenchymal tuberculosis on chest x-ray/CT scan of thorax .
•(c) CBNAT Study
•4. Probable tuberculous empyema will be defined as empyema with radiological evidence of active pulmonary tuberculosis on chest x-ray/CT scan of thorax with sputum negative for AFB.

•1. Age less than 18 years.
•2. Empyema secondary to penetrating chest trauma.
•3. Empyema secondary to or following any thoracic surgical procedure.
•4. Empyema due to carcinoma or terminally ill patients.
•5. Patients not fit for surgery/intervention.
•6. Patients with co morbid diseases like cardiac disorders and immunosuppression.
•7. Unwilling/No consent for participation in study.

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