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Early Chest Tube Removal After Surgery for Primary Spontaneous Pneumothorax: A Randomized Controlled Trial

RecruitingNAAges 18 Years - anyAllSwedish Medical Center
NCT06411431 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Video-assisted thoracoscopic surgery (VATS) with blebectomy/wedge resection plus pleurodesis is the standard of care for recurrent primary spontaneous pneumothorax (PSP) or, in certain instances, after the first episode. The chest tube from surgery is typically kept to suction until post-operative day (POD) 2 to allow for scarring of the lung to the chest to prevent recurrence. However, the scarring process takes place over a period of weeks and is there no data to support POD#2 as the best time to remove the chest tube. Also, shorter chest tube duration can lower length of stay, patient discomfort, and hospital cost. The goal of this randomized study is to determine if early removal (POD#1) of chest tube after video-assisted thoracoscopic surgery (VATS) with blebectomy/wedge resection plus chemical pleurodesis for primary spontaneous pneumothorax (PSP): * has no worse 2-year recurrenc

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patient undergoing video assisted thoracoscopic surgery with blebectomy/wedge resection and chemical pleurodesis for primary spontaneous pneumothorax * Adult patients (\> 18 years) Exclusion Criteria: * Subjects with history of chest radiation or prior ipsilateral chest surgery * Tuberculosis or other infectious etiology * Secondary spontaneous pneumothorax (COPD, cancer, cystic fibrosis, connective tissue disease, sarcoidosis, catamenial, etc.) * Pneumothorax due to trauma * Hemothorax or hydropneumothorax * Immunocompromised subjects: neutropenic, leukopenia, or subjects taking immunosuppressive medication such as chemotherapy, transplant medications, steroid (≥5 mg of prednisone or equivalent), etc. * Interstitial lung disease * Children (\<18) * Pregnant women * Adults unable to consent for themselves * Prisoners
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What it tests

  • Early Chest Tube Removal
  • Standard Chest Tube Removal
  • Apical Chest Tube
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Where

1 site
Swedish Cancer Institute
Seattle, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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