Effectiveness of Mini thoracostomy associated to vacuum-assisted closure compared to phase III classical Thoracostomy treatment of pleural empyema

• Grant number: 16/14422-2
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: October 01, 2016
• End date: September 30, 2018
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Alessandro Wasum Mariani
• Grantee: Ester Moraes de Avila
• Host Institution: Instituto do Coração Professor Euryclides de Jesus Zerbini (INCOR). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brazil

Abstract

Thoracostomy is considered the adequate form of treatment for pleural empyema phase III in patients who do not tolerate pulmonary decortication. However, this treatment is considered mutilating once it involves a stoma producing by ribs resection, which can take years to close, or require further closure surgery. Recent study has described a new minimally invasive technique that can improve the functional and aesthetic results and shorten the time until the empyema is solved. However, there are no studies comparing the new technique with the classical technique. This work aims to compare the Minithoracostomy associated with vacuum sealing drainage versus classical Thoracostomy regarding the effectiveness and complication rates. (AU)