The Buzdar Technique
Chest tube thoracostomy remains a lifesaving intervention in trauma and thoracic surgery, used for the management of pneumothorax, hemothorax, empyema, and pleural effusions. Despite being one of the most frequently performed procedures worldwide, complication rates remain high, ranging from 20% to 40% \[1\]. Among the
| Condition(s) | Chest Tube Management, Chest Tube Withdrawal, Iatrogenic Injury |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | Chest tube thoracostomy remains a lifesaving intervention in trauma and thoracic surgery, used for the management of pneumothorax, hemothorax, empyema, and pleural effusions. Despite being one of the most frequently performed procedures worldwide, complication rates remain high, ranging from 20% to 40% \[1\]. Among these, pulmonary parenchymal chest tube (PPcT) insertion represents a rare but potentially devastating event, leading to hemorrhage, air leak, bronchopleural fistula, or infection. In Pakistan, where chest trauma and pneumothorax constitute major thoracic morbidities, PPcT cases are encountered with increasing frequency but remain underreported. Current literature describes only invasive surgical approaches-such as thoracotomy or video-assisted thoracic surgery (VATS)-for PPcT r |
| Who can participate | Inclusion Criteria: * Patients ≥18 years with confirmed intraparenchymal chest tube placement on chest CT or X-ray. * Hemodynamically stable patients suitable for conservative staged removal. * Patients providing informed consent. Exclusion Criteria: * Patients requiring immediate thoracotomy due to massive bleeding or large bronchopleural fistula. * Patients with uncorrectable coagulopathy or unstable cardiopulmonary status. * Patients refusing participation or lost to follow-up. |
| Ages | 18 Years |
| Sex | All |
| Lead sponsor | University of Health Sciences Lahore |
| Locations | Lahore, Punjab Province, Pakistan |
| Start date | 2025-07-01 |
| NCT ID | NCT07338019 |
| Official listing | https://clinicaltrials.gov/study/NCT07338019 |