Authors : Seth Jotham A.; William Mahalu; Philipo Chalya; Fabian Mghanga; Washington Amango; Felician Kachinde; Geofrey Giiti

Volume/Issue : Volume 9 - 2024, Issue 4 - April

Google Scholar : https://tinyurl.com/2s3wy34y

Scribd : https://tinyurl.com/5akvetce

DOI : https://doi.org/10.38124/ijisrt/IJISRT24APR2522

Abstract : Introduction: Tube thoracostomy is the procedure used in management of traumatic and atraumatic chest conditions. Despite its relative safety, it can still lead to potentially severe complications during or post its insertion.  Objective: To determine the common indications and complications for tube thoracostomies with their associated factors.  Patients and methods: This was a prospective longitudinal study for a total duration of 6 months involving patients who underwent tube thoracostomy during the study period. Recruitment of the patients was done under Convenience sampling technique from all hospital wards and units. A standardized structured questionnaire with TT Complication Reporting Tool incorporated into it was used and all data were entered into an Excel sheet then transferred to STATA version 15.0 software for analysis.  Results: Tuberculous and malignant effusion were the commonest indication by 36.9% followed by thoracic empyema (10.81%) in atraumatic category. In trauma; 16.22% had hemo-pneumothorax followed by pneumothorax (13.5%). 15.3% underwent tube thoracostomy as a post thoracotomy requirement. The observed 33.3% complications rate was significantly associated with age and tube duration where by tube size and urgency showed significant association with the depicted individual complications.  Conclusions: The usefulness of tube thoracostomy cuts across both atraumatic and traumatic indications. Despite its usefulness, it is not without complications as factors like age and tube duration are highly associated with its occurrence. We therefore emphasize on the utilization of proper measures towards complication rates reduction whilst accommodating its desired management outcome.

Keywords : Tube Thoracostomy, Indications, Complications, Factors Associated.

References :

1. Özsoy, İ.E. and M.A. Tezcan. (2019). A Thorough View of Tube Thoracostomy, The Most Common Surgical Procedure Performed by Thoracic Surgery Clinics: Ten Years' Clinical Experience. Journal of Anatolian Medical Research.4(3): p. 76-81.
2. Lema, M.K. (2011). Pattern and outcome of chest injuries at Bugando Medical Centre in Northwestern Tanzania. Journal of cardiothoracic surgery.6(1): p. 1-7.
3. Massaga, F. and M. Mchembe.(2010).The pattern and management of chest trauma at Muhimbili National Hospital, Dar es Salaam. East and central African journal of surgery. 15(1): p. 124-129.
4. Bailey, R. (2000). Complications of tube thoracostomy in trauma. Emergency Medicine Journal, 17(2): p. 111-114.
5. Cheng, S.Y., J. Lim, and K. Voon. (2022). Esophageal perforation after lobectomy: padlock clip to the rescue. Diseases of the Esophagus,35(Supplement_2): p. doac051. 571.
6. Abdulkadir, A.N. and A.S. Yuser. (2022). Traumatic Hemothorax: Diagnostic approaches and surgical management: diagnostic approaches and surgical management. Journal of the Faculty of Medicine Baghdad,.64(2): p. 52-58.
7. Ifeanyi, U.S. (2016). The Changing Pattern of Chest Trauma in Sokoto: A 10-Year Institutional Review,
8. Talpur, A.A. (2014). Analysis of 200 cases of tube thoracostomies performed by general surgeons. J Liaquat Uni Med Health Sci,.13(1): p. 22-6.
9. Khanzada, T.W. and A. Samad. (2008). Indications and complications of tube thoracostomy performed by general surgeons. JPMA. The Journal of the Pakistan Medical Association, 58(1): p. 39-40.
10. Hussain, N. (2014). Complications and technical errors of tube thoracostomy and its underwater seal system. J Surg Pakistan,19: p. 75-8.
11. Aho, J.M. (2015). Tube thoracostomy: a structured review of case reports and a standardized format for reporting complications. World journal of surgery,.39(11): p. 2691-2706.
12. Hernandez, M.C. (2018). Complications in tube thoracostomy: systematic review and meta-analysis. The journal of trauma and acute care surgery,.85(2): p. 410.
13. Nwofor, A. and C. Ekwunife. (2006). Tube thoracostomy in the management of pleural fluid collections. Nigerian Journal of Clinical Practice, 9(1): p. 77-80.
14. Platnick C, Witt CE, Pieracci FM. (2021). Beyond the tube: Can we reduce chest tube complications in trauma patients? The American Journal of Surgery. 1;222(5):1023-8
15. Cunningham. (2014). Is routine chest radiograph necessary after chest tube removal? Journal of pediatric surgery. 1;49(10):1493-5.
16. Collop NA, Kim S, Sahn SA. (2014). Analysis of tube thoracostomy performed by pulmonologists at a teaching hospital. Chest. 1;112(3):709-13
17. Lodhia J, Suleman M, Chugulu S, Chilonga K, Msuya D. (2023 June 17). Chest tube thoracostomy: A simple life-saving procedure with potential hazardous risks. International Journal of Surgery Case Reports.:108416.
18. Chan L, Reilly KM, Henderson C, Kahn F, Salluzzo RF. (2015 Jul 1). Complication rates of tube thoracostomy. The American journal of emergency medicine.15(4):368-70.
19. Baldt MM, Bankier AA, Germann PS, Pöschl GP, Skrbensky GT, Herold CJ.( 2011). Complications after emergency tube thoracostomy: assessment with CT. Radiology.;195(2):539-43.
20. Silvia M,Alba P,Cesar A.( 2017 Feb 28). Sepsis and immunosenescence in the elderly patients.Medicine and anaesthesiology.
21. Eddy AC, Luna GK, Copass M. (1989 May 1). Empyema thoracis in patients undergoing emergent closed tube thoracostomy for thoracic trauma. The American journal of surgery.;157(5):494-7.
22. Sritharen Y. (2018 Mar). External validation of a tube thoracostomy complication classification system. World Journal of Surgery.;42:736-41.
23. Kashani P, Harati S, Shirafkan A, Amirbeigi A, Hatamabadi HR. (2017). Comparing the quality and complications of tube thoracostomy by emergency medicine and surgery residents; a cohort study.;5(1).
24. Bevis LC. (2018 July 1) Outcomes of tube thoracostomies performed by advanced practice providers vs trauma surgeons. American Journal of Critical Care.;17(4):357-63.