Urine Bag Usage Versus Chest Drain Clamping After Lung Resection Surgeries

Study Overview
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Brief Summary
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Investigators will compare two different approaches of postoperative drainage after the standard water-seal drain has been used efficiently; one is by using urine bag and check it get blown by the leaked air, two is by using clamping of the water seal drain. Investigators will compare them depending on several factors such as; cost effectiveness, hospital stay, duration of putting the drain and more, reinsertion of the chest tube and others.

Official Title
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Urine Bag Usage Versus Chest Drain Clamping After Lung Resection Surgeries

Conditions
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Pneumothorax and Air Leak, Pneumothorax, Pleura Injury, Pleural Effusion

Intervention / Treatment
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* Other: Clamping
* Other: Urine bag


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: post lung resection patients (via Uniportal VATS only) Over the age of 18 indicated chest tube Exclusion Criteria: Under the age of 18

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Clamping<br>This arm will undergo chest drain clamping after a certain criteria has been met. Four hours post clamping a chest x-ray will be made, and the presence of pneumothorax will be assessed. The chest drain will be removed only in the absence of pneumothorax, if pneumothorax persists patients will stay attached to the underwater seal | Other: Clamping<br>* Clamping of chest tube<br>|
| Active Comparator: Urine bag<br>The second arm will be attached to a urine bag, and bag inflation will be measured after a certain criteria has been met. bag inflation will be assessed four hours after its attachment. Bag inflation indicates the persistence of an air leak, thus the absence of bag inflation indicates the removal of the chest drain | Other: Urine bag<br>* Attachment of a urine bag to chest tube<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall cost | The overall cost of the patient's hospital stay | 5 to 6 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with re-accumulation of air after chest tube clamping or attachment to the urine bag | An important side effect to be studied | up to 5 days | 
| total number of days with chest drain inserted | Number of days chest drain remained inserted | up to 5 days | 
| Number of chest x-rays | Total number of chest x-rays | up to 5 days | 
| Number of participants that faced other intervention associated side effects | Subcutaneous emphysema, tension pneumothorax and others | up to 5 days | 
| Number of participants with chest tube re-insertion | An important side effect | up to 5 days |