Mark McCollum

I would just underscore what Nick said, and, and this is a procedure that's useful in a, in a low risk to conversion thoracoscopic case, and, and, uh, VTS is the perfect case for it. Any other, uh, low risk pleural based, uh, lesion case, if you were looking for a biopsy or something superficial, superficial. Uh, wedge resection, I think it would be applicable as well. But again, uh, if there's a high risk of conversion or a difficulty with exposure, I would probably go with the traditional decubitus positioning.

the thing you don't want to do here is you don't wanna grab normal lung and bring normal lung out of the trochar site. Yeah. Bad idea

and that's why the mechanical pleurodesis works effectively. I just need the apex of that lung to stick up.

Supine VATS is useful in low-risk-to-conversion thoracoscopic cases; any low-risk pleural-based lesion case for biopsy or superficial wedge resection would be applicable, but if there's high risk of conversion or difficulty with exposure, traditional decubitus positioning is preferred.

A patient with grade 5 splenic injury and active extravasation on CT had no active bleeding 45 minutes later in the angio suite, illustrating children's ability to spontaneously stop bleeding.

Pleurectomy and talc are very painful postoperatively, and if you've ever had to re-operate in a chest that's had talc in it, you'll never do it again because the whole lung becomes frozen.