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Internet video of the week :VATS Diaphragm Plication
This is a video of VATS diaphragmatic Plication using CO2, and 3 10mm ports. It also features the endostitch to create the plication sutures and these sutures are pledgeted during the procedure.
Finally we also use the SILS clinch device that can grasp tissue at any angle and together this all make the procedure very straightforward indeed.
The patient had an NG tube during surgery and was discharged on day 4