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Video-Assisted Thoracic Surgery Discharge Instructions


About this topic


VATS stands for video-assisted thoracic surgery. It is done to look at and fix problems of the lungs. These may include cancer, infection, or removing a collection of fluids. The doctor will make 3 to 4 small cuts in your chest in between your ribs. A scope with a tiny camera is put through one of the small cuts to look at your lungs. Your doctor will put small surgical tools into the holes to do the surgery. ‚  


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What care is needed at home?


Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do. ‚  
Ask your doctor about: ‚  
  • When you should change your bandages
  • How to care for your cut sites
  • When you may take a bath or shower
  • If you need to be careful with lifting things over 10 pounds
  • Be sure to wash your hands before touching your wound or dressing.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain and swelling
  • Fight an infection

Will physical activity be limited?


You may have to limit your activity. Talk to your doctor about the right amount of activity for you. ‚  
  • Get lots of rest. It is normal to feel tired for a few days.
  • Take short walks every day. This may help keep your lungs clear.
  • Avoid doing tiring activities.
  • Talk to your doctor about when it is safe for you to drive.

What problems could happen?


  • Bleeding
  • Infection
  • Air leak around your lung

When do I need to call the doctor?


  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, very bad sore throat, cough, more sputum or change in color of sputum, or wound that will not heal.
  • Signs of wound infection. These include swelling, redness, warmth around the wound; too much pain when touched; yellowish, greenish, or bloody discharge; foul smell coming from the cut site; cut site opens up.
  • Chest pain
  • Trouble breathing
  • Blood or change in color of sputum with coughing
  • Health problem is not better or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my procedure.
  • I can tell you how to care for my cut site.
  • I can tell you what I will do if I have chest pain, trouble breathing, or I cough up blood.

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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