“…VATS is increasingly used as the initial management for posttraumatic RHTX because of its minimally invasive approach. Numerous studies have confirmed its safety and efficacy in the trauma setting, and all have demonstrated equivalent or superior outcomes with VATS compared with thoracotomy or nonoperative management [7, 9, 11–14, 17, 22–27] Although success with delayed VATS has been reported up to 46 days, most studies advocate early thoracoscopic intervention [13]. The precise definition of “early” varies from author to author and has been used to describe VATS that have been performed 2, 3, 5, or even 10 days after initial chest tube placement [7, 11–14, 17, 25].…”