Fig. 2
From: Severe hemothorax due to traumatic fracture of thoracic vertebra
A During the surgery, active arterial bleeding from the fractured fifth vertebral body was observed (arrowhead). Various methods were applied to control the bleeding, including the use of B bone wax, C oxidized cellulose (SURGICEL), D powder absorbable hemostat (SURGICEL Powder), E a biological tissue adhesive (Beriplast P), F sheet-shaped biological tissue adhesive/closure (TachoSil), G argon plasma coagulation (APC), and H gauze packing. I We discovered that the bleeding could be controlled by pressing the mediastinal pleura above the bleeding. J Scheme of Fig. 2-I ※ indicates the pleura directly above the bleeding point. K We achieved hemostasis using bipolar cautery to coagulate the pleura above the bleeding point