Chapter 1786 Frost Giant: I freeze myself, my internal organs,
Chapter 1793 Frost Giant: I will freeze myself, and my internal organs will not be cut by you!
The ice ring passed by, freezing the operating table, freezing the trolley containing instruments, and freezing all the way to the wall. Fortunately, the ventilator also changed its gun and added defensive magic, otherwise it would have overturned——
If the ventilator freezes...this operation is not a big problem. Under the powerful tranquilizer, the patient can still breathe on his own and will be fine;
However, the next time is a thoracotomy, which requires temporarily blocking the breathing of half of the lungs. If the ventilator freezes, the patient's vital signs will immediately show problems!
In fact, there is a problem now... The guardianship magic is beeping, beeping, beeping, as if it is urging people to die. Grete looked up and saw that his heartbeat was soaring, his blood pressure was also soaring, and his blood oxygen level was still high.
, but the body temperature is dropping rapidly:
1 degree!
8 degrees!
2 degrees!
5 degrees!
Grete frowned, but did not panic immediately. Human body hypothermia, mild hypothermia is 32-35°C, moderate hypothermia is 26-31°C, deep hypothermia is 20-25°C, and ultra-deep hypothermia is 14-19
℃.
When performing complex cardiac surgeries, as well as ascending aorta and aortic arch surgeries, deep hypothermic circulatory arrest is often required, that is, after establishing extracorporeal circulation, the body's core temperature is lowered to 18~20°C, and then the extracorporeal circulation is stopped;
After cardiac and major vascular surgery, extracorporeal circulation is resumed to restore body temperature.
For a frost giant whose body temperature has only dropped to 5 degrees, it shouldn't be a big problem. He won't die due to low temperature. However, the operation may need to be accelerated...
"This Frost Giant is struggling so hard!" Elder Knox, who was on Gretel's right hand side, frowned:
"He feels threatened... He is activating his own power... He needs to increase the intensity of the anesthesia, otherwise he will wake up!"
Gretel:???
"When the Frost Giant attacks, will the body temperature drop?"
"I don't know much about this..." Elder Knox stared closely at the monitor screen. The seeds in his hand had begun to germinate, sprout stems, grow leaves, and a bud the size of a finger was ready to bloom:
"However, we have observed this phenomenon in Warcraft... The body temperature of Ice-type Warcraft will drop when activating its abilities, while the body temperature of Fire-type Warcraft will rise rapidly..."
Alas, there are so many things to consider when performing surgery on a creature with strange abilities. For example, if a frost giant's body temperature drops rapidly, you have to consider whether its vital signs are unstable or whether it is struggling instinctively and preparing to exert force;
As a frost giant, what is the lowest body temperature he can tolerate—maybe, lower than the deep hypothermia cycle of humans?
"Then strengthen the anesthesia!" Grete shouted in a low voice. Elder Knox nodded gently, and the bud on his fingertips popped open with a pop.
Immediately, a small whirlwind swept the air around the flower and poured it into the frost giant's nose.
Gretel: "..."
He suddenly remembered the joke: the earliest anesthesia was to use a wet sponge soaked in ether to cover the patient's mouth and nose. The ether evaporated and the patient fell to the ground.
However, ether is not restricted to evaporate in one direction, so that the patient fainted, the surgeon, assistants and nurses were also a little dizzy...
Fortunately, there are small cyclones in this world that can inject anesthetic gas directly into the patient's nasal cavity. If this flower were allowed to bloom freely in the operating room, how many of the on-site healers, including him, would fall?
In short, after the flowers bloomed, the Frost Giant seemed to be much quieter, and even the monitoring magic did not continue to alarm. Gretel raised his head and glanced, thank God, the body temperature no longer dropped, of course, it did not rise so quickly...
"Continue the operation." He breathed a sigh of relief, and then used the targeted killing method of cancer cells to clean the entire liver. Then, he guided the wounds to close, the incisions to close, the blood vessels to close, and the bile ducts to close...
…
"Completed! Next target, the intestines! - Everyone, please note that colon tumors can easily cause intestinal obstruction. Although the intestines have been cleaned in advance, we still have to be careful..."
Instantly, everyone began to add bubbles to themselves. They filtered and cleaned the air, absorbed odors, and prevented themselves from smelling strange smells...
Intestinal obstruction!
Intestinal obstruction can lead to constipation, and feces that have been lodged in the intestines for many years are particularly difficult to come down...Although the Frost Giant drank a large amount of laxatives and performed enemas in advance, who can guarantee that the feces will be cleared?
When the belly was opened, the stench hit their faces, and it was all them who were being smoked!
"Defense completed?—Start!"
The second image was played, which was about intestinal tumors. The intestines were thicker than Gretel's arms, coiled in the abdomen like a giant python. Gretel did not rush to cut open, and raised his voice:
"Everyone should note that the first principle of surgical treatment of colon cancer is comprehensive exploration, from near to far. The liver, gastrointestinal tract, pelvic floor peritoneum, relevant mesentery and major blood vessels and lymph nodes, as well as the status of the organs adjacent to the tumor must be explored and recorded
…”
"Teacher! Didn't you scan it with magnetic resonance before?" Annevia quickly raised her hand. Grete nodded:
"It was indeed scanned, but scanning cannot replace visual exploration after abdominal dissection. Remember this sentence: There is a human heart separated from the belly. Your eyes, your hands, and your mental power will always be stronger than the cold ones.
Instruments to discover more.”
"Next, I say, Leon, please remember..."
"The liver has been explored, and we started from the stomach...no metastasis was found in the stomach...periintestinal lymph nodes...omentum tissue...tail..."
"The next operation begins... cut the gastrocolic ligament... expose the superior mesenteric vein... dissect and dissect the ileocolic vein... dissect and dissect the ileocolic artery..."
Leon Carlos remembers sweating profusely. Gretel sighed softly:
In fact, if it were a tumor of this magnitude in a previous life, there would be no need for surgery.
Colon tumors invade too many places. According to the colon cancer surgery method, both the upper and lower sections of the tumor must be cut off, leaving the patient with a short healthy intestine.
The shorter the intestine, the worse the function and the worse the healing. If the healing is too poor, it will be very difficult to absorb nutrients and have defecation, and it will also affect the patient's overall recovery...
But this time, with the spell, I wanted to try it in a way that would have less impact on the patient.
"Blood flow blocked! Start colon dissection!"
The scalpel gently scratched the translucent colon, which was already somewhat edematous. It was like a ripe watermelon that had encountered the blade, and it couldn't wait to burst open. The yellow, black, semi-solid, semi-liquid existence immediately rushed out.
Damn it, the ice ring exploded again! This time the result was that all the solid feces and fecal water in the dissected intestines were frozen together with the intestines...
Grete really didn't know whether to laugh or cry. He had no choice but to give Elder Knox another wink and let him continue to deepen the anesthesia. Then, he instructed Leon Carlos to record:
"When treating high-level patients, you must always pay attention to their instinctive spells... Pay attention to counteracting these spells to prevent them from going crazy and causing harm to themselves..."
While talking, be careful to break the ice. The most important thing is not to have a negative impact on the intestines. Then, continue
Emma, the cleaning technique is so useful... Gretel looked at the empty bucket that was filled with foreign matter from the corner of his eye, and breathed a sigh of relief.
In my previous life, I had to attract attention, be careful of fecal matter in the intestines contaminating the abdominal cavity, and rinse with antibiotic saline over and over again, which made me sweat profusely.
Among my colleagues at that time, there were two colleagues who had completely opposite opinions and were at loggerheads: one insisted on bowel preparation before colon cancer surgery, on the grounds that it would save less stool;
Another insists that colon cancer surgery does not require intestinal preparation. The reason is that since intestinal obstruction is caused anyway, enema can easily cause intestinal edema, and dry stool is easier to deal with than wet stool...
No matter how easy it is to deal with, it is not as easy as the cleaning spell! Once the spell is swept away, things that should not exist and are defined as garbage disappear in an instant!
Grete moved quickly and completed a period of intestinal cleaning work, exposing the cluttered and rumbling intestines. He sighed and pointed to the large and small lumps in the intestines:
"Everyone needs to see clearly that these are intestinal polyps - which can easily become cancerous. If the cancerous polyps do not invade deep into the intestinal mucosa, an endoscope can be used to extend into the intestinal tract and be removed; if the cancerous polyps invade into very deep places...
…”
With that said, the tumor has begun to be removed bit by bit. Therefore, it is necessary for older people or high-risk groups to undergo regular colonoscopy:
If a polyp is just a polyp, or a polyp that has just started to become cancerous, it can be easily removed by colonoscopy if it is discovered. If it is removed, it will be fine. If it grows very large and reaches deep into the intestinal mucosa, then the intestines may need to be cut...
"We now have targeted killing of cancer cells. After the polyps have invaded very deep places, we can carry out targeted killing and then allow the intestines to heal. In this way, we can save as much of the intestine as possible and improve the patient's prognosis.
a little better."
If you can keep a little more, keep a little more. With a click, you can cut off a section of 20 to 30 centimeters long with the tumor in the intestine. It is convenient and the doctor saves the operation time. But...
"But, can't we cut off the intestines first and then use limb regeneration to grow the lost intestines back?"
Anivea raised her hand and asked. Gretel was silent for a moment, nodded and smiled:
"This is also a method. But Annevia, the limb regeneration technique is a seven-ring magic. If you only kill cancer cells in a targeted manner and use the healing technique to heal the intestines, at the lowest level, how many levels can you reduce the magic to?"
"..." If the understanding of cells is deep enough, the second ring is not impossible...
In this case, even in a small city, the elders of the local Nature Order can stand up and perform operations for cancer patients!