Which is the most dangerous moment in the treatment of penetrating injuries?
Gretel has simulated and deduced countless times in his past life and this life. The result of the derivation is: the moment when the penetrating object is pulled out.
The skin, muscles, and even internal organs of the human body are all under tension. When a penetrating object is inserted into the body, it will be firmly held by the tense body, and the action of "pulling out" itself will also cause damage to human tissues along the way;
If you are unlucky, for example, if the penetrating object is a wooden stick with a nail - that nail may even cause additional damage, such as scratching an additional large blood vessel.
Not to mention, when this stick, steel bar, or even a sharp knife is inserted into the body, it will temporarily block the blood vessels and damage it; once it is pulled out, blood will immediately surge!
How to deal with it?
Before pulling out, cut the skin first, find the damaged blood vessel, and clamp the front end. However, this kind of incision and search is itself a kind of damage, which will add more blow to the injured. Gretel once saw it in his previous life
In the video of the operation, some doctors tried to use a laparoscope to penetrate the wound, find and seal the damaged blood vessels. However, the diameter of the laparoscope itself is also a problem...
Countless doctors have worked hard on this. But Grete is now fortunate enough to make another attempt, a completely different attempt.
The vines are urged to grow, along the wound at the penetration, and squeeze into the skin gap little by little. The diameter of the vine is not much thicker than a hair, which can minimize the damage, and the flexibility of the plant when it grows allows it to move along the penetration.
It grows all the way to the exit of another section.
Then——expand a little outward, pushing away the surrounding human tissue!
The force of expansion replaces the penetrating object itself, sealing the surrounding blood vessels and wounds of organs. After the penetrating object is no longer pressed by the body, the friction is reduced and it can be pulled out more smoothly!
"Brother Matthew, pull out!"
Grete gave the order. Pastor Matthew held the end of the iron rod with one hand in front of him and the other hand behind him, and pulled it out with all his strength - the iron rod threw out a stream of blood, which was shining brightly under the illumination spell, and almost hit Grete's face.
; And Pastor Matthew stumbled and almost fell!
"Why is it so easy to pull out?"
He whispered softly. Beside him, the young priest of the Spring Water Temple, the two low-level priests who helped carry the stretcher, and the two apprentices brought in by Gretel all spoke in unison and began to cheer:
"Pull it out!"
"Pull it out!"
Once the iron rod is pulled out and the injured does not bleed heavily, the treatment is half the battle! The subsequent treatment is no longer so dangerous!
The cheers spread straight to the operating room. Across the door, the families of the injured who were waiting nervously and the sailors on the same ship also began to whisper to each other and ask each other:
"Pull it out?"
"Did you really pull it out?"
"Is our first mate still alive?"
"Let me see my son...let me in -"
The door of the operating room was pushed open with a loud bang. Gretel closed his eyes, sighed, turned around and shouted:
"Everyone, get out! Don't push the door! If anyone comes in through the door, I will treat you!!!"
Emma, it was a mistake not to bring Bernard with me today... and the operating room is too shallow!
In the operating room of his previous life, the entire floor was the surgical floor. After entering, there was a long corridor, a nurse's station, an item warehouse, a medicine warehouse, a rest room, a dressing room, one hand, two hands, three hands, and four hands... all the way to the first floor.
11. The 12th operating room. The countless rooms are like a maze. Not to mention family members rushing into the operating room, even the young doctor who comes in for the first time can get lost!
In the future, I will definitely build a surgery building! Well, when I reach level 13 and have a mage mansion, I will have a portable luxury hospital...
You have to have dreams, and you have to live in reality. Gretel roared outside the door, turned his head, looked at the two apprentices he led, and issued an order like a flowing stream:
"Lay the patient flat! Supine!"
"Disinfect the area around the abdominal wound again!"
"Hang up the shadowless lamp!"
The two apprentices were urged to stop their feet from touching the ground. Gretel held a handful of vines in one hand, maintaining its growth, closing his eyes slightly, and let out a long breath.
——The operation has finally entered a rhythm he is familiar with. The patient is lying on his side, which is very uncomfortable for the surgeon. He has to squat half down, and if the arm is slightly lowered, it is easy to leave the sterile area, and the light is easily blocked.
Although he had undergone such surgery more than once, the physical exertion each time was more than 1.5 times that of the normal posture.
But now, the patient is lying on his back, with a bright shadowless lamp hanging above his head, and a circle of assistants standing around him... Everything is similar to the operating room in his previous life. The only thing that doesn't look like it is the vine he is holding in his hand.
"Brother Matthew, can you take over these vines and keep them as they are?"
Gretel raised his head and asked. Pastor Matthew walked quickly, tentatively put the green in his hand, and closed his eyes for a moment:
"Can."
Gretel breathed a sigh of relief. The two of them met their eyes, silently chanting one, two, three, and nodded at the same time. Gretel let go, Pastor Matthew passed through the power, and a green light flashed slightly on the vines and remained steady.
"Your name is Andre?"
Grete leaned over and asked. The patient nodded slightly. Grete lowered his voice as much as possible and said warmly:
"The iron rod inserted into your body has been pulled out. Next, we have to see if there is any damage inside your body and repair it. Don't be nervous. I will try my best not to make you feel pain. You can sleep peacefully for a while..."
Sleep spell, activate!
The patient's eyelids slowly drooped. Grete raced against time to take out the sterile drapes from the space bag, and spread them around the patient in a circle, leaving only the abdomen exposed.
Alas, it’s really troublesome to not have an anesthetist. In his previous life, the patient would have been anesthetized long ago, and someone would be watching his vital signs, so he wouldn’t have to worry about it at all...
Gretel secretly sighed, but his hands were not slow at all. He cut the skin, separated the fascia, and opened the abdominal cavity - seven or eight mage hands were constantly fluttering around him, retracting hooks, blunt separation, blunt separation, helping
The one who clamped the blood vessels helped to clamp the blood vessels. It was in an orderly manner and there was no trace of disorder.
Under the snow-white shadowless light, the scene was half serious and half magical. Pastor Matthew stood opposite Gretel, holding a vine in one hand and raising the other in the air, ready to throw healing spells at Gretel's request.
The young priest of the Spring Temple was pushed to the head of the injured person, his face turned pale, and he covered his lips with one hand. It looked like he could spit it out anytime and anywhere...
"There is blood in the abdominal cavity. Can it be drained out?"
Gretel suddenly looked up at him. The young priest followed his instructions and looked towards his abdomen. His cheeks turned white again, and he bulged under his palms. That pitiful look made Gretel really want to say to him: If it doesn't work, just do it.
Dodge, don't spit it out and contaminate the area...
However, the young priest did not turn his head. On the contrary, after struggling a few times, he nodded firmly to Grete. His left hand still covered his mouth and he did not dare to let go, but his right hand was raised into the air, and he changed several gestures in succession. As he
With the movement of his fingertips, a line of blood rose into the air and fell into the copper basin held by the apprentice next to him.
This priest is very good! Grete smiled under the mask and gave him a thumbs up. He lowered his head and continued the operation:
There is no problem with the colon, and the iron rod has not passed;
The small intestine is a little bruised. Let’s treat the minor injury and repair it first. As for the cleaning of the abdominal cavity, we can do it slowly later;
There are two holes in the mesentery, this is not urgent;
There were only two small ruptures in the superior mesenteric blood vessels. One treatment was enough to treat the minor injuries. What a blessing!
All the intestines, lift them up and push them away, exposing the peritoneum on the posterior abdominal wall! Mage's hands, come on! Help me lift the intestines!
"What are you doing! If you cut and pull like this, the injured person will wake up!" The priest exclaimed in a low voice. Gretel didn't even raise his head:
"Shh! Don't talk! When you wake up, help me catch up on my sleep spell!"
He calculated silently in his mind and fired another shot of [Delay Pain]. The priest looked over to see the injured man, and saw that the man's brows were furrowed and his eyes were moving slightly, but he actually didn't wake up. He turned to Gretel and was surprised.
Ran said: "How did you do it?"
"Delay the pain! If he doesn't feel pain, he won't wake up!"
There is a limitation of the sleep spell, that is, once the subject encounters harm, he will wake up immediately. But when paired with [Delay Pain], it is a perfect match in surgery...
Gretel replied to the priest, and his face suddenly became serious. The posterior abdominal wall and subperitoneal area were bloody and fragmented. Gretel reluctantly fished it out, slightly holding up a broken kidney, and showed it to the other healers:
"Brother Matthew, his right kidney...is already in this condition. Is there any way to save it?"
In Grete's opinion, there was no way to save it. There was a big hole in the right kidney, and blood was flowing out. Not to mention, the body tissue had changed color, and it was clear that it had lost its activity. But the kidney is so important to the human body, and Grete always
Hopefully, the healing techniques in this world can give him different answers.
Pastor Matthew looked embarrassed. He reluctantly released a healing spell, and a hazy green light fell on the kidneys without any movement. Then he poured a small bottle of treasured healing potion, and the pale golden potion flowed over the surface of the kidneys, showing no signs of improvement.
.The young priest from the Spring Temple also came to help, and tried his best to cast a healing spell, but still there was no improvement at all.
...Obviously, healing techniques, especially those of low-level priests, do not have the powerful power to reverse life and death.
Gretel sighed helplessly.
"It can't be saved... let's cut it off."
Cut the perirenal fascia.
The kidneys are separated by the hands of a mage.
Separate, cut off, and magically heal the ureters and renal blood vessels.
The right kidney was removed, and the perirenal fascia and lumbar dorsal fascia were healed using magical techniques.
These were all urological surgeries, and Grete did them with some trepidation, but fortunately, he had magic skills at his disposal at any time. A damaged kidney was placed on a tray and was taken off the operating table. He finally breathed a sigh of relief and felt that he was soaked in cold sweat.
The back.
"Brother Matthew, it's okay. You can take back the vines... I'll clean out your abdominal cavity. It'll be fine soon..."
It was said that it was "recovered very quickly", but it actually took about half an hour. After Grete repaired the latissimus dorsi, internal oblique muscles, subcutaneous tissue and skin, as well as the posterior wall peritoneum, mesentery and many other tissues, he used warm
After flushing the abdominal cavity with salt water and holy water, and preparing to close the abdomen, there was a clang at the door of the operating room and someone pushed it open:
"How is the injured? Is he still alive?"
Grete stopped silently. He raised his hands flat in front of his chest, turned around and looked at the God of War Bishop who rushed in. However, before he could see anything clearly, the man turned into an afterimage, rushed to the head of the operating table, stretched out his hand
Touch the wounded man's breath:
"Fortunately, still alive..."
****
Great Little Theater:
Bishop Ares: Are the injured still alive?
Gretel: You're too late...
Bishop Ares: What? Already dead?!
Gretel: No, if you had come a little later, the injured person would have been able to wake up and get out of bed on his own...
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