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Chapter 437: Swirling Stomach (Additional Update 3 by the Leader of the Riding Tiger and Pig Lord)

 Outside the [refuge hut] rising from the ground, the barbarian elders looked at the outer wall of the hut and talked about it.

"Why doesn't he just use healing?"

"Therapeutics may not be useful, right?... I treated one, and the treatment relieved him for a long time, but he still died afterwards..."

"Actually, it's better to let the Bear God bless you. Warriors who have been blessed by the Bear God have stronger resilience and can endure more serious injuries. With a blessing, they can digest what was originally full."

"Is it okay for the deer spirit to grant blessings?"

"Is the giant enlargement technique possible? Your whole body has become bigger. Before, your stomach was holding up and you couldn't vomit it out. Now that it's bigger, you should be able to vomit it out."

"There is no need to cut open the stomach no matter which method is used, right?"

"Who knows...but that healer is so slow!"

Amidst the chatter and complaints, the walls of the [Shelter Cabin] suddenly began to turbulence like water waves. Cerira directed a floating saucer, which contained a large basin full of stomach contents, and walked back to the hall, looking left and right:

"Where did it fall?"

Immediately, three or five elders jumped up to show her the way, and two elders ran out to call someone to get a basin and bucket. Two more elders used magic to gather the flames on the brazier and pointed out the red and hot charcoal below.

The previous discussions and complaints were as if they had never existed.

Cerira moved the floating dish to the charcoal basin nearby and lifted it. With a "crash", the unpleasant sour smell immediately rose up together with the burnt smell.

In an instant, the hall was filled with people jumping on their backs. Those who retreated backwards, those who covered their noses, and those who summoned the wind.

What does this smell like? It’s ten times stronger and a hundred times worse than the smell of drunken vomiting!

Only Serila's face remained unchanged. Before the operation started, she had applied a bubble technique, and she didn't smell anything at the moment. After pouring the things, she walked without stopping and turned around to leave:

The operation was only halfway done, and Grete was still waiting for her help!

Inside the [Shelter Cabin], Grete was extremely busy. He took out bottles of sterile saline and heated them carefully. When he saw Cerela coming back, he immediately greeted:

"Celera, heat them up and then use freezing rays to cool them! Adjust the temperature to 37 degrees, 37 degrees! Don't be hot, don't be cold!"

"All of these?"

"Yes, I want them all!"

A whole abdominal cavity!

Such a big stomach!

Even if there is a cleaning technique to scan it and no saline is used to rinse it back and forth, Gretel would still be worried!

He knew in his heart that this wave of repeated flushing would not be completed without draining 10 bottles of normal saline. Well, fortunately, there is a floating dish, which can come and go as soon as you call it. It is large enough to hold and easy to move~

While Cerela was preparing the saline solution, Gretel mustered up all his energy and flew out the hands of two mages. The translucent force field palms penetrated deep into the abdominal cavity, holding up the stomach and intestines, and carefully explored every place.

.

The old man Yuguan had been standing behind him. Looking at him as if he was facing a formidable enemy, he was quite puzzled:

"Didn't everything come out? Is there any trouble behind it?"

Moreover, judging from Gretel's appearance, it seems that the trouble is still huge!

"There's so much trouble..." Gretel sighed:

"You see, the stomach bag has expanded to the point where it fills the abdominal cavity, and not all other organs have been crushed. After such a pressure, any part affected may have problems...stomach, intestinal tract,

Liver, gallbladder, pancreas..."

He muttered a word, and Elder Brock's face turned darker. These brats in the tribe are really seeking death!

Those warriors, especially the young warriors, were not engaging in fancy martial arts competitions, fighting, or competing to drink and eat. When they were injured or overfed, they would come to him as a matter of course...

Eight hundred times out of a thousand, you can cure it by throwing a healing spell, and there are also a hundred and fifty times, you can cure it by throwing a bear god's blessing. However, there are many times when you can't stand it and seek death!

There are always times or two, I have given the blessing of perseverance, discarded the healing spells, and even induced vomiting, but the person just refuses to get better. He is tossing and turning on the bed, screaming pitifully. If he is lucky, he can survive, but if he is not, he will not get better.

, I went to see the Black Gate Master...

He calmed down and watched Grete's every move. The mage's hands gently held up the stomach bag, trying to avoid shaking the incision, reducing bleeding, and trying to avoid tearing the mesentery near the gastrointestinal tract. As for tearing blood vessels, start from the beginning.

By the end, no blood was seen gushing out.

After the decompression was completed, the volume of the stomach bag had been greatly reduced, giving the mage's hands enough space to explore. Grete looked through it carefully and suddenly let out a sigh:

"There's something wrong here!"

"What?" Brock looked over. His head stretched three feet in front of the stage, and with a bang, a mage's hand covered his face. Cerela looked serious:

"You are not allowed to go there without washing your hands! Look at the secret eye!"

The old man with the feather crown smiled bitterly. He moved two steps to the side. Cerira had already put a secret eye on the shadowless lamp. Now he was working and watching the live broadcast of the surgery, happily. Elder Bullock moved to the side.

, watch with her, and listen to Gretel muttering:

"The shape of the stomach... Oh, it's completely twisted here. No wonder he can't vomit it out! Tsk tsk, it's a good thing it was discovered. Otherwise, if the twisting took a long time, the entire stomach would be necrotic!"

"Gretel, how do you know to be careful about this?"

"Then, Serira, please remember, when you encounter the triad, that is, when three symptoms appear together, you must be careful of gastric torsion." Gretel stopped his hand and let the vines roll up the secret eye into the stomach incision, up and down, left and right, along the

The stomach wall was carefully scanned. While scanning, he explained to the Silver Dragon girl:

"First, local distension and pain in the upper abdomen only hurts in this area, not everywhere; second, repetitive retching; third, the gastric tube is difficult to insert into the stomach, or simply cannot be inserted. Encountered

If these three symptoms appear together, you must be careful of your stomach twisting!"

This is the triad proposed by Borhadt in 1904 to assist in the diagnosis of gastric torsion. A hundred years later, future generations of doctors are still benefiting from this.

Is this meant to be told to me? Elder Brock quietly pricked up his ears. He watched the two light screens change together, and the two mage hands carefully moved the stomach bag, both inside and outside. Gretel muttered something while exploring.

:

"Well, the greater curvature of the stomach has been twisted to the lesser curvature of the stomach... No wonder the gastric tube can't be inserted... Serira, pay attention! I'm going to start the reset!"

The two mage hands worked together to twist the stomach bag in a circle, and it quickly returned to its normal shape. Gretel threw a handful of healing spells again, repairing the ulcers, inflammation and perforations on the stomach wall, and observed carefully:

Thank God, after the torsion and reduction, the blood supply to the stomach was quickly restored. There was no ischemic necrosis, and the color returned to normal...

When the peritoneum was first opened, the ghost-like purple-black color finally completely disappeared.

Oops, there is a hematoma in the cardiac cardia... Tsk, there is also a hematoma in the mesogastric antrum! Quickly throw away the treatment! Very good, very good, throw away the treatment, the hematoma will disappear soon. Such a hematoma is as tender as tofu, and it is not easy to sew.

It's not easy to sew or prick, but with a slight touch, blood will burst out for you to see!

Elder Brock let out a long breath. Fortunately, the healer took action. If he had done the treatment himself, Bunker's stomach was twisted into such a ball that he would have died before the food was fully digested...

"Celera, prepare the floating dish! I'm going to rinse it!"

Blah blah blah blah, blah blah blah, blah blah blah. Sterile saline solution at 37 degrees Celsius was injected into the stomach cavity through the hollow tube at the gastric wall incision, rinsed around, and then suctioned out with the suction vine and negative pressure cyclone.

After flushing it back and forth several times, I saw that the color of the normal saline solution was clear and there was no active bleeding. I pulled out the vine and healed the incision on the stomach wall.

Then explore other parts of the abdominal cavity!

Being pressed by the enlarged stomach pouch for so long, will the blood vessels in other places be blocked?

Will there be severe bleeding in the digestive tract?

Although the liver, gallbladder, and pancreas have been briefly looked at just now, you still need to look carefully before closing the abdomen...

Well, I saw about 200 ml of ascites, turbid in color, and gastric contents... First cleanse, then flush, suction, give a treatment, and flush again!

Check that there is no active bleeding...check that there are no abnormalities in various organs and mesenteric blood vessels...

To be on the safe side, after acute gastric dilation, Grete lost one treatment each to the gallbladder and pancreas, which are most prone to problems. It was very good, the color was normal, the shape was normal, and everything was normal.

Well, if it was a previous life, a gastric tube and a jejunal feeding tube should be placed here, the opening of the stomach wall should be sutured, an abdominal drainage tube should be placed between the stomach and pancreas, and then the abdomen should be closed and transferred to the private CU. But now...

Intestine, mesentery, scan through the treatment technique! All kinds of mesentery around the stomach, treatment technique, let it grow back! Then close the abdomen layer by layer, treatment technique, treatment technique, therapy technique!

Thin white light flashed one after another. When the incision on Bunker's belly shrank quietly and returned to a smooth state, Cerela waved her hand to release the confinement technique. The next moment, the reckless warrior jumped up:

"I'm fine? I'm fine?"

He touched his stomach with both hands, from top to bottom, from bottom to top, and only felt a smooth and flat area. The young warrior jumped a few times to make sure that he no longer had any pain, and he suddenly beamed with joy:

"I'm fine! Hahahahaha! Dear Healer, thank you!"

He opened his arms and rushed forward, about to hug Gretel. At the critical moment, Gretel flicked his fingers and cast a string of spells on himself:

Shield, Mage Armor, Bull Power, Bear Tenacity...

Woo... "Pa!"

There was a crisp cracking sound. Gretel's cheeks twitched and he almost lost his breath.

The bubble technique on his head was squeezed!

it stink!

Bunker hugged Grete hard, saluted the elder and the beautiful elf lady, and rushed out of the operating room like a whirlwind. Outside the refuge cabin, energetic shouts soon sounded:

"Who was it just now! Who said I can't do it! Come forward! Let's compete again!"

Is this... is it true that dogs can't change their eating habits? Gretel's face suddenly darkened. He glared out angrily and turned to look for the old man with feather crowns:

Hey, your tribe, take care of him! I worked so hard to rescue him, not just to let him stuff his stomach and explode again!

"Your Excellency Nordmark." Facing Gretel's complaining gaze, the old man stepped forward and saluted with a smile:

"Your treatment methods are really impressive. If you contract with a totem spirit, can your miraculous medical skills be taken a step further?"

Are you trying to get my details? Are you ready to make an offer? Or are there any incurable problems that he can't handle and want to ask for help?

Gretel's thoughts changed rapidly. He smiled and said:

"Of course! My treatment methods, to a large extent, rely on the perception of the patient's internal conditions. For example, the hunchback, Whitefin, the lump on his shoulder, if I contracted the virtual body and could see the situation,

Maybe it can be treated!”

****

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