It's not that difficult to open a hospital in another world, right? Chapter 499: The Mage’s Tricks, a Good Helper in Surgery (Update 2 with Ten Thousand Rewards)
Chapter 499: The Mage’s Tricks, a Good Helper in Surgery (Update 2 with Ten Thousand Rewards)
An operation, whether to do it or not, is a question worth considering.
If you don’t do it, there is a 100% chance that the child will die; if you do it, there is a 50% chance that the child will still die after enduring considerable pain. Even if he can survive successfully, the later recovery will take half a year and a year...
Do?
Or not?
The old man looked at Grete and then at the child on the table, frowning and thinking hard. The child's mother was a girl he had grown up watching and treated as his granddaughter. After marrying into the family, she had a virtuous temperament and was harmonious.
The whole family likes it.
She has already lost two sons and has just given birth to her third. Now she is told that the child will be given up because she is afraid that she will not be able to withstand the blow. However, after giving her a glimmer of hope, she is then allowed to bear the pain of loss...
Moreover, there is not much time left for him to make a decision. Until now, the child has never had a sip of milk or a sip of water, and it will only become weaker and weaker. Obviously, if it continues to be delayed, it will only cut off the child's vitality.
He let out a long sigh and looked at Gretel again. His eyes flickered and he was immediately startled.
Gretel was sitting at the table, his eyes seemed to be open and closed. The fingertips of his hands were gently placed together, and the [Silent Phantom] in front of him outlined the muscles and organs inside the human body, constantly changing.
Sometimes it opens, sometimes it closes, and sometimes it spreads like blisters, and the lower body of a baby appears again...
"What are you doing?"
"Simulated surgery."
Grete answered in a low voice without opening his eyes. He could give a general idea of this operation, but he would not be able to perform it:
There are three surgical approaches written in "Surgery". Which one should I choose? Transabdominal? Transperineal? Or choose the posterior sagittal incision approach?
In what position should the baby be placed, how long should the incision be, and which layers of muscles need to be stretched? How to determine the position of the sphincter during surgery so that the rectum can accurately pass through the gap in the sphincter?
Is it necessary to correct the electrolyte imbalance before surgery, and is it necessary to decompress the gastrointestinal tract to prevent vomiting?
How to deal with the fistula? The rectal wall is quite thick. How to let it pass through the narrow levator ani muscle and sphincter complex? Should a part be cut off? If so, how much should be cut?
Each question needs to be combined with his understanding of the anatomical structure and the baby's growth and development process, and he needs to read the book on the spot:
The sooner a plan is decided, the sooner the surgery can be performed and the less damage the child will suffer.
The old man was silent for a moment, and then he asked in a deep voice:
"You haven't decided yet, haven't you?"
"Whether it's determined or not is up to you. It's up to me to be 100% prepared."
Grete said softly with her eyes closed.
The next moment, several thin green vines sprouted from his fingertips.
With two pricking sounds, the vines dug a hole into the brocade on the table, swaying gently, and crawled under the brocade weakly but strongly.
The old man frowned.
He looked deeply at Grete, at his calm and focused brows, at the winding vines at his fingertips, and at the drawings with ink marks on the table at his hand:
Once upon a time, he himself was a young knight who was ordered to conduct reconnaissance behind enemy lines and saw a small group of enemy troops slaughtering a village.
If you rush out, you may destroy the opponent, or you may alert the enemy and cause the mission to fail; if you don't rush out, the sight in front of you will really make people grind their teeth...
Only the captain could issue the order to attack. At that time, he was just like Gretel now, silently adjusting the saddle and bridle, tightening the girth of the war horse, and wiping the weapons he carried...
Whether or not to issue an order is the captain's decision. It is his own business to make preparations.
He took a deep breath and exhaled deeply. Then, holding down the tabletop, he leaned slightly towards Grete:
"Mage Nordmark, this child will be left to you!"
"Don't worry." Gretel opened his eyes and looked directly at him:
"I can't guarantee 100% success, but I will try my best."
The group moved to the hall. Archmage Novak released the mage shelter to isolate dust that might fall in the air;
The high bishop of the Temple of the Fountain Goddess releases soothing spells to ensure that the baby will not feel pain during the operation;
The bishop of the Temple of the God of War enthusiastically stood next to him and followed Gretel's instructions to help him position himself. He placed the baby on his stomach, with his legs curled up in a frog position, exposing the surgical site. He raised the bottom of his belly in preparation for the surgery;
As for Archmage Novak, after releasing the operating room, he and Grete squatted next to each other and started playing with the animals...
"Uh...could you catch me a frog?"
"Frog? This season?" The old man had no intention of rejecting it, nor did he ask what he wanted to do. He turned around and looked around:
"Can a larger animal be used? Like a sheep? Or a pig?"
"Bring a sheep..."
Grete sighed. Okay, although the principle of animal experimentation is to use lower animals instead of higher animals, but their family has money anyway... and they have to eat these sheep anyway...
The sheep was quickly brought over. While Grete watched people shaving the sheep, he ordered people to shape zinc sheets and copper sheets, make zinc-copper bows, and soak them in physiological saline...
"Your Excellency, Archmage! Your Excellency, Archmage, please come here and help me!"
Grete took it upon himself to cut open the skin of the lamb leg, separate the muscle bundles, and use a zinc-copper bow to stimulate the muscles. Well, the effect was not satisfactory. Maybe the current was too small?
"Your Excellency, Archmage, please use the smallest beam of electricity and hit it on the muscles to make them contract. Don't injure them!"
"Okay, get out of the way, I'll do it!"
There was a crackling sound, and the exposed muscles of the lamb leg were slightly charred to the naked eye.
"Hey, be gentle!"
"A little gentler!"
The Archmage is indeed a Archmage. After three attempts, he has accurately grasped the required current intensity. Gretel was still uneasy, so he lifted up his trousers and asked him to try it on himself.
"Are you a fool? You are already a fifth-level mage. Even if you don't deliberately resist, your magic resistance is higher than others!"
It's as if I don't get hit by static electricity in winter... Gretel complained silently.
In the end, the master solved the problem. A brave man must be rewarded. With an order, the two servants rolled up their sleeves for the Archmage to test.
There was a crackling sound, and muscle twitching was visible to the naked eye, but no substantial damage was caused. After two consecutive tests were successful, Grete breathed a sigh of relief, turned to change clothes, and washed his hands:
"Okay, let's get started! Brother Matthew, please pay attention to my movements. Wherever the knife cuts, the healing technique will follow. Don't let the wound bleed!"
"okay!"
Pastor Matthew summoned a vine and inserted it into the baby's mouth to the stomach, which served as a gastrointestinal decompression tube to prevent the baby from vomiting, choking, and coughing;
Grete concentrated and held his breath, holding the scalpel in the pen-holding position. The baby's skin is delicate. Compared with the bow-holding position, the pen-holding position uses a gentler force and the operation is more flexible. He accurately takes the midsagittal incision and cuts it in one stroke;
Go up to the tip of the tailbone and go down to 1 cm behind the anal recess. Cut the skin open and use two smallest retractors, one on the left and one on the right, to pull it apart. Grete maintains the retractor position, and Pastor Matthew uses two vines to connect it.
However, try to reduce Grete’s operational burden;
Then……
"Master Novak! Please use the smallest amount of electric current to stimulate the muscles inside the knife edge like you just did!"
The electric current crackled again. The baby's buttocks muscles immediately began to twitch. His eyes were fixed on the knife edge. He raised his hand and the mage's trick flew out.
"The direction of this circular contraction! That's right! This is the external anal sphincter!"
In previous lives, if special muscles needed to be marked, they would usually be stimulated with an electric stimulator. There is no electric stimulator here, so we had to ask the Archmage to stimulate it manually...
If the archmage's control level is still not good enough, he can only install a zinc-copper bow, or set up his small hand-operated generator and adjust the current level bit by bit.
However, what is more convenient than the previous life is that there is no need to use silk thread or silk thread markings such as Meilan. The wizard's trick of zero-level magic is instant dyeing, rich colors, no damage to the tissue, and easy to remove. It is really a good helper for doctors!
Hey, if you undergo laparoscopic surgery or similar surgery in the future, you can also consider dyeing the relevant tissues...
Gretel secretly praised himself, and several vines flew out and began to separate bluntly. Others only saw his eyes slightly closed, and the vines as thin as hair penetrated into the muscles, and it took a long time to move slightly. Only Gretel himself
, then I realized what he was doing:
In such a small place, the anal sphincter system is composed of four groups of muscles. The subcutaneous external sphincter, the proximal levator ani muscle, the deep external sphincter, and the muscle complex composed of the puborectal muscle part and the deep fibers of the external anal sphincter.
If it is a normal baby, the rectum should pass through these systems and go straight to the anus; however, in babies with anal atresia, the rectum is not completely developed and the anorectal hiatus is relatively small. Blunt dissection is required slowly to expose the surgical field and leave
Create a gap for the rectum to pass...
The top of the vine emits a faint light. The vine is as thin as hair and soft like spider silk. When exerted, it can explode with the power to topple stone slabs. Drill, push, pull, cut...
Separating a gap of just one centimeter in diameter already made Grete sweat profusely.
He closed his eyes and gasped for a while, then manipulated the vines to carefully drill in and began to separate the rectum. In his previous life, this opening would not have been enough:
The distance between the blind end of the rectum and the anus is about 2 cm, and the length of the rectum that needs to be separated is about 3 to 5 cm. In other words, such a long incision is needed to have enough surgical field for operation. But Grete does not
This is required:
With the spirit of the contract providing vision and vines for operation, he could perform the separation operation stably through the dark and narrow incision without cutting more skin, muscles or even bones.
This field of view is much more delicate and convenient than surgery under X-ray guidance. Moreover, there is no need to eat threads or wear a heavy lead suit!
Perfect!
****
3000 words!
Another update with ten thousand rewards has been completed, and only the last three are left...
Today, papers, atlases, and surgical documentation were opened at the same time, and they were all different from each other. I was exhausted from checking them...
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