With a bang, the door opened. Grete rushed out wearing strange short-sleeved clothes and a white robe. He only glanced at it, turned around and rushed in:
"Bernard! Lift people! Send them directly to the operating room! I'll clean your hands!"
With a clicking sound, the silver rods blessed with the [Eternal Silver Flame] opened their covers one after another. Looking from afar at this moment, one could see the brightly lit hospital lights in the dark night, like a beacon of life in despair.
Bernard rushed out with a barbarian security guard. He picked up the semi-conscious old man, put it on a stretcher, and carried him away. He strode quickly, and Knight Albert followed behind, chasing after him with all his strength, and almost caught him.
Not on.
He ran all the way and followed him to the door of the operating room. From a distance, he heard a clear female voice complaining in the operating room:
"Procrastinate, procrastinate, procrastinate, procrastinate, procrastinate, procrastinate, procrastinate, procrastinate again. Originally, laparoscopy was enough, but now we have to open the abdomen; originally, we didn't need to cut the intestines, but now we have to do it~ Why bother waiting for him here if you don't go back to the Master's Tower in the middle of the night!
"
"Don't be like this, Cerela." The person who answered was the Nordmark mage who had met him during the day. He smiled gently and said in a soft voice:
"It's normal for patients to be afraid and for patients' families to have doubts. As healers, we just need to try our best to save the patient's life."
"You are the only one with a good temper"
What?
Cutting out the intestines?!
Knight Albert was shocked, scared, and secretly ashamed. He followed the stretcher and rushed in, wanting to find the mage, apologize to him, thank him, ask him about his situation, and ask him to treat his mother.
Unexpectedly, before he rushed into the operating room, a heavy wooden door slammed in his face, almost flattening the tip of his nose.
Next to the door of the operating room, stood a barbarian security guard who was a head taller than him. He stretched out his arm to stop him and said in a loud voice:
"Don't go in!"
this……
Knight Albert paused, looking up at the red light on the top of the door, with heaven and man at war in his heart. He wanted to rush in at all costs, but he was afraid of angering the mage and stopped seeing his mother. Fortunately, it took a while.
, the door opened, and Gretel walked out quickly:
"You came too late."
In the first sentence, Knight Albert's feet were weak and he almost fell. Gretel did not help him and continued speaking on his own:
"Preliminary estimation is that your mother's illness has progressed to intestinal perforation, toxins have entered the blood, and there may be partial intestinal necrosis. The most suitable treatment method at present is to incise the abdominal cavity to explore, clean out the intestinal contents, and may require the removal of part of the intestinal tract.
.”
Do you really want to cut it?
Hearing it through the wall is still different from being told face to face. Knight Albert trembled, and before he could ask, he heard even more terrifying news:
"Because the toxins have entered the blood, the elderly are old and their recovery ability has deteriorated. Even if the abdomen is opened and the intestines are cut, the patient may not be able to be saved."
"What?"
Albert Knight almost jumped up. Cut open his stomach, cut off his intestines, or might he not be able to save it?
Then why do you need surgery? If you die, you will die, and your stomach will be cut open bloody!
Gretel had seen this reaction many times in his previous life. Time was urgent and he had no time to continue persuading him. He just leaned forward with concern and spoke faster:
"It's up to you to decide whether you want to have surgery or not. If you understand the risks and still agree to have surgery, sign here. The sooner you decide, the sooner you decide, the less likely you are to be saved."
As he spoke, he took out a risk notification form, walked quickly to the small table next to him, and put it on the table. Albert Knight was confused and stared at Gretel's eyes for a moment, then anxiously lowered his head to find a signature.
The place:
"I sign, I sign! Where can I sign?"
Fortunately, this guy made a decision very quickly. He made it in a flash. Gretel grabbed the notice, turned around and ran back to the operating room. While brushing his hands, he raised his voice from a distance:
"Cerela, tranquility! Leon! Disembowelment!"
"OK!"
"OK!"
After practicing with him for several months, Leon Carlos's surgical skills have reached the minimum level of independent laparotomy, and there is no problem with midline laparotomy:
Cut the skin, incise the superficial fascia, and cut the white line of the abdomen. Grete came over after brushing his hands and saw that he had completed the abdominal dissection layer by layer, exposing the old lady's messy abdominal cavity:
"What to do next?"
"……attract?"
"Hey, at this time, we should be more flexible! Cleaning Technique! Cleaning Technique! Cleaning Technique!"
One of the applications of the mage's skills, the Cleansing Technique, can clean objects within a cubic foot area. It is just right for cleaning feces in the abdominal cavity. As Grete said, he used the mage's hand to bring a bucket over:
If it is a piece of dirty clothes, a piece of leather or a piece of wall, it seems that the cleaned dirt has disappeared into a different dimension; but in fact, it is just thrown into the corner because the volume is too small.
, unobtrusive.
But like now, with a belly full of excrement, the mage who throws the Cleansing Technique had better be aware of it. Get a bucket and catch it, otherwise, the Cleansing Technique will let you know what it means to work hard...
After three or five cleaning operations in a row, the feces that leaked out due to intestinal perforation were swept away and all fell into the bucket. The stench was filled with air. Fortunately, everyone on the scene was treated with air bubbles, including everyone, including the barbarian security guard in the corner.
, everyone’s face remains unchanged.
Spells are so convenient!
Grete gave himself a thumbs up. The cleansing technique removed all the feces and blood. When he looked at the abdominal cavity, at first glance, he saw a section of intestine about thirty to forty centimeters, which was obviously different from the surroundings:
Under the shadowless lamp, that section of the intestine was blue-purple in color, much darker and thicker than the surrounding areas. Visual inspection showed that the diameter was at least twice that of the nearby intestines.
"Look." Grete flew out the mage's hand, pointed at this intestine, and lectured the students:
"With this look, you can tell at a glance that there is too much feces in the intestine. In addition, there is strangulation or something underneath, which blocks this section, and the intestinal wall is extremely dilated and thinned. With this color, the intestine has become necrotic or...
Said it has started to die."
Based on his more than ten years of experience in the emergency department, it is basically impossible to save the patient just by covering it with warm saline gauze or something. Treatment alone may not be able to bring him back.
For now, the safest approach is to remove the intestines.
However, the elderly are old and thin. Removing such a long section of intestine will definitely affect the absorption of nutrients in the future. In other words, the quality of life in the future will definitely be reduced, and it may even affect the life span...
Is there any way to save it?
Is there any way to restore the vitality of the intestine without removing it?
Grete reached out and touched the intestine in front of him. Although it had expanded and changed color, the elasticity was still there. The intestine was moist. When he pressed it down slightly, the color became slightly lighter, and when he released it, it became slightly darker.
.
There is also blood supply. Although, it is only a very small and insignificant blood supply.
Give it a try, he said to himself, give it a try...
Anyway, the worst thing is to remove the intestines; anyway, the old lady's life is being watched by Cerela and held by her healing skills!
Grete flew out of the mage's hand, clamped both ends of the normal-colored intestine, leaving a gap of about 5 centimeters. He clamped the mesenteric artery and mesenteric vein, then reached for a scalpel and cut it off.
The scalpel blessed with [Demonized Weapon] was extremely sharp, and with just a slight swipe, the intestines, which were almost extremely thin, had already split open.
Before the excrement could pour out, Gretel pointed the tip of his knife at the crack and threw a series of spells at it:
Great! The feces was removed from the intestines, plopped, and fell into the bucket. Although the section of the intestine that was cut deflated and no longer expanded greatly, it was not torn!
Very good, very good. From this point of view, the mechanism of action of [Cleaning Technique] is to remove the dirt in the user's mind. This section of necrotic intestine was not removed because I believed that it could still be rescued.
, and even suffered no additional damage.
Now it depends on the blood supply... If the blood supply can be restored, this section of intestine will be considered alive and there will be no need to cut...
However, things went counterproductive. After Grete had anastomosed the intestines, he carefully released the mesenteric blood vessels, covered them with warm saline gauze, and went to deal with other nearby intestines. He cut and cleaned the intestines, cleaned up the feces, and treated the anastomosis; he cut another section,
Cleansing, cleaning of feces, therapeutic anastomosis...
After five or ten minutes, I found that the purple color of the intestines had not improved, and had even gotten worse.
...do you really want to cut it?
After all the work done before, it still cannot be saved, or does it still have to be removed?
Grete stared closely at the bruised intestine in front of him, his face serious. Under the shadowless lamp, above the mask, his brows were tightly knitted. Cerira stood opposite the operating table, trying to reach out to smooth his brows, and raised his eyebrows.
He stopped halfway and asked cautiously:
"Gretel, how about I try throwing in a few more healing spells?"
...Without blood supply, even the treatment technique can only withstand a short time, and it is impossible to bring the dead back to life. Gretel shook his head incomprehensibly, but what he said was:
"Wait a minute...I'll think about it again, think about it again..."
How to restore blood supply?
The intestines are no longer extremely dilated, and the blood supply has not been restored. There is probably a blood clot... Throw a hemolysis spell? For example, a necromancy spell that prevents blood from coagulating?
Gretel tried to cast a spell. However, it was obvious that the spell could only target blood and could not deal with blood clots. Gretel thought about it and threw another [Remove Disease]...
The light of the spell passed by, but there was no response. The spell to remove disease did not seem to recognize the blood clots in the intestinal supply blood vessels as diseases.
If we were in modern times, we might try thrombolysis... Grete once saw a genius doctor who inserted a catheter from the hepatic portal vein into the splenic vein, superselected it into the mesenteric vein, injected urokinase, and succeeded in thrombolysis.
The erratic mesentery was difficult for his guidewire to penetrate!
But now, let alone he doesn't have a guide wire, even if he can use a vine instead, he doesn't have urokinase!
etc……
Gretel's face became serious. Although he does not have urokinase, he has various magical arts and magic. Maybe he can try it again?
****
This genius doctor is Dr. Zhou Congwen in "Become a Doctor Back to 2002", Chapter 643, "Can Be Dissolved". Big tribute to the real Xiong Chumo!
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