A question silenced the other party. Gretel glanced at Master Jason victoriously, lowered his head, and continued working. Want to start cutting tumors?
snort!
Although lipoma resection is only a level 1 minor surgery, paraosseous lipoma resection has to be at least a level 3 surgery because it has penetrated deep into the muscle and is close to the bone. It can be performed independently by a senior attending physician, while a junior attending physician can perform it independently.
Teacher, it needs to be watched by a superior doctor!
just you?
Have you finished memorizing the fifth edition of "Surgery"? Oh, let alone the fifth edition, I haven't written the first edition yet;
Have you achieved the goal of killing 1,000 mice? Sorry, there is no professional mouse breeder in this world;
Has the teacher done anything about it? I have probably done it as a necromancer, but most of them have not done it as a medical magician;
Have you performed hundreds of retractors? Have you been treated for all kinds of appendicitis? Have you passed the regulatory training and obtained your medical certificate? Have you completed your one year of hospitalization?
You want to start cutting out the tumor before the senior doctor who teaches you has nodded?
Are you thinking about eating peaches?
An intern like you who has no experience at all, can't hold a needle holder, and has never passed aseptic procedures is not qualified to sew skin. Stand back! Don't get close to the operating table!
He gathered his mind and analyzed the threads of his hands. His movements were light, even, and fast. Pull the biceps open; pull the triceps open; pull the brachialis...
Brachial artery, free and protect; brachial vein, free and protect; cephalic vein, median nerve, ulnar nerve, radial nerve... There are also various branches and side branches, if they can be freed and protected, try to free and protect them...
…
If you can protect it more, protect it more. For a magician of the transformation system, one right hand is equivalent to a career and half a life. Anyway, I have already put on the Silver Dragon magnifying glass, so just do it slowly.
After incision, it was discovered that the tumor reached upwards to the lower edge of the greater tubercle of the humerus and downwards to about 7 meters above the right elbow. It was stuck between the biceps and triceps muscles and grew. Grete hissed as he freed himself.
Breathing in the air-conditioning, he muttered:
"Look, if you had taken it off earlier, nothing would have happened... Now that it has grown so big, the nerves and blood vessels on the inside of the upper arm are all blocked, shifting, bending, and edema...
This is not a disease but a ghost..."
Poor Mr. Ramos was lying on the operating table, with a tranquilizing spell all over his body. He couldn't even roll his eyes at Grete. He couldn't even complain to Grete:
"You talk as if I can get rid of it... A few years ago, you weren't in Nevis a few years ago! Who should I go to get rid of it? Those necromancers?"
Grete pulled apart all the muscles, freed the well-protected blood vessels, nerves, and the huge xantholipoma, and finally exposed them to everyone:
It's not a complete piece, but a beeping, obviously lobed shape. A yellow-white nerve passes right through it.
"The capsule is quite complete..." Grete carefully picked up a doulu with the hands of a mage and looked underneath. The base of the lipoma formed a coral-like bone hyperplasia and was closely connected to the humeral shaft:
"Tsk, trouble, these bone growths are so big that Leon can be shoveled away. Bring me a shovel and add a [Demonized Weapon]!"
"Okay, sir!"
Leon Carlos, who was allowed to stand opposite the operating table, help pull hooks and pass instruments, and played the role of first assistant, simply agreed.
The mage's hand flew up and brought over the surgical instruments Gretel wanted. The instruments made by the dwarves were added with mithril. They were sharp, light, tough, and easy to cast spells. You could use your hands to shovel while guiding healing techniques to protect the incision. Gretel
Talking while working:
"Leon, please remember, if a tumor like this has a complete capsule, you must be careful not to break it... It is better to be slower and use blunt dissection on the outside, but to take it out completely...
It’s broken. I don’t know what bad things are inside. It won’t be beautiful if it spreads to the whole body..."
"I understand, sir. Just like the rot sac of the necromantic system, it must be taken out completely and cannot be broken, right?"
Yes, that's right, but what I'm talking about is actually a cancer cyst. I've never seen a necrotic rot cyst before. Hey, if you have a chance later, go to the Tower of Sleeplessness and ask for a body teacher?
Whether it's Archmage Edgar or Archmage Grom, they should all be willing to give it to me... At most, they can agree to it and let them watch while the operation is performed!
Gretel secretly added something to his notebook and continued working.
"Hey, sir, how did you cut off the tumor?"
"Otherwise? It's so big that you can't pull it out!"
At this time, it became clear that Grete's surgical approach design was prescient: the tumor was too big, and it was not convenient to remove it from one direction. Mainly, it would have to pull apart the muscles and nerves too much in order to have a place for the tumor to come out. For normal
The damage to the body is really too great.
However, it is easy and pleasant to remove the tumor in two parts through the front and back incisions. Well, you only need to make a small incision at the lobulated part.
alright!
Take it out!
bingo!
Gretel removed the tumor, killed the bony base, and reset the muscles, blood vessels, and nerves one by one. He flew a mage hand in the direction of Master Jason and made a small move. Master Jason immediately ran over:
"What's up?"
"Then, treatment~"
The mage's hand disappeared. Another silent phantom flew up, forming an arrow shape in the air, pointing to the area that needed treatment.
Especially the ulnar nerve that is compressed and edematous!
The contact point between nerves and the hands of the mage!
The outer wall where the blood vessel contacts the mage's hand!
Grete happily crossed his hands and raised them in front of his chest, controlling the [Silent Phantom] to show Master Jason the way. Well, he had already done the most difficult work, and he could leave the rest of the hard work to others.
He just saved his energy and took a good look at how the edematous nerves returned to normal little by little under the treatment.
"Hey! Don't get too close! Don't put your hands on the incision! Just throw it from a distance!"
The second half of the operation involving therapeutic techniques was quite smooth. There was no need for anastomosis or suturing, just a handful of therapeutic techniques.
When the skin suturing, oh no, the healing of the skin was completed, Ramos' entire right arm became thinner, complete, and clean, as if nothing had happened.
...Except for being too clean. The hair on my body and armpits are all smooth and shaved like a shelled egg.
Mr. Ramos was put up from the operating table, moved his right arm, and then his right hand. Soon, he said in surprise:
"I can move! No more numbness! My fingers can also be pinched tightly!"
The thumb and index finger of his right hand formed a perfect "O" shape and were pointed directly in front of Gretel's eyes.
Gretel was also pleasantly surprised. In the previous life, surgical removal of tumors was faster, but nerve recovery was much slower. Slowly let the body absorb the edema, slowly exercise, and slowly recover its functions. From the end of the operation to complete recovery, it takes a long time.
It took several months of work.
How is it like now, when a large number of healing techniques are thrown in without any effort, and they are all ready in an instant?
Really good, I need to take note of this...
In the pocket of the surgical coat, an oak stick protruded from a tree root, and the [Endless Ink Pen] was rolled up to write. After writing, he suddenly turned around:
"Mr. Tarn, what are you doing!"
Jason Tarn stretched out the little finger of his right hand, and he and Mr. Ramos hooked me and I hooked you, playing "hook, hang, a hundred years, no lies"...
Although, your method of testing finger muscle strength is not standard!
Obviously, although Master Jason did not undertake the main task of this treatment, he was much more excited than Grete. After checking his fingers one by one, he pinched Mr. Ramos's right arm left and right, up and down.
After pinching for a long time, he raised his voice and called Grete:
"Mr. Nordmark, do you have any magic items above level 12?"
...I really don't have such a thing...
The highest level magic item I have on hand is a level 9 [Endless Ink Pen]...
No matter how high it is, it must be the energy center of the mage tower. It is said that that thing is over level 15, but it is impossible to carry it around. Hey, in the future, the mage tower should be made into a part of the hospital, at least CT, MRI, etc.
Large equipment can be directly connected to the mage tower...
Fortunately, Serila had it. Gretel, Pongbai Fumei, No Blush, and Nodmark went out in a familiar manner, gathered Miss Silver Dragon's wool, and turned on [Detect Magic] again to investigate the situation:
"Wow! This bone is clean!" Master Jason couldn't wait to exclaim:
"Nothing weird at all!"
"By the way, what about those things that grow into the bones? When did you remove them? I didn't see you cut the bones open!"
In front of Gretel, Mr. Ramos' right arm that was too smooth trembled violently. The transformation magician's face turned pale:
"It grew into the bone? Yes, Jason, you said that the tumor grew into the bone and was not cleaned out? Will it happen again in the future?"
Gretel inhaled, exhaled, inhaled again, and exhaled again. Looking to the left, Master Jason's face was full of surprise; looking to the right, Leon Carlos frowned slightly, obviously racking his brains, and he still hadn't figured out the problem.
Where.
As for Serira, her eyes were shining and her face was full of excitement. It was obvious that she didn't intend to use her brain, she just waited for Gretel to reveal the answer to the mystery and put the answer directly into her mouth.
It is indeed easy for laymen to read the film, and it can easily lead to unnecessary panic. Forget it, giving popular science education to patients will make them accustomed to it, but it is just another one.
He returned the tiara to Miss Silver Dragon, waved his hand vigorously between the two magicians a few times, and unfolded the [Silent Phantom] again, showing at the same time two plain X-rays of the lateral anterior humerus before and after the operation:
In the leprosy on the left, obvious branch-like shadows can be seen inside and outside the bones;
The one on the right is neat and smooth, and it looks pleasing to the eye at first glance. It is indeed a standard good bone.
"Is this what you saw before?"
"That's right! Look, it did grow into the bone! It's gone after the incision, but I didn't see you...cut...inside the bone..."
Master Jason's voice became smaller and smaller. In front of the patient, Grete had summoned another phantom. The humerus, the lipoma on the outside of the humerus, the bone hyperplasia in the tumor...
"This tumor surrounds the bone, do you see it? Use [Detection Magic], and what you see is a flat surface, so it looks like it has grown into the bone. Now remove the tumor..."
He points to the post-operative image on the right:
"These bony hyperplasia are no longer there, and the bones you see are clean. Nothing has ever grown into the bones!"
****
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