Chapter 1507 Xiaolong Was Cured, Why Is He Still Not Fully Recovered? (Platinum Tower Leader Adds 8 Updates)
No one answered him.
Gretel's assistants and disciples, all of whom were familiar with his surgical methods, helped in the operating room or listened to Gretel's explanations in the operating room.
This time, those who put down their work and came outside to watch were either conjuration healers who were used to throwing healing spells and were not familiar with human anatomy;
Or he is a necromancer who is familiar with human anatomy, but has never treated a living person, and his actions are always rough...
They have never experienced that kind of careful, little-by-little separation, and the movements are like unveiling two spider webs stuck together, or like carving patterns on tofu, and they don't know what the purpose is.
If Gretel had heard Noctis' question and had time, he would have answered him a few words. The tissues in the body are naturally connected to each other, so that they don't bounce around and are thrown out everywhere.
When performing an operation, the first step to move a specific tissue is to separate, separate, carefully separate...
Separation is too violent, tear it apart and pull things that shouldn't be pulled. Tear blood vessels, tear organ envelopes, stretch nerves...
Before the work that should be done could be done, all kinds of troubles appeared.
Imagine, just brush it, and the blood will surge;
With a brush, the liver was split;
With a brush, the esophageal vagus nerve is stretched, and the heart rate, breathing, and blood pressure begin to surge. In severe cases, the patient dies inexplicably...
No matter whether it is laparoscopic surgery or thoracotomy or laparotomy, no doctor dares to tear things apart violently and arbitrarily. Even though he had traveled to this world and had the knowledge of healing skills, Gretel still did not dare.
...Of course, if Gretel heard Noctis's question now, his answer would probably be:
"Why are you asking now? Why did you hear what I said now? - Miscalculation, renovate the operating room, be sure to isolate outside mental exploration!
Decorate according to standards that can isolate the legendary spiritual power! Right now, immediately, immediately! ! ! "
Well, it's great that the patient's family is isolated outside the operating room and can't see what's going on inside. Otherwise, God knows how many weird things will happen...
Grete, who was not disturbed by the patient's family, still performed the operation peacefully. Determine the size of the esophageal hiatus, the contents of the hernia, and the route of the herniation into the mediastinum, and carefully dissect the hernia sac;
The contents of the hernia are also contained, and excess fat tissue needs to be removed during the process, and the peritoneal sac needs to be removed. Because the hernia sac is somewhat adherent to the surrounding tissue, separation must be done very carefully;
Observe the position of the cardia. Thank God, the cardia has not herniated into the chest cavity, so there is no need to consider the problem of a short esophagus. Although MRI and CT have been done, due to the problem of esophageal tension, we still need to see it with our own eyes;
Next, the vine was gently cut out around the esophageal hiatus to expose the wound surface. The treatment follows up in time, guiding the diaphragm to grow and grow forward, stopping about 1 centimeter away from the esophagus...
Well, according to the CT images taken before, during the eating process, the esophagus will continue to peristalsis, relax, contract, relax, and contract, pushing food downward.
Leaving about 1 cm of space at the esophageal hiatus can probably ensure that the esophagus has sufficient patency and will not become narrow here.
After everything is done, the treatment is scanned to check that there is no damage to other organs and no active bleeding.
There is no need to pull out the vines. The spell is lifted and the vines disperse naturally. After a healing spell, the incision on the skin will also heal.
"alright?"
"alright!"
Seeing the child staggering out behind Gretel, the Noctis couple's hearts instantly rose to their throats and they rushed forward.
Grete described the operation process as so scary before, as he had to lift up the liver, drag down the stomach, and cut out a piece of flesh from the diaphragm;
As for complications, they range from cardiac arrest, sudden death, massive bleeding, pneumothorax, to liver tear, bile leakage, and abnormal liver function after surgery.
There was a long list, and his hands were shaking when he was asked to sign it. During the operation, there were a group of high-level healers standing inside, ready to provide therapeutic support at any time...
God knows, his child is only level three according to human calculations. Two level 18 healers, even if their son dies, are enough to bring him back from death twice... Bah, bah, bah, bah!
He took the child into his hand, looked left and right, right and left, and scanned it up and down several times with surging mental energy before making sure that the child was fine. During this process, the mental energy of the couple accidentally collided. twice.
It wasn't until they were sure that the child was okay that the couple heaved a sigh of relief, hugging the child one by one and thanking Gretel.
——One thing to say is that two tall and strong elves hugged a baby dragon with a body length of 1.5 meters, a shoulder height of 0.8 meters, and four feet on the ground. The visual effect is still quite scary, and there are too many things to say...
"After the operation, you can rest assured." Grete looked at them with a smile:
"The child has been fasting for a period of time. Don't eat too much at once. Eat a small amount at first and slowly increase it. If there are any problems, please bring them to me."
Thank you very much to Mr. and Mrs. Noctis. It is impossible to take it home first, and then take it back to see if there are any problems. After all, the dragon's nest is too far away, and traveling thousands of miles is too taxing for the child.
This pair of copper dragons simply took their children to live near the hospital. The adult dragons or so have eaten a big meal and don't need to eat for at least a month. They can just take the little food the young dragons eat with them...
After settling in, it didn't take long for the couple to realize something was wrong. The next day, they hurriedly came to Grete with their children:
"Mage Nordmark, why does the child still feel uncomfortable after eating poisonous insects?"
"...How's the level?" Grete immediately stood up to take a look. The little dragonet was circling around on the ground, purring softly from time to time. Noctis's wife, the adult copper dragon Delphine, looked at the child with worry:
"It's not as uncomfortable as before. He used to eat poisonous insects and he would always cough, choke, spit, chest pain and back pain for a long time. Now he just feels uncomfortable and uncomfortable, and vomits acidic water..."
"Gastroesophageal reflux." Grete came to a conclusion after hearing this. However, he did not say it immediately, but carefully recalled his diagnosis and treatment process:
What did I overlook?
Why does my child still have symptoms of gastroesophageal reflux after surgery?
What should I do less for the treatment of hiatal hernia?
That’s right—that’s right, fundoplication. Regarding hiatal hernia surgery, there is only one short line written in the book: After hiatal hernia repair, fundoplication is performed at the same time...
It didn’t explain how to do fundoplication, nor why it was done.
Now, faced with the symptoms of gastroesophageal reflux, Grete went back to reading books. He read physiology, pathology, pathophysiology, internal medicine and surgery together, and read back and forth, and then suddenly realized:
Fundoplication is performed to form a valve outside the esophagus to compress the lower end of the esophagus so that food in the stomach cannot reflux into the esophagus.
For patients with hiatal hernia, the diaphragm at the lower end of the esophagus is usually weak and cannot provide sufficient pressure, so fundoplication surgery is needed to supplement...
I understand now, but it's too late. When I had the surgery before, I did a fundoplication as well, so I just did it. Now that the surgery is complete, I need to tell the parents of my child:
"Hello, during the previous surgery, I missed one procedure..."
Gretel estimated that Noctis didn't beat him to death because of his generosity, rather than because he had someone behind his back. After thinking about it again, there is actually no need to undergo another surgery:
The textbook clearly states that 50% of gastroesophageal reflux diseases should be managed as chronic diseases;
For more than 70% of patients, medical treatments such as acid suppression can achieve satisfactory results;
Only about 35% of gastroesophageal reflux diseases can be considered surgical diseases.
The child's condition has improved considerably, and it can obviously be treated with lifestyle management, acid suppression, etc.!
Wait...where can I find ranitidine for my child...Omeprazole is not available...Motilium is not available either!
have what……
Is there any alternative medicine...or alternative spell? I have it!
"The child's condition has improved a lot. As long as he grows older and has stronger digestion ability, this situation can be alleviated." Grete said solemnly:
"Before that, you can use spells to assist. The first is healing—"
Raising his hand, a mage's trick gently swept through him, and the slight healing technique rolled up the acid and fell back into his stomach. Then, dots of warm white light penetrated the young dragon's body:
"The acid will erode the esophagus and cause damage to the esophageal mucosa when it returns upward. Therefore, after each acid reflux, it is best to apply a treatment technique to soothe the esophagus."
Without ranitidine, it is impossible to reduce the damage caused by acid reflux fluid to the esophageal mucosa, and the same is true with cleansing + treatment! I'm so witty!
After the healing spell came off, the young dragon snorted, and judging from his body language, he felt that he had relaxed a lot. Gretel thought for a moment and threw down another magical spell:
The tenacity of a bear!
The subject is given the physique of a bear, making it stronger and able to endure more damage and pain.
At the same time, the digestive ability has also been greatly enhanced. What used to take three hours to digest can now be digested in one and a half hours!
"Every time he eats poisonous insects, add this magic to him to help him digest quickly and empty his stomach contents quickly." Grete told the copper dragon couple solemnly:
"Avoid eating too much and avoid eating three hours before going to bed. When the child grows older and strengthens his body, there should be no problem."
Gastric motility medicine!
There is no gastric motility medicine, but the gastric motility magic is the same!
Combined treatment of surgery + magic, achieved!