Chapter 311 There Is a New Method for Anesthesia

When treating penetrating injuries, what is the most dangerous moment?

Gretel has simulated and deduced countless times in his past life and this life. The corollary is: the moment the penetration is pulled out.

The skin, muscles, and even internal organs of the human body are all tense. When a penetrating object is inserted into the body, it will be firmly held by the tense body, and the action of "pulling out" itself will also cause damage to human tissues along the way;

If you are unlucky, for example, if the penetrating object is a wooden stick with a nail - that nail may even cause additional damage, such as scratching an additional large blood vessel.

Not to mention, when this stick, steel bar, or even a sharp knife is inserted into the body, it will temporarily block the blood vessels and damage it; once it is pulled out, the blood will immediately surge!

How to deal with it?

Before pulling out, cut the skin, find the damaged blood vessel, and clamp the front end. But this kind of cutting and searching is itself a kind of injury, which will add more blows to the injured. Grete had seen surgery videos in his previous life. Some doctors tried to use a laparoscope to penetrate into the wound to find and seal damaged blood vessels. However, the diameter of the laparoscope itself was also a problem...

Countless doctors have devoted themselves to this problem. And Gretel is now fortunate enough to make another attempt, a completely different one.

The vines were stimulated, along the wound at the penetration, and squeezed into the gaps in the skin little by little. The diameter of the vine is not much thicker than a hair, which can minimize damage, and the flexibility of the plant during growth allows it to grow along the penetration until it reaches the exit of the other section.

Then—expand a little outward, pushing away the surrounding human tissue!

The force of expansion replaces the penetrating object itself and seals the wounds of surrounding blood vessels and organs. After the penetrating object is no longer pressed by the body, the friction is reduced and it can be pulled out more smoothly!

"Brother Matthew, pull out!"

Gretel gave the order. Pastor Matthew held the end of the iron rod with one hand in front and the other behind him, and pulled it out with all his strength - the iron rod threw out a string of blood, which was shining brightly under the illumination spell, and almost hit Grete's face; while Pastor Matthew Staggered, almost fell!

"Why is it so easy to pull out?"

he whispered. Beside him, the young priest of the Spring Temple, the two low-level priests who helped carry the stretcher, and the two apprentices brought in by Gretel all spoke in unison and began to cheer:

"Pull it out!"

"Pull it out!"

The iron rod was pulled out and the injured did not bleed heavily. The treatment was half the battle won! The next treatment is no longer so dangerous!

Cheers spread straight outside the operating room. Across the door, the families of the injured and the sailors on the ship who were waiting nervously began to whisper to each other and ask each other:

"Pull it out?"

"Did you really pull it out?"

"Is our first mate still alive?"

"Let me see my son...let me in -"

The door of the operating room was pushed open with a clang. Gretel closed his eyes, sighed, turned around and shouted:

"Everyone get out! Don't push the door! If someone comes in through the door, I will treat you!!!"

Emma, ​​it was a mistake not to bring Bernard with me today... and the operating room is too shallow!

In the operating room of his previous life, the entire floor was a surgical floor. After entering, there is a long corridor, nurse station, item warehouse, medicine warehouse, rest room, dressing room, first hand, second hand, third hand and fourth hand... all the way to the 11th and 12th operating rooms. Countless rooms are like a maze. Not to mention family members rushing into the operating room, even a young doctor who comes in for the first time can get lost!

In the future, I will definitely build a surgery building! Well, when you reach level 13, you will have a mage mansion, and you will have a portable luxury hospital...

You have to have dreams, and you have to live in reality. Gretel roared angrily to silence the door. He turned his head and looked at the two apprentices he led, and issued an order like a flowing stream:

"Lay the patient flat! Supine!"

"Disinfect the area around the abdominal wound again!"

"Hang up the shadowless lamp!"

The two apprentices were driven off their feet by him. And Gretel held a handful of vines in one hand, maintaining its growth momentum, closing his eyes slightly, and exhaled a long breath.

——The operation finally entered a rhythm he was familiar with. The patient is lying on his side, which is very uncomfortable for the surgeon. He has to squat half down, and if the arm is slightly lowered, it is easy to leave the sterile area, and the light is easily blocked. Although he had done that kind of surgery more than once, the physical exertion each time was more than 1.5 times that of the normal position.

But now, the patient is lying on his back, with a bright shadowless lamp hanging above his head, and assistants standing around him... everything is similar to the operating room in his previous life. The only thing that didn't look like it was the vine he held in his hand.

"Brother Matthew, can you take over these vines and keep them as they are?"

Gretel raised his head and asked. Pastor Matthew walked over quickly, tentatively put the green in his hand, and closed his eyes for a moment:

"Can."

Grete breathed a sigh of relief. The two people's eyes met, silently chanting one, two, three, and nodded at the same time. Grete let go, Pastor Matthew passed through the power, and a green light flashed slightly on the vines, steady and still.

"Your name is Andre?"

Gretel leaned over and asked. The patient nodded slightly, and Grete lowered his voice as much as possible and said warmly:

"The iron rod inserted into your body has been pulled out. Next, we have to see if there is any damage inside your body and repair it. Don't be nervous. I will try my best not to make you feel pain. You can sleep peacefully for a while..."

Sleep spell, activate!

The patient's eyelids slowly drooped. Grete raced against time to take out the sterile drapes from the space bag, and spread them around the patient, leaving only the abdomen exposed.

Alas, it is really troublesome to not have an anesthetist. In his previous life, the patient would have been anesthetized long ago, and someone would be watching his vital signs, so he would not have to worry about it at all...

Grete sighed secretly, but his hands were not slow at all. Cut the skin, separate the fascia, open the abdominal cavity - seven or eight mage hands are constantly fluttering around, retractors, blunt separation, blunt separation, helping to clamp the blood vessels, helping to clamp the blood vessels. Everything is well organized and there is no chaos at all.

Under the snow-white shadowless lamp, the scene is half serious and half magical. Pastor Matthew stood opposite Gretel, holding a vine in one hand and raising the other in the air, ready to throw healing spells at Gretel's request. The young priest of the Spring Temple was pushed to the head of the injured, his face turned pale, and he covered his lips with one hand. It looks like he can spit it out anytime and anywhere...

"There is blood in the abdominal cavity. Can it be drained out?"

Gretel suddenly looked up at him. The young priest followed his instructions and looked toward his abdomen. His cheeks turned white again, and he bulged under his palms. That pitiful look made Grete really want to say to him: If it doesn't work, just dodge, don't spit it out and contaminate the area...

However, the young priest did not turn around. On the contrary, after struggling for a few times, he nodded firmly to Grete. His left hand still covered his mouth and he didn't dare to let go, but his right hand was raised into the air and changed several gestures in succession. With the movement of his fingertips, a line of blood rose into the air and fell into the copper basin held by the apprentice next to him.

This priest is very good! Grete smiled under the mask and gave him a thumbs up. He lowered his head and continued the operation:

The colon was fine, the iron didn’t pass;

The small intestine is a little bruised. Let’s treat the minor injury first and repair it first. As for the cleaning of the abdominal cavity, we can do it slowly later;

There are two holes in the mesentery, this is not urgent;

There were only two small ruptures in the superior mesenteric blood vessels, and one treatment was enough to treat the minor injuries. Really good luck!

All the intestines were lifted up and pushed away, exposing the peritoneum of the posterior abdominal wall! Mage's hand, come on! Help me carry my intestines!

"What are you doing! If you cut and pull like this, the injured will wake up!" the priest exclaimed in a low voice. Gretel didn’t even raise his head:

"Shh! Don't talk! When you wake up, help me catch up on my sleep spell!"

He calculated silently in his mind and threw out another shot of [Delaying Pain]. The priest looked over to see the injured man, and saw that the man's brows were furrowed and his eyes were moving slightly, but he actually didn't wake up. He turned to Grete and said in surprise: "How did you do it?"

"Delay the pain! If he doesn't feel pain, he won't wake up!"

There is a limitation of the sleep spell, that is, once the subject encounters damage, he will wake up immediately. But paired with [Delaying Pain], it is a perfect match in surgery...

Grete replied to the priest, and his expression suddenly became serious. The posterior abdominal wall under the peritoneum was bloody and fragmented. Gretel reluctantly fished it out, slightly lifted a broken kidney from it, and showed it to the other healers:

"Brother Matthew, his right kidney...is already in this condition. Is there any way to save it?"

In Gretel's opinion, there was no hope of salvation. A big hole penetrated the right kidney, and blood flowed out gurglingly. Not to mention, the body tissues have changed color and have clearly lost their activity. But kidneys are so important to the human body, and Grete always hopes that the treatment techniques in this world can give him different answers.

Pastor Matthew looked troubled. He reluctantly released a healing spell, and a hazy green light fell on the kidneys without any movement. Then he poured a small bottle of the treasured healing potion. The pale golden potion flowed over the surface of the kidneys, showing no signs of improvement. The young priest from the Spring Temple also came to help, and he tried his best to use a healing spell, but he still didn't see any improvement.

...Obviously, healing techniques, especially those of low-level priests, do not have the power to reverse life and death.

Gretel sighed helplessly.

"It can't be saved. ... Let's cut it off."

Incise the perirenal fascia.

The kidneys are separated by the hands of a mage.

Separate, cut, and magically heal the ureters and renal blood vessels.

The right kidney was removed, and the perirenal fascia and lumbar dorsal fascia were healed using magic.

These are all tasks of urology surgery, and Gretel is a little nervous about doing them, but fortunately, there is always a magical skill at the bottom. A broken kidney was carried off the operating table on a plate. He finally breathed a sigh of relief and felt that cold sweat had soaked his back.

"Brother Matthew, it's okay. You can take back the vines...I'll clean out your abdominal cavity. It'll be fine soon..."

They said it was "quickly done", but it actually took about half an hour. After Grete had repaired the latissimus dorsi, internal oblique muscles, subcutaneous tissue and skin, as well as the posterior wall peritoneum, mesentery and many other tissues in sequence, and washed the abdominal cavity with warm saline and holy water respectively, and was preparing to close the abdomen, there was a bang at the door of the operating room. With a sound, he was pushed away:

"How is the injured? Is he still alive?"

Grete stopped silently. He raised his hands flat in front of his chest, turned around and looked at the God of War Bishop who rushed in fiercely. However, before he could see anything clearly, the other party turned into an afterimage. He rushed to the bedside of the operating table and stretched out his hand to touch the injured person's breath:

"Fortunately, still alive..."

****

Great Little Theater:

Bishop Ares: Are the injured still alive?

Gretel: You're too late...

Ares Bishop: What? already dead? !

Gretel: No, if you had come a little later, the injured person would have been able to wake up and get out of bed on his own...

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