Chapter 441: Swirling Stomach (Additional Update 3 by the Leader of Riding Tiger and Pig Ye)

Outside the [refuge hut] rising from the ground, the barbarian elders looked at the outer wall of the hut and talked about it.

"Why doesn't he just use healing techniques?"

"Treatment may not be useful, right?... I treated one, and the treatment relieved him for a long time, but he still died later..."

"Actually, it's better to let the Bear God bless you. Warriors who have been blessed by the Bear God have stronger resilience and can endure more serious injuries. With one blessing, they can digest what they originally had to eat."

"Is it okay for the deer spirit to give me blessings?"

"Is the giant enlargement technique possible? Your whole body has become bigger. Before, your stomach was holding up and you couldn't vomit it out. Now that it's bigger, you should be able to vomit it out."

"No matter which method you use, you don't have to cut open your stomach, right?"

"Who knows. ...But that healer is so slow!"

Amidst the chatter and complaints, the walls of the [refuge cabin] suddenly started to turbulence like water waves. Serira directed a floating saucer, which contained a large basin full of stomach contents, and walked back to the hall, looking around:

"Where did he fall?"

Immediately, three or five elders jumped up to show her the way, and two elders ran out to call for people to get pots and buckets. There were also two elders who used magic to gather the flames on the brazier and pointed out the red and hot charcoal below.

The previous discussions and complaints were as if they had never existed.

Serira moved the floating dish to the charcoal basin nearby and lifted it easily. There was a "crash", and the unpleasant sour smell immediately rose together with the burnt smell.

The hall was filled with people instantly. The one who retreats backwards, the one who covers his nose covers his nose, the one who calls for the wind calls for the wind——

What does this smell like? It's ten times stronger and a hundred times worse than the smell of drunken vomiting!

Only Seri Ramen never changes color. Before the operation started, she had applied a bubble technique, and she didn't smell anything at the moment. After pouring the things, he turned around and left without stopping:

The operation was only halfway done, and Grete was still waiting for her help!

Inside the [Shelter Cabin], Gretel was extremely busy. He took out bottles of sterile saline and heated them carefully. Seeing Serila coming back, he immediately greeted:

"Celera, heat them up and then use freezing rays to cool them! Adjust the temperature to 37 degrees, 37 degrees! Don't be hot, don't be cold!"

"All of these?"

"Yes, I want them all!"

A whole abdominal cavity!

Such a big stomach!

Even if there is a cleaning technique to scan it and no saline is used to rinse it back and forth, Grete will still be worried!

He knew that this wave of repeated flushing would not be completed without draining 10 bottles of normal saline. Well, fortunately, there is a floating dish, which can be summoned and taken away. It is large enough to hold and easy to move~~~

While Cerela was preparing the saline solution, Gretel braced himself and flew out of the hands of two mages. The translucent force field palm went deep into the abdominal cavity, held up the stomach and intestines, and carefully explored every place.

The old man Yu Guan has been standing behind. Looking at him as if facing a formidable enemy, I was quite puzzled:

"Didn't everything come out? Is there any trouble later?"

Moreover, judging from Gretel's appearance, it seems that the trouble is still huge!

"There's so much trouble..." Gretel sighed:

"You see, the stomach bag has expanded to the point where it fills the abdominal cavity, and not all other organs have been crushed. After such a pressure, any part affected may have problems...the stomach, intestines, Liver, gallbladder, pancreas..."

He muttered one word, and Elder Brock's face darkened. These brats in the tribe are really seeking death!

Those warriors, especially young warriors, spend their daily lives either in fancy martial arts contests, fighting, or competing for the amount of alcohol they can drink and the amount of food they eat. When you are injured or overfed, you come to him as a matter of course...

Eight hundred times out of a thousand, throwing a healing spell will do the trick, and a hundred and fifty times, throwing a Blessing of the Bear God will cure the problem. However, there are many times when I can’t stand it and seek death!

There are always times when a person refuses to get better despite being given the Blessing of Fortitude, discarding healing spells, and even inducing vomiting. I was tossing and turning on the bed, screaming miserably. If I was lucky, I could get through it. If I was not lucky, I would go see the Black Gate Master...

He settled down and watched Gretel's every move. The mage's hands gently hold up the stomach bag, trying to avoid shaking the incision, reducing bleeding, and trying to avoid tearing the mesentery near the gastrointestinal tract. As for tearing blood vessels or something like that, there was no blood spurting out from the beginning to the end.

After decompression, the volume of the stomach bag has been greatly reduced, giving the mage's hands enough space to explore. Grete looked through it carefully and suddenly made a sound:

"There's something wrong here!"

"What?" Brock looked over. He stretched his head three feet in front of the stage, and with a bang, his face was covered by a mage's hand. Serila looked serious:

"You are not allowed to go there without washing your hands! Look at the secret eye!"

The old man Yu Guan smiled bitterly. He took two steps to the side. Cerela had already put a secret eye on the shadowless lamp. Now she was working and watching the live broadcast of the surgery, happily. Elder Bullock came to the side and watched with her, listening to Grete's muttering:

"The shape of the stomach... Well, it's completely twisted here. No wonder he can't vomit it out! Tsk tsk, it's a good thing it was discovered. Otherwise, if the twisting took a long time, the entire stomach would be necrotic!"

"Gretel, how do you know to be careful about this?"

"Then, Serira, remember, when you encounter the triad - that is, when three symptoms appear together, you must be careful of gastric torsion." Gretel stopped his hand and let the vines roll up the secret eye into the stomach incision, up, down, left and right. , scan carefully along the stomach wall. While scanning, he explained to the silver dragon girl:

"First, local distension and pain in the upper abdomen - it only hurts in this area, not everywhere; second, repetitive retching; third, the gastric tube is difficult to insert into the stomach, or simply cannot be inserted. If these three symptoms appear together, you must be careful of your stomach twisting!"

This is the triad proposed by Borchadt in 1904 to assist in the diagnosis of gastric volvulus. A hundred years later, future generations of doctors are still benefiting from this.

Are you telling me this on purpose? Elder Brock quietly pricked up his ears. He watched the two light screens change together, and the two mage hands carefully moved the stomach bag, both internally and externally. Gretel muttered something while exploring:

"Well, the greater curvature of the stomach has been twisted to the lesser curvature of the stomach... No wonder the gastric tube can't be inserted... Serira, pay attention! I'm going to start the reset!"

The two mage hands worked together to twist the stomach bag and quickly returned to its normal form. Grete threw out a handful of healing techniques again, repairing the ulcers, inflammation and perforations on the stomach wall, and observed carefully:

Thankfully, after the torsion and reduction, the blood supply to the stomach was quickly restored. There is no ischemic necrosis and the color returns to normal...

When the peritoneum was first opened, the ghostly purple-black color finally completely disappeared.

Oops, there's a hematoma in the cardia... Tsk, there's also a hematoma in the antrum! Throw the healing spell quickly! Very good, very good. Throw in the treatment and the hematoma will disappear soon. This kind of hematoma is as tender as tofu. It is not easy to sew or prick. If you touch it slightly, blood will burst out for you to see!

Elder Brock let out a long breath. Fortunately, the healer took action. If he had done the treatment himself, Bunker's stomach was so twisted that it would have died before the food was fully digested...

"Celera, prepare the floating saucer! I'm going to rinse it!"

Blah blah blah, blah blah blah. Sterile saline solution at 37 degrees Celsius is injected into the stomach cavity through the hollow tube at the incision of the stomach wall, rinsed four times, and then sucked out with an aspirator - a vine plus a negative pressure cyclone.

After flushing it back and forth several times, I saw that the color of the normal saline solution was clear and there was no active bleeding. I pulled out the vine and healed the incision on the stomach wall——

Then explore other parts of the abdominal cavity!

After being pressed by the enlarged stomach pouch for so long, will the blood vessels in other places be blocked?

Will there be severe bleeding in the digestive tract?

Although the liver, gallbladder, and pancreas have been briefly looked at just now, you still need to look carefully before closing the abdomen...

Well, I saw about 200 ml of ascites, turbid color, and gastric contents... I first threw a cleansing technique, then rinsed, suctioned, gave a treatment, and flushed again!

Check that there is no active bleeding...check that there are no abnormalities in various organs and mesenteric blood vessels...

To be on the safe side, Grete used one treatment each on the gallbladder and pancreas, which are most prone to problems after acute gastric dilation. Very good, normal color, normal shape, everything is normal.

Well, if it was a previous life, a gastric tube and a jejunal feeding tube should be left here, the opening of the stomach wall should be sutured, an abdominal drainage tube should be left between the stomach and pancreas, and then the abdomen should be closed and transferred to the SICU. But now...

Intestine, mesentery, scan the treatment! Various mesangial treatments around the stomach to make it grow back! Then close the abdomen layer by layer, treatment, treatment, treatment!

Thin white light flashed one after another. When the incision on Bunker's stomach shrank quietly and returned to a smooth state, Cerela waved her hand to release the restraint. The next moment, the reckless warrior jumped up:

"I'm fine? I'm fine?"

He groped his belly with both hands, from top to bottom, from bottom to top, only to find a smooth and flat patch. The young warrior jumped a few times hard and was sure that he no longer had any pain. He immediately beamed with joy:

"I'm fine! Hahahahaha! Dear Healer, thank you!"

He opened his arms and rushed forward to hug Gretel. At the critical moment, Gretel flicked his fingers and cast a string of spells on himself:

Shield, Mage Armor, Bull Power, Bear Tenacity...

Woo... "Crack!"

A crisp cracking sound. Gretel's cheeks twitched and he almost lost his breath.

The bubble technique on his head was squeezed!

it stink!

Bunker hugged Grete hard, saluted the elder and the beautiful elf lady, and rushed out of the operating room like a whirlwind. Outside the refuge hut, energetic chants soon rang out:

"Who was it just now! Who said I can't do it! Come forward! Let's compete again!"

This...is this a dog that can't change its eating habits? Gretel's face suddenly darkened. He glared out angrily and turned to look for the old man with feather crown:

Hey, your tribe, take care of him! I worked so hard to save him, not just so he could stuff up his stomach again!

"Your Excellency Nordmark." Facing Gretel's complaining gaze, the old man stepped forward and saluted with a smile:

"Your treatment methods are really impressive. - If you contract with a totem spirit, can your miraculous medical skills be taken a step further?"

Is this a trick on me? Ready to make an offer? Or, are there any incurable diseases that he can't handle and want to ask for help?

Grete's thoughts changed rapidly. He smiled and said:

"Of course! My treatment methods, to a large extent, rely on the perception of the situation inside the patient's body. For example, the hunchback - oh, Whitefin, the lump on his shoulder, if I contract the virtual body, I can see the situation If so, maybe it can be treated!”

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