Chapter 445: Replace the Arm? Please Watch and Take Notes! (The Leader of Riding Tiger and Pig Ye Will Add 5 Updates)

Elder Brock has been paying attention to Gretel. Hearing Grete say, "You can try to reattach the broken arm," he frowned and walked over quickly.

Before asking, the elf girl next to Gretel had already spoken clearly:

"Gretel, can you really do it? - Regeneration is a seventh-level magic! I can't even do it! Can you really do it?"

Yes, that is a seventh-level magic!

Elder Brock has heard this statement. Outside the great wilderness, those humans classified spells into levels one to nine. Next down is the apprentice spell, and above that is the legendary level above the ninth level.

Seventh-level magic means that only a priest of at least level 13, or a magician of the same level who specializes in medical treatment, can cast it!

And what about Grete?

The division of power in the Great Wasteland is not that fine. Their own assessment is only accurate to low-level, mid-level and high-level.

According to Elder Brock's perception, Gretel is about the middle level - the kind who has just entered the middle level and has just stabilized. Elder Brock himself is already at an average level among high-level spellcasters.

But even if he himself casts a limb regeneration, he would have to use up all his mental and magical power!

Grete, is that okay?

Elder Brock held the bone staff and couldn't help but take a step forward, and then another step forward. Is this young human healer bragging so freely in order to obtain the totem spirit?

Or is it because he sincerely cares about the soldiers' situation that he would rather overdraw his own strength?

Either way, it's not a good sign.

Elder Brock's thick long eyebrows trembled slightly as he stared at Gretel, hesitating whether to speak. However, at the end of his sight, Grete had already laughed softly.

"Ah, I can really pick it up." He smiled confidently, looking into the eyes of the silver dragon girl without evading:

"Serila, you believe me. This operation is not too difficult and is within my capabilities - of course, I still need a little help from you -"

Amputated limb replantation surgery is a third-level surgery in terms of clinical classification. In other words, senior attending physicians can preside over it, while junior attending physicians can conduct it under the guidance of superior physicians.

And he himself, before time travel, was already the deputy chief physician.

Of course, there is a big difference between microsurgery replantation of amputated limbs and emergency department surgery. In reality, you need to obtain special surgical qualifications, and you can't just do it if you want to.

However, the success or failure of replantation surgery depends largely on the healing process. If the blood vessels do not leak and the blood supply can be restored, the operation will be half successful.

But with the protection of healing skills, this difficulty almost does not exist!

He didn't even have to sew up the blood vessels!

"Then do it quickly!" Cerela urged immediately. Gretel smiled and waved his hand:

"Wait a minute, let me get ready - well, let me ask you one last time, has this arm really only had time for one meal since it was broken?"

He did not look at the broken-armed soldier, but at the comrades who had just been treated as they came back to protect him. The four warriors nodded incessantly, especially the one who carried him back, repeatedly promising:

"Definitely less than a meal. After a long time, we won't be able to escape from the mouth of the black clouded leopard——"

Well, that'll do. Gretel summoned a floating dish, and put the surgical instruments on it: scalpel, hemostat, normal saline, and irrigation equipment. A silver rod sandwiched with thin glass wires used to guide healing techniques...

Finally, there is a palm-sized magnifying glass. Cleansing and saline are used back and forth, and rinsed repeatedly.

"Cerilla, do me a favor later. Fix this magnifying glass and don't let it float around. I will rely on it to connect the limbs!"

There is no need to dismantle the microscope, just use the magnifying glass. Although replantation of severed limbs is considered a microsurgical direction, it is not as delicate as replantation of severed fingers.

The required magnification is 2.5 to 6 times.

In 1963, Professor Chen from the Chinese Academy of Sciences successfully performed the first replantation of a severed limb in the history of world medicine. He completed the operation without using a microscope at all, relying solely on his naked eyes and experience.

A magnifying glass is enough!

"This thing?" Cerela looked closer and wrinkled her nose. Then, she formed a circle with the index finger and thumb of her right hand and stretched it under Gretel's nose:

"Is this okay?"

The scene beneath my finger shrank and zoomed in and out, zoomed in and out. Grete concentrated his mind and carefully examined the magnification:

"It's okay, that's okay. But Serira, you know..."

"You know... the germ-free... operation... you know!" The silver dragon girl wrinkled her nose and jumped back. Without waiting for Grete to ask, she muttered a few words in a low voice and waved her hand casually.

Immediately, a translucent bubble appeared in front of Gretel's eyes. Following the gestures of the silver dragon girl, it rises and falls, and moves continuously.

"Can i do it now?"

"That's it! - The old rules are to open a refuge hut and hang up a shadowless lamp. I'm going to wash my hands!"

In an instant, the surrounding healers looked at each other and started gearing up.

The refuge hut can only accommodate 10 people. In addition to Gretel, Serira, the patients undergoing treatment, and the host Elder Brock, grab the other spectator positions!

Ping pong ping pong ping pong...

Gretel was not disturbed at all. Cleansing, handwashing with soap, and water making also summon running water. He completed the pre-operative preparations with ease, used a floating saucer as a stool to sit on, geared up, and started——

Debridement.

Nonsense, debridement of course. In any surgical operation, the first step must be thorough debridement...

Go, go, go, go, go, go!

First, wash the severed limb with soapy water and a brush. Don’t think about sterility, just start cleaning;

Then, rinse again with plenty of sterile saline;

Then, change the gloves, perform a set of cleaning techniques on the hands, and use another set of brushes and soapy water to scrub the wound edges;

Next, 3% iodine tincture? 75% ethanol?

Think too much, St. Saline, take action!

After the flushing was completed, the draping was done as usual, and next came the scalpel and hemostatic forceps, with cold light flying up and down. Sevi sat on the side obediently, watching Gretel immerse himself in dealing with his broken arm, and couldn't help but tremble.

Even though his arm had been bitten off by the black clouded leopard and was not connected to his body, he would tremble subconsciously every time the knife flashed and cut off a small piece of muscle or a small section of blood vessel.

It's so terrible. Why are the methods of human healers so terrible... When the elder was treating him, a red light flashed and he pressed on the broken part of his arm, and then he was cured...

"Sir, sir... I can reconnect this arm... I won't die..."

"Probably not. Your arm is a little longer. Fortunately, it was broken for a short time, so it probably won't kill anyone." Grete replied without raising his head.

He turned his eyes and glanced at the half-broken arm held by the mage's hand. Palm, wrist, forearm, half of upper arm——

"Is it difficult to reach the arms if they are long?" Elder Yu Guan took a step forward and couldn't help but ask:

"The broken arm is longer and less likely to die. Shouldn't it be easier to reattach?"

"Elder, broken limbs are poisonous..."

Gretel sighed. To be precise, this kind of high-level amputated limb is rich in muscle. After 6 to 8 hours of ischemia at normal temperature, the muscle cells will degenerate and necrosis, releasing toxic substances such as potassium ions, myoglobin, and peptides.

They accumulate in the tissue fluid and blood of the amputated limb. Forget it if you don't reattach it. After the severed limb is replanted, it will definitely flow along the blood vessels and throughout the body.

"So, if you put poisonous limbs back into a person's body, the person will die? - So, what kind of limbs are non-poisonous?"

Elder Brock spoke in a low voice, as if talking to himself. He always remembered that tragic failure, when he released the regeneration technique for the first time to join the limbs of the tribe's high-level warriors——

When you cast a spell, there is always a powerful force extracting your own mana. It was as if the warrior's body was saying: "Not enough, not enough. This amount of treatment is not enough to restore me..."

In the end it was not enough. The leg was reattached, but one day later, the soldier fell into a coma and struggled for another two days and two nights. In the end, he could not be saved. That failure was unforgettable.

The teacher who taught him the regeneration technique also once said: "With this technique, it is better to make the limbs grow back than to reconnect the severed ones. If the regeneration is uneven, you can try it again; if the regeneration is not done well, the person will die." will die!

Elder Brock observed Gretel as covertly as possible, pretending not to care. Such precious knowledge, could this young human healer speak? What would he demand in exchange for, say, a totem spirit?

In fact, it is not impossible to use the secret of connecting limbs to replace it with a totem spirit. But as a tribe elder, he always hopes to change a little more...

Unexpectedly, Gretel made no conditions at all. He stared at the broken limbs, looking at the pale bone stubble, the shocking fractures, blood vessels, muscles, ligaments, flying on his hands, and said something like a casual chat:

"It doesn't matter if the time is short, but if it is long, it will be very troublesome. Generally speaking, such a long arm or leg cannot be reattached 6 to 8 hours after it is broken -"

Toxic substances entering the body can cause systemic reactions and even death, which is what is clinically called reperfusion injury. Therefore, the replantation time of high-level amputated limbs is strictly controlled within 6 to 8 hours.

Fortunately, not long has passed since the injury. If reperfusion injury occurs, a barbarian's physique should still be able to withstand it.

Alas, there is no way to test liver function and kidney function, and there is no way to administer medicine in a targeted and timely manner. If something is really wrong, we can only rely on treatment to cure it——

Grete complained silently, speeding up. Behind him, Elder Brock was silently concentrating, memorizing every word and action of Gretel. Perhaps, there is a trick here that can increase the success rate of regeneration by 10%?

Later, a few elders who were lucky enough to squeeze in, although they were not qualified to release the regeneration technique at all, they were still trying to remember, and they wanted to get a notebook and copy down every detail.

Replace a severed limb!

It’s a rare sight!

If this human healer succeeds, just the treatment method and these few words can be exchanged for a treasure from healers from other tribes...

Huh?

What is this servant of the god of nature doing?

Why did he take a weird-looking tube, suck in some salt water, and start piercing the broken arm?

****

3000 words!

Another update completed!

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