Chapter 503: Mage’s Tricks, a Good Helper in Surgery (Update 2 with Ten Thousand Rewards)
An operation, to do it or not to do it, is a question worth considering.
If you don't do it, there is a 100% chance that the child will die; if you do it, there is a 50% chance that the child will still die after enduring considerable pain. Even if you can survive successfully, the later recovery will still take half a year and a year...
Do?
Or not?
The old man looked at Gretel, then at the child on the table, frowning in thought. The child's mother is the girl he has grown up watching and treating as his granddaughter. After marrying into the family, she is kind-hearted and harmonious, and has always been liked by the whole family.
She had already lost two sons and had just given birth to her third. Now she was told that the child would be given up because she was afraid that she would not be able to withstand the blow. However, after giving her a glimmer of hope, she was then allowed to bear the pain of loss...
Moreover, there was not much time left for him to decide. Until now, the child has never had a sip of milk or a sip of water, and will only become weaker and weaker. Obviously, procrastinating it forever will only cut off the child's life.
He let out a long sigh and looked at Gretel again. As soon as his eyes glanced at him, he was immediately startled.
Gretel was sitting at the table, his eyes seemed to be open and closed. The fingertips of both hands were gently placed together, and the [Silent Phantom] in front of him outlined the muscles and organs inside the human body, constantly changing.
Sometimes it opens, sometimes closes, and sometimes spreads like blisters, and the lower body of a baby appears again...
"What are you doing?"
"Mock surgery."
Grete answered in a low voice without opening her eyes. He can give a general idea of this operation, but he cannot perform it:
There are three surgical approaches written in "Surgery". Which one should I choose? Abdominal? Through the perineum? Or, choose the posterior sagittal approach?
What position should the baby be placed in, how long should the incision be, and which layers of muscles need to be stretched? How to determine the position of the sphincter during surgery so that the rectum can accurately pass through the gap in the sphincter?
Is it necessary to correct electrolyte imbalance before surgery, and is it necessary to decompress the gastrointestinal tract to prevent vomiting?
How to deal with the fistula? The rectal wall is quite thick. How to let it pass through the narrow levator ani muscle and sphincter complex? Should I cut off part of it, and if so, how much should I cut off?
Each question needs to be combined with his understanding of the anatomical structure and the baby's growth and development process, and he needs to read the book on the spot:
"Histoembryology", "Pediatrics", "Surgery", "Local Anatomy", "Systematic Anatomy"...
The sooner a plan is decided, the sooner the surgery can be performed and the less damage the child will suffer.
The old man was silent. After a moment, he asked in a deep voice:
"You haven't decided yet, haven't you?"
"It's your business whether it's determined or not. - It's my own business to be 100% prepared."
Grete said softly with her eyes closed.
The next moment, several thin green vines sprouted from his fingertips. With two pricking sounds, the vine dug a hole in the brocade on the table, swaying gently, and crawled under the brocade weakly but firmly.
The old man frowned.
He looked deeply at Gretel, at his calm and focused brows, at the winding vines at his fingertips, and at the drawings with ink marks on the table at his hand:
Once upon a time, he himself was a young knight who was ordered to conduct reconnaissance behind enemy lines and saw a small group of enemy troops slaughtering a village.
If you rush out, you may destroy the opponent, or you may alert the enemy and cause the mission to fail; if you don't rush out, the sight in front of you will really make people grind their teeth...
Only the captain can issue the order to attack. At that time, he was just like Gretel now, silently adjusting the saddle and bridle, tightening the girth of the war horse, and wiping the weapons he carried...
Whether or not to issue an order is the captain's decision. It is his own business to be prepared.
He breathed in deeply and exhaled deeply. Then, hold down the desktop and lean slightly towards Gretel:
"Mage Nordmark. I leave this child to you!"
"Don't worry." Grete opened his eyes and looked directly at him:
"I can't guarantee 100% success, but I will try my best."
The group moved to the hall. Archmage Novak releases the Mage Sanctuary to isolate dust that may fall from the air;
The High Bishop of the Temple of the Fountain Goddess casts a soothing spell to ensure that the baby does not feel pain during the operation;
The bishop of the Temple of the God of War enthusiastically stood next to him, and followed Gretel's instructions to help position the baby, placing the baby prone, with its legs curled up in a frog position, exposing the surgical site. Elevate the bottom of the belly in preparation for surgery;
And Archmage Novak, after releasing the operating room, squatted next to Gretel and started playing with the animals...
"Uh...can you catch me a frog?"
"Frog? In this season?" The old man had no intention of rejecting it, nor did he ask what he wanted to do. He turned around and looked around:
"Can a larger animal be allowed? Like a sheep? Or a pig?"
"Bring a sheep..."
Gretel sighed. Okay, although the principle of animal experimentation is to use lower animals instead of higher animals, but their family has money anyway... and they have to eat these sheep anyway...
The sheep was quickly led over. While Grete was watching people shaving the sheep, he ordered people to shape zinc sheets and copper sheets, make zinc-copper bows, and soak them in physiological saline...
"Your Excellency the Archmage! Your Excellency the Archmage, please come here and help me!"
Grete took it upon himself to cut open the skin of the lamb leg, separate the muscle bundles, and use a zinc-copper bow to stimulate the muscles. Well, the effect is not satisfactory, maybe the current is too small?
"Your Excellency, Archmage, please use the smallest beam of electricity and hit it on the muscles - just make the muscles contract. Don't injure them!"
"Okay, get out of the way, I'll do it!"
There was a crackling sound, and the exposed muscles of the lamb leg were slightly charred to the naked eye.
"Hey, be gentle!"
"A little gentler!"
The Archmage is indeed a Archmage. After three attempts, the required current intensity has been accurately grasped. Gretel was still not worried, so he lifted up his trouser legs and asked him to try it on himself——
"Are you a fool? You are already a fifth-level mage. Even if you don't deliberately resist, your magic resistance is higher than others!"
It's as if I don't get hit by static electricity in winter... Gretel complained silently.
In the end, it was the host who solved the problem. There must be a brave man under a heavy reward. With an order, the two servants rolled up their sleeves for the Archmage to test.
There was a crackling sound, and muscle twitching was visible to the naked eye, but no substantial damage was caused. After two consecutive tests were successful, Grete breathed a sigh of relief and turned to change clothes and wash hands:
"Okay, let's get started! - Brother Matthew, pay attention to my movements. Wherever the knife cuts, the healing technique will follow. Don't let the wound bleed!"
"okay!"
Pastor Matthew summoned a vine and inserted it into the baby's mouth to the stomach to serve as a gastrointestinal decompression tube to prevent the baby from vomiting, choking, and coughing;
Gretel concentrated on holding his breath, holding the scalpel in a pen-holding position - the baby's skin is delicate, and the pen-holding position is gentler and more flexible and accurate in operation than the bow-holding position - he made a mid-sagittal incision and made a single stroke;
It starts from the tip of the coccyx and goes down to 1 cm behind the anal recess. Cut open the skin, use two smallest retractors, one on the left and one on the right, to pull it apart to both sides. Grete maintained the position of the hook, and Pastor Matthew used two vines to take it over to reduce Grete's operating burden as much as possible;
Then……
"Master Novak! Please use the smallest amount of electric current to stimulate the muscles inside the knife edge like you just did!"
The electricity crackled again. The baby's buttocks muscles immediately began to twitch, and his eyes were fixed on the knife edge. When he raised his hand, the mage's trick flew out——
"The direction of this circular contraction! That's right! This is the external anal sphincter!"
In previous lives, special muscles needed to be marked, which were usually stimulated with an electrical stimulator. There is no electric stimulator here, so we have to ask the Archmage to stimulate manually...
If the archmage's control level is still not good enough, he can only install a zinc-copper bow, or set up his small hand-operated generator to adjust the current bit by bit.
However, what is more convenient than the previous life is that there is no need to use silk thread or reagents such as Melan to mark it. The magician's trick of zero-level magic, instant dyeing, rich colors, no damage to the tissue, easy to remove, really a good helper for doctors!
Hey, if you undergo laparoscopic surgery or similar surgery in the future, you can also consider dyeing the relevant tissues...
Grete secretly praised himself, flew out a few vines, and began to separate bluntly. Others only saw that his eyes were slightly closed, and vines as thin as hair penetrated into his muscles, and it took him a long time to move slightly. Only Grete himself knows what he is doing:
Such a small place, the anal sphincter system, is composed of four groups of muscles. The subcutaneous layer of the external sphincter, the proximal levator ani muscle, the deep external sphincter, and the muscle complex consisting of the puborectalis portion and the deep fibers of the external anal sphincter.
If it is a normal baby, the rectum should pass through these systems and go straight to the anus; however, in babies with anal atresia, the rectum is not fully developed and the anorectal hiatus is relatively small. Slow blunt dissection is required to expose the surgical field and leave Create a gap for the rectum to pass...
The top of the vine glowed slightly. The vines are as thin as hair and soft like spider silk. When exerted force, they can burst out with the power to topple stone slabs. Drill, push, pull, cut...
Separating a gap of just one centimeter in diameter already made Grete sweat profusely.
He closed his eyes and panted for a long time, then manipulated the vines to carefully drill in and began to separate the rectum. In the previous life, this statement would not have been enough:
The distance between the blind end of the rectum and the anus is about 2 cm, and the length of the rectum that needs to be separated is about 3 to 5 cm. In other words, it takes such a long incision to have enough surgical field for operation. But Grete doesn’t have to be like this:
With the spirit of the contract providing vision and vines for operation, he could perform the separation operation steadily through the dark and narrow incision without cutting more skin, muscles or even bones.
This field of view is much more delicate and convenient than surgery under X-ray guidance. Moreover, there is no need to eat thread or wear a heavy lead suit!
Perfect!
****
3000 words!
Another update with ten thousand rewards has been completed, only the last three are left...
Today, the papers, atlas, and surgical instructions were opened together, and they were all different from each other. I was exhausted from checking them...
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