Chapter 511 If You Can’t Use Magical Thrombolysis, You Can Also Use Magical Thrombolysis! (A Hundred Thousand Rewards for the First Time Will Be Added)
Grete stared closely at the patient's intestinal blood vessels, his mind racing.
Thrombolytic drugs, no.
Magic anticoagulation cannot be used for thrombolysis.
The attempt to remove the disease failed.
I tried a cleaning technique and tried to remove the blood clot from the blood vessel, but it still failed.
In his mind, all the magic, divine arts, and medicines he knew passed by one by one. There is one more magic available: necromantic magic, [thalassemia]. Using this magic, the target's blood can be turned into sea water, causing damage.
The casting material is a drop of seawater. If the seawater is replaced with saline, the blood in this section of the blood vessel should be converted into saline...
But the problem is that this is a fifth-level magic, and Gretel doesn't know it.
emmmm... Is there any other method that can be used?
"Gretel, what are you troubled about?"
The silver dragon girl stretched her head to look. In the direction of the patient's head, although Leon Carlos did not dare to stretch his head, he looked at Gretel with curiosity, and then at that section of intestine - although he could not see the reason. Gretel looked confused and pointed it out to them:
"There are blood clots blocking it... I'm wondering what method can be used to make these blood clots disappear... If there is no medicine for thrombolysis, if there is thrombus removal..."
"How about removing the thrombus?"
Cerira asked impatiently. As he asked, he spread his fingers, eager to try:
"Can your... vine... be able to reach into the blood vessels and remove the blood clots?"
Reach into the blood vessels? Easier said than done. Gretel smiled bitterly:
"It can't be that easy... Look at these blood vessels, they are so thin... My vines can't reach in..."
The length of this superior mesenteric artery, which is suspected to be blocked by thrombus, is 30~40cm, but its inner diameter is only 0.6+-0.09cm!
If it were its lower blood vessels, which are the branches that supply blood to this section of the intestine, the inner diameter would be as thin as a hair...
He wants to control the vines to enter from the femoral artery, twist and bend all the way in, and then divide it into four, one into six, and one into eight, to "tie up" and "drag out" the blood clots. His precision in controlling the vines is truly amazing. Not to this extent!
"So, what about cutting it? Cut it and take it out -" She squinted her eyes, raised her palm like a knife, and made a long slash, making a "cut" gesture:
"And then cure it?"
Grete shook his head quickly. It is possible to cut all of this length and thickness, take out the thrombus, and then heal the blood vessel, but the prognosis will be very poor:
Cut the blood vessels as little as possible, and make the incision as short as possible. If the inner diameter of blood vessels is slightly bumpy, it will lead to changes in hemodynamics. Then, blockages and blood clots will come to you one after another...
Even arteriotomy and thrombectomy only make a small opening and use the blood flow of the artery itself to flush out the thrombus.
If this section of blood vessel is a branch blood vessel connected to the intestine, such a small blood vessel cannot be flushed out at all.
So... then...
"I have an idea! Cerela, I have an idea!" He suddenly jumped up. He formed a circle with his right hand, raised it to his eyes, and gestured:
"Celera, that magnifying glass, make me one! Quick! The kind I used to reattach amputated limbs before!"
"good!"
The light of the spell flickered and hit Gretel's face. Gretel held his breath and lowered his head. At this moment, the blood vessels less than one centimeter thick were magnified five to six times in his field of vision.
With a single stroke of the scalpel, a small incision of less than 1 centimeter was made on the dark red blood vessel wall. Grete raised the tip of the knife and pointed at the opening of the blood vessel:
"[Cleaning Technique]!"
The faint fluorescence of the magic trick shrouded silently.
The area covered by the Cleansing Technique is a cube of one foot each in three directions: length, width, and height. Of course, a skilled magician can lengthen, widen, or flatten this square.
For example, if you control it to be one inch high and three feet square, you can easily clean the wall.
Well, almost all academic magicians have the experience of climbing on scaffolding and cleaning the exterior walls of buildings inch by inch. If the spell is well controlled, the cleaning area can be large with a single cast, and the work can be completed as quickly as possible.
Grete had not experienced such high-intensity training. Even if you have experienced it, it is of no use now:
His current operation requirement is to control the range of influence of the cleaning technique to be equivalent to the inner diameter of the blood vessels, so as not to remove things that should not be removed!
Fortunately, I have a magnifying glass. With the assistance of a magic magnifying glass, Gretel carefully controlled the scope of the spell and advanced it bit by bit:
Cleansing!
Cleansing!
Hey, it seems to be working, it really cleared up a bit! Then, keep pushing forward——
The length that can be cleared with one cast is only one or two centimeters. Moreover, the further in, the greater the consumption.
After advancing seven to eight centimeters, Gretel's mental strength had reached its limit. Trying to control it more precisely makes me feel dizzy and my ears are buzzing——
But this is already very good! Grete breathed a sigh of relief, clamped the end of the cleaned blood vessel, healed the front end, and released it. The bright red blood immediately rushed over happily.
feasible!
So, go ahead!
Clean up a section, heal a section, let go a section. One more section to clean up, another section to heal, and one more section to let go.
With blood vessels thirty to forty centimeters long, plus branch blood vessels, Grete had to perform nearly a hundred treatments. After the arterial thrombectomy is completed, continue to treat the vein with treatment——
When all the treatments were finally completed, Gretel was so dizzy that he almost fell on the operating table.
He lowered his head and closed his eyes, feeling stars flashing in front of his eyes. However, now was not the time to rest. Gretel could only pinch the tiger's mouth with his left hand and said in a low voice:
"Warm salt water...cover it with warm salt water gauze. The water temperature should be higher than 37 degrees...probably, between 40 and 45 degrees..."
Carlos immediately rushed to do it. Heated the saline, cooled it with freezing rays, soaked it in gauze, picked it up with a mage's hand and twisted it slightly until it was wet but not dripping, and quickly covered it with the intestines.
A series of movements flowed smoothly, without any need for Gretel's instructions. It was obvious that he was already familiar with it. Always pay attention to the temperature of the gauze and replace it every few minutes -
Serila was responsible for watching from the side. Change a piece of gauze and report good news:
"It's red, it's red!"
"Gretel, you're red!"
"The color of that section of intestine is red! It is no longer green and purple, it has become rosy!"
If it's red...that means it's alive. Gretel unconsciously smiled lightly.
It's great that this old lady doesn't have to cut her intestines.
It’s great to have found a method of vascular thrombectomy.
Next, I want to try to see if there is any way to remove the bolt through the air. It’s great to have a new research topic.
After confirming that the intestines had been saved, the subsequent obturator hernia surgery was no problem for Grete. He had become very familiar with this level of minor surgery during his time as an attending, and now that he was repeating it, he could do it with his eyes closed——
And there’s no need to sew!
Just cut, cut, bluntly separate, and return the intestines! Most of the work can be done by the healing arts. Even if there is a slight mistake, the healing arts can make up for it in time——
It took an hour of surgery in the previous life, but Grete completed it in only 20 minutes with the help of Cerela. Then, he clapped his hands and called Carlos:
"Rinse, close the abdomen, leave it to you - can you take it off?"
"able!"
"what about me?"
Cerela pouted dissatisfiedly. Under the mask, there is a small bulge:
"Me too! Why don't you let me come?"
Staying with him in the hospital instead of returning to the Mage Tower, which is warm in winter and cool in summer. She got up in the middle of the night to save people. She is so busy that she is not even allowed to get started?
This... looks like an intern who didn't get a chance to sew leather. Grete was confident and smiled at her:
"This patient depends on you! Leon is finishing the treatment for the first time. If there is any problem, it is your treatment that will save the day! - Leon, do you still remember the steps of finishing?"
"Rinse with normal saline, suction, check for active bleeding, rinse with normal saline." Carlos answered smoothly:
"Then first heal the mesentery that was torn open before, and then close the abdomen layer by layer. Follow the previous steps of opening the abdomen in reverse. Use the hands of the mage to pull the layers of the abdominal cavity to ensure perfect alignment, and then use healing techniques to close it."
"Okay, do it. I'll watch."
Gretel yawned slightly. After training apprentices for so long, they can finally be put to use. In other words, if you step down after completing the main part and leave the matters to others, you finally have the style of a great director...
Carlos couldn't understand his emotion. This young necromancer, like every intern who is given the important task of sewing skin by his teacher or senior brother, blushed on his face and said loudly:
"Okay, sir! Please feel free to leave it to me!"
Even if I say I'm worried, I really might be worried... As a newbie, things can go wrong anywhere. Otherwise, why am I still here watching and not washing my hands...
"Hey, pay attention to the salt water temperature! 37 degrees! It was above 40 degrees just now? Has it dropped now?"
"Pick up the intestinal loops gently! Be gentle! - Who told you to lift the intestines directly?!"
"Ahhh! Sir, patient, patient, she——"
"Cardiac arrest, I saw it. Don't be in a daze! Apply external pressure! So I told you to use gentle force, do you understand now?"
Grete ordered without any surprise. Although it is a small probability event, pulling the intestines and stimulating the vagus nerve may indeed cause arrhythmia.
Otherwise, why would he have the electrocardiogram hanging all the time, and why would he stand by and watch...
After many stumblings and various thrills, he finally succeeded in closing his belly. When the patient was pushed out of the operating room, Albert Knight saw his mother open her eyes, and his legs softened with gratitude and he almost knelt down.
"Eh... don't, don't. It's a good thing if everything goes well for the old lady." Gretel quickly stopped him:
"If you trust us, if you have the opportunity later, introduce a few patients here? For those who have not been cured by the treatment, let me try and see if it can help..."
"Don't worry! Keep it with me!"
Knight Albert patted his chest and agreed repeatedly. Gretel gave him a smile, returned to the inner room, and immediately raised his fist vigorously:
"yeah!"
Finally a new patient!
Finally, I can no longer be a manure digger!
****
3000 words!
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