It's not that hard to open a hospital in another world, right?

Chapter 503 Mage tricks, a good helper for surgery (Wan reward plus 2)

A surgery, to do, or not to do, this is a question worth considering.

If you don't do it, the child will die 100%; if you do it, there is a 50% probability that the child will still die after suffering a lot of pain.Even if he survived successfully, the later recovery would take half a year and a year...

do?
or not?

The old man looked at Gretel, then at the child on the table, frowning and thinking hard.The child's mother was the girl he had watched growing up as a granddaughter.After marrying into the family, she has a virtuous temperament and a harmonious relationship, and has always been loved by the whole family.

She has already lost two sons, and just gave birth to the third one, and now she is told that the child will be abandoned, fearing that she will not be able to withstand the blow; but, after giving a glimmer of hope, let her bear the pain of loss...

Moreover, there is not much time left for him to decide.Until now, the child has not had a sip of milk or water, and will only get weaker and weaker.Obviously, if it keeps procrastinating, it will only cut off the child's life.

He sighed, and looked at Gretel again.As soon as his eyes glanced, he was immediately taken aback.

Gretel sat in front of the table, his eyes half open, half closed.The fingertips of both hands are lightly put together, and the [Silent Phantom] in front of him outlines the muscles and organs inside the human body, constantly changing.

Suddenly pulled away, suddenly closed, and suddenly spread out like a blister, and the lower body of a baby appeared again...

"what are you doing?"

"Simulated surgery."

Gretel replied in a low voice without opening his eyes.This operation, he can talk about it, but he can't do it:

"Surgery" wrote three surgical approaches, which one to choose?Abdominal?Through the perineum?Or, choose the posterior sagittal incision approach?
How should the baby be positioned, how long should the incision be, and which layers of muscles should be stretched?How to determine the position of the sphincter during the operation so that the rectum can accurately pass through the gap in the sphincter?

Is it necessary to correct the electrolyte imbalance before operation, and is it necessary to decompress the stomach and intestines 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?Is part to be cut off, and if so, how much?
Each question needs to be combined with his understanding of the anatomical structure and the understanding of the baby's growth and development process, flipping through the book on the spot:

"Histology and Embryology", "Pediatrics", "Surgery", "Regional Anatomy", "Systematic Anatomy"...

The sooner a plan is made, the sooner the surgery can be performed and the less damage will be done to the child.

The old man was silent.For a moment, he asked in a deep voice:
"Isn't it decided to do it yet?"

"Maybe it's up to you. It's up to me to be [-]% ready."

Gretel closed his eyes and said softly.

The next moment, several thin green vines emerged from his fingertips.Twice stabbing, stabbing, the vine dug a hole in the brocade on the table, swaying gently, and slipped under the brocade weakly but firmly.

The old man frowned.

He looked deeply at Gretel, at his calm and focused eyebrows, at the winding vines at his fingertips, and at the ink-stained sketches on the table next to him:

Once upon a time, as a young knight himself, he had been sent to scout behind enemy lines and saw a small band of enemy troops massacring a village.

If you rush out, you may destroy the opponent, or you may alarm the enemy and cause the mission to fail; if you don't rush out, the scene in front of you is really hard to see...

The order to attack can only be issued by the captain.At that time, he was just like Gretel now, silently adjusting the saddle bridle, tightening the girth of the horse, and cleaning the weapons he carried...

It is the captain's decision whether to give an order or not.It's up to him to be ready.

He inhales deeply, exhales deeply.Then, pressing down on the table, leaning slightly towards Gretel:
"Master Nordmark. I will leave this child to you!"

"Don't worry." Gretel opened his eyes and looked straight at him:
"I—I can't guarantee 100% success, but I will try my best."

A group of people moved to the hall.Archmage Novak releases the mage's shelter to isolate the dust that may fall in the air;

The High Bishop of the Temple of the Spring Goddess casts a soothing spell to ensure that the baby will not feel pain during the operation;
The bishop of the God of War Temple enthusiastically stood beside him, following Gretel's instructions, helping to position the baby, placing the baby on its stomach, curling its legs in a frog position, exposing the surgical site.The lower abdomen is raised, ready for surgery;
And Archmage Novak, after releasing the operating room, squatted next to Gretel and started playing with animals...

"Uh... can you catch me a frog?"

"Frog? This season?" The old man didn't intend to dismiss it at all, and didn't ask him what he wanted to do. He turned his head and looked around:
"Is a bigger animal okay? Like a sheep? Or a pig?"

"Come on a sheep..."

Gretel sighed.Okay, although the principle of animal experiments is that low-level animals can be used but high-level animals are not, but anyway, their family has money... And, these sheep are raised, anyway, they need to be eaten...

The sheep were quickly brought over.While watching people shave sheep, Gretel ordered people to trim zinc and copper sheets, make zinc and copper bows, and soak physiological saline...

"Your Excellency the Archmage! Your Excellency the Archmage, please come and do me a favor!"

Gretel did it himself, cut the skin of the leg of lamb, separated the muscle bundles, and stimulated the muscles with a zinc-bronze bow.Well, the effect is not satisfactory, maybe the current is too small?
"Your Excellency, Archmage, please get a beam of the smallest and smallest electric current, hit the muscle - just let the muscle contract, don't hurt it!"

"Okay, get out of the way, I'll come!"

There was a crackling sound, and the exposed muscles of the leg of lamb were slightly charred to the naked eye.

"Hey, take it easy!"

"Easy!"

The Archmage deserves to be the Archmage.After three attempts, I have accurately grasped the required current intensity.Gretel was still not at ease, 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 won't be hit by static electricity in winter... Gretel complained silently.

In the end, it was the owner who solved the problem.There must be a brave man under a heavy reward. With an order, the two maids rolled up their sleeves for the archmage to test.

With a crackle, the muscles twitched visible to the naked eye, but no substantial damage was caused.After two successful tests in a row, Gretel heaved a sigh of relief and turned to change clothes and wash his hands:
"Okay, let's start! ——Brother Matthew, pay attention to my movements. Wherever the knife is drawn, the healing technique will follow. Don't let the wound bleed!"

"okay!"

Pastor Matthew summoned a vine, which was inserted into the baby's mouth to the stomach, as a gastrointestinal decompression tube to prevent the baby from vomiting and coughing;

Gretel held his breath and held the scalpel with a pencil - the baby's skin is delicate, and compared with the bow, the force of the pen is more gentle and the operation is more flexible and accurate - take the mid-sagittal incision and draw down together;
From the tip of the coccyx to 1 cm behind the anal recess.Cut the skin open, and use the two smallest retractors, one on the left and one on the right, to pull it apart.Gretel maintained the position of the hook, and Pastor Matthew took over it with two vines to reduce Gretel's operational burden as much as possible;

then……

"Master Novak! Please use the smallest amount of current to stimulate the muscles inside the incision as before!"

The current crackled again.The baby's hip muscles immediately began to twitch, his eyes were fixed on the knife edge, and when he raised his hand, the mage's tricks flew out——

"The direction of this circular contraction! That's right! This is the external anal sphincter!"

In the previous life, special muscles needed to be marked, and electrical stimulators were generally used for stimulation.There is no electric stimulator here, so I had to ask the archmage to stimulate it manually...

If the master's control is still not enough, he can only use a zinc copper bow, or set up his small hand-cranked 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 melanin to mark it.The zero-level trick of the mage, instant dyeing, rich colors, no damage to tissues, easy to remove, really a good helper for doctors!

Hey, if you do laparoscopic surgery or similar surgery in the future, you can also consider dyeing the relevant tissues...

Gretel secretly gave himself a thumbs up, flew out a few vines, and began to bluntly separate.Others only saw his eyes slightly closed, the hair-thin vines penetrated into the muscles, and it took him a long time to move slightly.Only Gretel himself knows what he's doing:
In such a small area, the anal sphincter system consists of four groups of muscles.Subcutaneous external sphincter, proximal levator ani, deep external sphincter, and muscle complex consisting of the puborectalis portion and deep fibers of the external anal sphincter.

If it is a normal baby, the rectum should pass through these systems and reach the anus; however, for babies with anal atresia, the rectum is not fully developed, and the anorectal hiatus is also relatively small. Create a gap for the rectum to pass through...

The tops of the vines glowed faintly.The vines are as thin as a hair, but they are as soft as a spider's silk. When they are hard, they can burst out with the power to overturn the stone slab.Drill, jack, pull, cut...

Only separating a gap of one centimeter in diameter has already made Gretel sweat profusely.

He closed his eyes, panted for a while, and then manipulated the vine to drill in carefully, and began to separate the rectum.In the previous life, this hole is not enough:

The blind end of the rectum is about 2 cm from the anus, and the length of the rectum that needs to be separated is about 3 to 5 cm.That is to say, it takes such a long incision to have enough surgical field to operate.But Gretel doesn't have to:

With the vision provided by the spirit of the contract, and the vines to operate, he did not need to cut more skin, muscles or even bones, and he could stably perform the separation operation through the dark and narrow incision.

This field of view is much more delicate and convenient than operating under the guidance of X-rays.Moreover, there is no need to eat thread or wear a heavy lead suit!

perfect!

****
3000 words!
Completed another [-]-reward plus update, only the last three remain...

Today the thesis, the atlas, and the operation manual are opened together, and they are all different from each other. I am exhausted from checking...

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(End of this chapter)