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

Chapter 511 Can't use magical magic to dissolve thrombosis, can you still use magical magic to remove thrombus! (Hundred White First Ten Thousand Reward plus update)
Gretel stared closely at the patient's intestinal vessels, his brain spinning.

Thrombolytic drugs, no.

Divine anticoagulation cannot be used for thrombolysis.

Remove disease, failed attempt.

I lost a cleansing technique and tried to remove the thrombus from the blood vessel, but it still failed.

In his mind, the known magic, divine arts, and medicines passed by one by one.There is still one available in magic: necromancy magic, [thalassemia].With this magic, the blood of the target can be turned into sea water, causing damage.

The material for casting the spell is a drop of seawater. If the seawater is replaced with normal saline, the blood in this section of blood vessel should be turned into normal saline...

But the problem is that this is a fifth-level magic, and Gretel doesn't know it.

emmmmm... is there any other way to use it?
"Grete, what are you embarrassing about?"

The silver dragon girl stretched her head to look.In the direction of the patient's head, although Leon Carlos didn't dare to stretch his head, he looked curiously at Gretel and then at the section of intestine - although he couldn't see why.Gretel was full of confusion, and pointed out to them:

"There are blood clots stuck inside... I was thinking, what method can be used to make these blood clots disappear... There is no drug for thrombolysis, and for thrombus removal..."

"How about removing the thrombus?"

Celia asked impatiently.As he asked, he stretched his five fingers, eager to try:

"Can your...vine...can you reach into the blood vessel to take out the blood clot?"

Stretch into the blood vessel?Easier said than done.Gretel smiled wryly:

"It's not that easy...Look at this blood vessel, it's so thin...my vines can't get in..."

The superior mesenteric artery suspected to be blocked by thrombus has a length of 30~40cm and an inner diameter of only 0.6+-0.09cm!

If it is its lower blood vessel, it is the branch that supplies blood to this intestinal tract, and the inner diameter is even thinner like a hair...

He wants to control the vines to enter from the femoral artery, go in all the way in a winding way, and then divide them into four, six, and eight, so as to "tie up" and "drag out" the thrombus. His precision in controlling the vines is truly amazing. Not to this extent!

"So, how about cutting it? Cut it, take it out—" She squinted her eyes, raised her palm like a knife, and made a long slash, making a "cut" gesture:

"Then heal it?"

Gretel shook his head quickly.With this length and thickness, it is possible to cut all the blood clots out, and then heal the blood vessels, but the prognosis will be very poor:
If the blood vessels can be cut as little as possible, the cut will be less, and if the incision can be shorter, the cut will be shorter.For blood vessels, the inner diameter is slightly bumpy, which will lead to hemodynamic changes.Then, what kind of blockage or thrombus came to you one after another...

Even arteriotomy and thrombectomy is just a small incision, and the thrombus is washed down with the blood flow force of the artery itself.

If this section of blood vessel is a branch blood vessel connected to the intestinal tract, such a small blood vessel cannot be flushed out at all.

Then...then...

"I have a solution! Cerilla, I have a solution!" He suddenly jumped up.Form a circle with your right hand, raise it in front of your eyes, and compare:
"Cerilla, that magnifying glass, you make me one! Quick! The kind I used when connecting broken limbs!"

"it is good!"

The magic light flickered and hit Gretel's face.Gretel held his breath and lowered his head.At this moment, the blood vessel less than one centimeter thick was magnified five or six times in his field of vision.

With a light stroke of the scalpel, a small incision less than 1 cm was made on the dark red blood vessel wall.Gretel 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 it silently.

The covering range of the cleaning technique is a cube of one foot in each of the three directions of length, width, and height.Of course, a skilled magician can stretch, widen, and flatten this block.

For example, if it is controlled to be one inch high and three feet square, the walls can be easily cleaned.

Cough, almost all academic magicians have the experience of climbing on scaffolding and cleaning the outer walls of buildings inch by inch.The spell is well controlled, and the cleaning range is large with a single cast, and the work can be done as quickly as possible.

Gretel hadn't experienced this kind of high-intensity training.Even if it has been through, it is useless 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 vessel, so as not to kill things that shouldn't be killed!

Fortunately, there is a magnifying glass.With the help of the spell magnifying glass, Gretel carefully controlled the range of the spell, advancing little by little:

Cleansing!
Cleansing!
Hey, it seems to be effective, it really cleaned up a little bit!So, keep going--

With one cast, the length that can be cleaned up is only one or two centimeters.Moreover, the further in, the greater the consumption.

After advancing seven or eight centimeters, Gretel's mental strength has reached its limit.Trying to perform precise control again, dizziness, buzzing in the ears——

But this is already very good!Gretel breathed a sigh of relief, clamped the end of the cleaned blood vessel, the front end healed, and let it go.The bright red blood flowed happily immediately.

feasible!

So go on!
Clean up a section, heal a section, let go of a section.Another period of cleaning, another period of healing, and another period of letting go.

Thirty to forty centimeters long blood vessel, plus branch blood vessels, Gretel threw nearly a hundred healing techniques.After the thrombectomy of the artery is completed, continue to treat the vein with the treatment technique——

When all the treatments were finally finished, Gretel was dizzy and almost fell headfirst on the operating table.

He lowered his head and closed his eyes, only feeling the stars flashing in front of him.However, now is not the time to rest, and Gretel can only squeeze his left hand hard, and ordered in a low voice:

"Warm salt water... covered with warm salt water gauze, the water temperature should be higher than 37 degrees... about, probably between 40 degrees and 45 degrees..."

Carlos immediately sprinted to do it.Heating the normal saline, throwing frozen rays to cool it down, soaking the gauze, picking it up with the hands of a magician and twisting it slightly until it is wet but not dripping, and quickly used it to cover the intestinal tract.

The series of movements were smooth and smooth, without any need for Grete's instructions at all, and they were obviously done well.Also keep an eye on the temperature of the gauze, and replace it every few minutes——

Serila was in charge of watching.Change a piece of gauze and say good news:

"It's red, it's red!"

"Gretel, it's red!"

"The color of that intestine is red! It's no longer green and purple, it's ruddy!"

It's red...that means it's alive.Unknowingly, Grete evoked a relaxed smile.

It's good that the old lady's intestines don't need to be cut.

Great to have found a way to remove blood clots.

The next step is to try to see if there is any way to remove the thrombus from a distance.It's great to have a new research topic.

After confirming that the intestinal tract has been saved, the following obturator hernia surgery will not be a problem for Gretel at all.This level of minor surgery, he has been very familiar with it during the period of attending, and now repeating it, he can do it with his eyes closed——

And there's no need to sew!

Just need to cut, cut, blunt separation, and return to the intestines!Most of the work can be done by the healing technique, even if there is a slight mistake, the healing technique can make up for it in time——

It took an hour of surgery in the previous life, but with the assistance of Cerilla, Gretel only took 20 minutes to complete it.Then, he clapped his hands and called Carlos:
"Rinse, close the abdomen, I leave it to you—can you take it off?"

"can!"

"what about me?"

Celia pouted in dissatisfaction.Under the mask, there is a small lump:
"I can do it too! Why don't you let me come?"

Staying with him in the hospital, not going back to the mage's tower where the winter is warm and the summer is cool, getting up to save people in the middle of the night, so busy now, why don't you even let her do it?
This... looks like an intern who didn't get the chance to sew skin.Gretel was confident and smiled at her:
"This patient depends on you! It's the first time for Leon to finish the treatment. If there is any problem, you can rely on your healing skills to save the situation! ——Leon, do you remember the closing steps?"

"Normal saline flushing, suction, no active bleeding, Saint saline flushing." Carlos answered smoothly:
"Then heal the mesentery that was torn apart before, and then close the abdomen layer by layer. Follow the steps of the previous laparotomy, and proceed in reverse. Use the hands of a magician to pull the layers of the abdominal cavity to ensure a perfect fit, and then use the healing technique to close it."

"Okay, do it. I'll watch."

Gretel yawned a little.After cultivating apprentices for so long, it finally came in handy.In other words, step down after completing the main part, and hand off the belly to others, and finally look a bit like a big director...

Carlos couldn't understand his emotion.This young necromancer, like every intern who was entrusted with the important task of sewing skin by his teacher or senior brother, had a flush on his face and said loudly:
"Okay, sir! Please rest assured and leave it to me!"

If you say you are worried, you may really be worried... As a novice on the road, problems may occur in any place.Otherwise, why am I still watching here, not washing my hands...

"Hey, pay attention to the temperature of the salt water! 37 degrees! It was over 40 degrees just now? Has it dropped now?"

"Pick up the intestinal loops gently! Be gentle!—Who told you to lift the intestines directly?!"

"Ahh! Sir, patient, patient she—"

"Sudden cardiac arrest, I saw it. Don't be in a daze! Cardiac compressions! That's why I told you to use gentle force, understand now?"

Gretel ordered without any surprise.Although it is a small probability event, pulling the intestines and stimulating the vagus nerve does have a probability of causing arrhythmia.

Otherwise, why did he hang the electrocardiogram all the time, and why did he stand by and watch it...

After stumbling and various adventures, he finally succeeded in shutting down his abdomen.When the patient was pushed out of the operating room, Knight Albert saw his mother open his eyes, his legs softened with gratitude, and he almost knelt down.

"Hey...don't, don't. It's a good thing that the old lady is doing well." Gretel hurriedly stopped him:

"If you trust us, if you have a chance later, introduce a few patients? Those who have not been cured by the healing technique, let me try it, can it help..."

"Don't worry! Put it on me!"

Knight Albert, patted his chest and agreed again and again.Gretel gave him a smiling face, returned to the inner room, and immediately raised his fist vigorously:

"yeah!"

Finally a new patient!

Finally, I can not be a manure digger!

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