"At the moment, we need to make a small opening in her stomach to put the intestines back in place. But don't worry, she won't feel anything during this process, my family secret medicine will make her sleep for a whole day or more. ”

Kraft drew an approximate intra-abdominal intestinal course on a piece of paper, and showed Gris the position to be reduced.

The father's hands were twisted together, such a thing was unheard of to him, and he could not judge it according to his own empirical common sense.

"In fact, the process is only three simple steps, just a small incision, so long." Kraft gestured with his hand, "Then we'll be able to access that little piece of intestine, reset it, and finally sew it up very quickly." ”

"We'll be done all of that soon. Symptoms such as fever and suppuration of the wound may follow, but at least she won't die soon from intestinal problems. ”

"Okay, okay, thank you." Griss was struck by this statement, perhaps because it sounded simple, or perhaps it was more honest with the good and bad descriptions, not packing the ticket with holy water or herbs like the priest and the clinic doctor, "She is my only family, even if I have to sell the tavern ......"

"I'll do my best." Kraft shook his hand, "Don't worry about the fee, we can talk about it when Liz recovers." ”

He turned and walked into the observation room, where he had his shoulder reduced when he first came. Lucius and Liston were already waiting for him inside, Liz lying on her side on the carefully cleaned stone platform, huddled in a ball.

It's not that they don't want to find a different place, but this classroom is designed to demonstrate the treatment modalities and anatomy, and the structure is inherently suitable for surgery.

The classrooms with all the windows open are well lit, and the space around the stone platform is empty, and the height itself is suitable for hands. Previously, Liston had thoroughly cleaned it with lime and rinsed it with boiling water.

"That's it." Kraft nodded to Lucius, who lifted Lisy up so that Kraft could feed her the diluted black liquid.

This was the first time Kraft had witnessed the effects of drinking a dilution.

In less than five seconds after drinking, Lis's face was full of pain, and the expression on her face disappeared like a computer turned off, as if some invisible force had descended on her, smoothing her tense facial muscles, pulling emotions and feelings away from her body, leaving only a calm shell.

Her limbs quickly relaxed, her belly-clutching hand dangling, her spine falling softly backwards, and she lay flat on Lucius's hand, unresistingly against the countertop.

Kraft had never seen a drug absorbed orally absorbed in the digestive tract work so quickly and so dramatically.

Liston on the other side reached out in surprise to feel Lis's breathing, and felt the pulse again, steady and regular, only slightly slowed.

"A secret medicine handed down from the family?"

"Yes, the family secret medicine, the last one. Leave this alone and wash your hands. ”

The classic surgical handwashing method, but the conditions here are limited, so Lucius can only act as a smart faucet, holding a pot and slowly pouring water from top to bottom, first lime water, and then rinsing with cooled boiling water.

"Like me, palms, backs, fingers, then arched hands and scrubs, and finally fingertips and thumbs. Wrists and entire forearms are washed. ”

Kraft tossed his black robe and sword aside, rolled up his sleeves, and showed Liston a not-so-standard process. It is supposed to be necessary to brush your hands and soak them, but there are really no such things.

"Lucius, wipe, will you wipe her whole belly? It's not just the part where we're going to use the knife, it's the whole thing, including the sides of the body, from the inside out. ”

"Also, don't touch the instrument table, I'm talking about the one where I put the knife and needle, or I'll have to throw them in the boiling water and catch them again......"

"Finally, everyone knows what they have to do, right? Lucius, you're in charge of everything outside of this table, helping to hold up the mirror and shine the light here. Just don't touch it. ”

"Liston, we are the ones who want to touch the wound, don't let your hand touch the abdomen and other than the instruments, don't hang it down below the waist, not above the shoulder. We want to be as 'clean' as possible. I can't explain it now, but we'll have a chance later. ”

Kraft finished all the precautions he could think of, and put his hands in the air on his chest, waiting for Lucius and Liston to give him an affirmative answer. But as if the series of words just now frightened them, the two of them became visibly nervous, and their faces read, "What you said when you were outside the door just now is not so simple. ”

This was a reminder of Kraft's first time on the operating table. At that time, he had already repeated this process several times in the simulation training room, and he could smoothly recite a set of processes from surgical handwashing to entering the door to putting on the surgical gown and disinfecting the towel.

But in fact, he was shaking when he put his hand under the faucet, and he pressed the hand sanitizer several times, and his mind went blank, for fear that he hadn't washed it anywhere.

Lucius and Liston had never experienced such a process, and they were too nervous by their sudden seriousness. He thought he should tell some old joke to lighten the mood.

"Do you know how to stuff a brown bear into a jewelry box?" Since there are no elephants or refrigerators, the joke needs to be localized a bit.

"Huh?"

"Open the box, stuff the brown bear inside, and close the box."

The "......" joke was not very successful, and Lucius and Liston looked at each other for a few seconds before realizing that Kraft was telling a joke.

Lucius smiled an awkward but polite smile, and Liston was even more nervous. The joke reminded him of how Kraft described the operation—"Make a cut, put the intestine back in place, and sew it up." "Actually, it's certainly not that simple, and they're dealing with an operation that has never had precedent in this world.

"Take a deep breath, my friend, this will make you feel better, and hand me the knife. It's a rare opportunity, so why don't you treat it as a special course? We even had a chance to elaborate on it. Realizing that the atmosphere had failed, Kraft tried to save it, hoping that Liston would take this as a practical lesson that had not been seen for a long time.

"We chose the right transrectus abdominis incision, and if it is a small baby, we can also use a transverse upper abdominal incision......"

The blade cuts through the skin, and blood oozes from the face. The knife was kindly provided by Liston, slender and slender, but the material was good, worthy of a custom-made knife by an instructor who focused on dissection.

Although it is not as sharp as a scalpel, it feels okay in the hand, much better than the big knife you imagined.

"Clean chunks of burlap, Liston. Lucius, change your position and let the light shine from the opposite side. ”

Because there is no serious gauze, you can only use the linen cloth commonly used in this era to make up the number. The product in his hand was already a product of fine craftsmanship, and even so, Kraft didn't dare to wipe it over, and could only rely on its own absorbent blood to ensure that his vision was clear.

Lucius turned to the other side of the table and held up the metal mirror in his hand, allowing the spot to hit the incision. The mirror could barely show a human figure, but fortunately it just needed to be illuminated.

A retractor is sent to Kraft. Thanks to the need for anatomy, this tool can also be found in the academy, rather than being replaced by something improvised.

"I hope this one hasn't been used."

"Of course, like the knife, a new set has not yet found a chance to use it." Liston sent another one, and they had to use these two bent metal strip-like tools to open up enough space so they could see what's inside.

"I can't see anything clearly, Lucius, try adjusting again." The field of vision formed by the light spot hitting the abdominal cavity is quite narrow, and the wriggling shadows and pink intestines are muddled in the limited field of vision.

Kraft was convinced that he was in the right place, and now he had to find the location of the intussusception as quickly as possible. This is not a sterile operating room, and the longer the wound is exposed, the more likely it is to become infected.

As the light moved, a yellow fat bump appeared in the field of vision, "Stop, this is it." ”

Kraft captures this sign, which is intestinal lipid probe, which is distributed along the colonic zone. Going down the colonic belt, he could find the appendix where the three colonic bands converged, and above it was the cecum, next to the ileal intussusception he was looking for.

He put his fingers into his abdomen, touched the crux of the problem, and gently tugged at the intestines, "Light, this way." ”

Lucius, who had gradually mastered his technique, deflected the mirror, and the spot moved towards Kraft's fingertips, illuminating the section of intestines. In the best case, the intestine is not necrotic in terms of color, otherwise Kraft would have to think about how to cut out the necrotic segment and then anastomoses the ends.

Then there are some operations that can feel more terrifying.

"Look, that's the part that comes in, and now I'm going to push it back." Kraft relaxed a little, and explained to Liston, who was hooking, what he was doing now, "Don't get your head too close." ”

After recuperating in a certain position, he pulled the intestinal segment outwards and gently pushed it proximal with his thumb and forefinger, so that Lucius, who was holding a mirror a few steps away, could see the red lump in his hand.

This scene made Liston, who had undergone an autopsy, a little uncomfortable, and the feeling of calmly operating on a living person was completely different from that of a dead person. He glanced at Liz's face, the child still sleeping peacefully, completely unaware that someone had gone through one of her intestines.

Delicate and rough coexist, years of sword training have created the stability of these hands, and the mind from another world manipulates it to squeeze the nested ileum out of the colon little by little.

"Don't shake, just hold on a little longer."

The light flickered, it was Lucius's arms trembling, and it was impossible to tell if it was because of exhaustion or the fear of the slippery pink strip in the caster's hand, something that could not be overcome no matter how many times the dead man practiced and could only be adapted to in real practice.

He tightened the mirror in his hand and recalibrated the position of the light, the operation on the irradiated area was nearing completion.

The process of "putting the brown bear in the box" was almost over, and Kraft succeeded in completely detaching the ileum, and the prolapsed bowel in his field of vision looked quite normal, with no rupture or anything like that, and the appendix was not congested and edema.

This is really blessed by God, Gris found out in time, and the priest did not delay a piece of holy water, and it may not be so ideal if you come in the afternoon or evening.

"Needle, thread."

Liston handed him the looper and the thread.

The needle was made by breaking and bending a sewing needle, and the thread was the toughest of the thin threads he could find, kindly provided by a student who sold textiles at home, and I heard that it was made of some kind of spider silk, which was claimed to be a substitute for the iron ring that connected the armor parts, and was usually sold by the root. He gave Kraft a bunch directly.

When this is over, it is best to take the time to go to the door to thank you, and make up the money by the way, so as not to make it difficult for the student's mother to explain when she sees that the beating behavior is discovered.

Full-thickness continuous sutures, a helpless choice in the case of no absorbable threads, it is inevitable that the little girl will have a scar on her stomach. However, children grow fast, and I hope it will fade in the future.

Fortunately, crop tops are not popular in the northern climate of the Norse Kingdom, and children will not complain about the limited level of doctors when they choose clothes one day.

The stitching operation is quite smooth, and this operation is Kraft's favorite part. Evenly spaced needles in and out of the needle, pulling the opening back into place, will give his little obsessive-compulsive disorder a subtle satisfaction.

He finished the last stitch, his fingers nimbly uncturing three surgical knots, wiping away the remaining blood and covering the wound with four layers of fine linen.

"Duct tape." Kraft habitually reached out and didn't get what he wanted, and looked up to see Liston with a blank expression, "Well, I mean roll a long strip of linen, and we'll have to wrap two loops around our waist to hold the dressing." ”

"Lucius, you can put the mirror down and go to rest."

Liston and Lucius watched as Kraft finished wrapping the strip of cloth around Lis's waist, tying an extra nice bow, straightening it out, and redressing her.

With the help of the "family secret medicine", the operation "only established on the structure of the human body" was completed without any waves, and the person who made history stretched out his hand to wipe his sweat, unaware of it, collapsed on the ground without any image and gasped for breath.

"So we really put the brown bear in the jewelry box?"