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

Chapter 445 Taking Arms?Please watch, please take notes! (The leader of Lord Riding Tiger and Pig adds 5 more)

Elder Brock has been paying attention to Gretel.Hearing Gretel say "you can try to pick up the broken arm", he frowned and walked over quickly.

Before asking, the elf girl next to Gretel has already spoken clearly:

"Gretel, can you really do it? ——The regeneration technique is a seventh-level divine technique! Even I can't do it! Can you really do it?"

That's right, that's a seventh-level divine art!
Elder Brock had heard this statement.Outside the Great Wasteland, those humans divided spells into ranks one to nine.Further down is the apprentice spell, and further up is the legendary rank above the ninth rank.

Seventh-level magic means that at least a 13th-level priest, or a magician of the same level who specializes in medical treatment, can perform it!

And what about Gretel?
The division of power in the Great Wasteland is not that fine.Their own assessments are only accurate to low-level, middle-level and high-level.

According to Elder Brock's perception, Gretel is about the intermediate level—the one who has just entered the intermediate level and has just stabilized.And Elder Brock himself is already at the middle level among high-level spellcasters.

But even if he casts limb regeneration once, he has to use up all his mental power and magic power!

Gretel, can you?
Holding the bone staff, Elder Brock couldn't help but take a step forward, and then a step forward.Is this young human healer boasting wantonly in order to obtain the totem spirit?

Or, because you sincerely care about the situation of the soldiers, would you rather overdraw your own strength?
Either way, it's not a good sign.

Elder Brock's thick long eyebrows trembled slightly, staring at Gretel, hesitating whether to speak or not.However, at the end of his line of sight, Gretel had already smiled softly.

"Ah, I can really pick it up." He smiled confidently, without dodging or avoiding, looking into the eyes of the silver dragon girl:
"Cerilla, trust me. This operation is not too difficult, within my ability—of course, I still need a little help from you—"

Replantation of amputated limbs is classified as a third-level operation in terms of clinical classification.That is to say, senior attending physicians can preside over it, while junior attending physicians can conduct it under the guidance of superior physicians.

And he himself, before time travel, was already the deputy chief physician.

Of course, the replantation of amputated limbs in microsurgery is still very different from the surgery in the emergency department.In reality, it is necessary to obtain special surgical qualifications, and it is not something you can do if you want to.

However, the success or failure of amputated limb replantation surgery depends in large part on healing.The blood vessels do not ooze blood, the blood supply can be restored, and the operation is half successful.

And with the escort of healing skills, this difficulty almost does not exist!

He doesn't even have to sew up blood vessels!
"Then do it quickly!" Cerilla urged immediately.Gretel smiled and waved his hands:
"Wait, let me prepare—well, let me ask again for the last time, since the arm was broken, is there really only one meal time?"

He didn't look at the broken-arm soldier, but looked at the comrades who had just been healed and who had come back to protect him.The four soldiers nodded one after another, especially the one carrying him back, repeatedly promising:

"It's definitely not a meal. After a long time, we don't have the ability to escape from the mouth of the Black Cloud Leopard—"

Well, that will do.Gretel summoned a floating plate, one after the other, and put the surgical instruments on it: scalpels, hemostats, saline, irrigation equipment.A silver rod with thin glass strands for guided healing...

Finally, there is a magnifying glass the size of a palm, cleansing, normal saline back and forth, and repeated washing.

"Cerilla, do me a favor later, fix this magnifying glass, don't let it float around. Connect the limbs, I can rely on it!"

No need to disassemble the microscope, just use a magnifying glass.Although the replantation of severed limbs can be regarded as the direction of microsurgery, it is not as delicate as the replantation of severed fingers after all.

The required magnification is 2.5 to 6 times.

In 1963, Professor Chen of the Chinese Academy of Sciences successfully performed the first replantation of a severed limb in the history of medicine in the world.He did not use a microscope at all, and he completed the operation purely with the naked eye and experience.

Magnifying glass, enough!
"This thing?" Cerilla looked closer, wrinkling her nose.Then, she put her right index finger and thumb in a circle and put it under Gretel's nose:
"Is this okay?"

The scene under the finger shrinks and zooms in, zooms in and out.Grete calmed down and looked at the magnification carefully:

"Yes, yes. But Cerilla, you know..."

"No...bacteria...fuck...operate...you know!" The silver dragon girl wrinkled her nose and jumped back.Without waiting for Gretel to ask, she murmured a few words in a low voice and waved her hand casually.

Immediately, a translucent bubble appeared in front of Gretel.Following the gestures of the silver dragon girl, it rises and falls, and the movement is non-stop.

"is it okay now?"

"It's ok!—Old rules, open the refuge hut, hang the shadowless lamp, I'll wash my hands!"

In an instant, the healers around looked at each other and began gearing up at the same time.

The shelter can only accommodate 10 people.In addition to Gretel, Cerilla, the patients receiving treatment, and the host, Elder Brock, let's grab other spectator positions!

Ping pong ping pong ping pong...

Gretel was completely undisturbed.Cleansing, washing hands with soap, and making water also summon flowing water.He completed the preoperative preparations with ease, recruited a floating disc as a stool to sit on, geared up, and began——

debridement.

Nonsense, of course it is debridement.For any surgical operation, the first step must be a thorough debridement...

Go go go go go go go go go go!

First wash the severed limb with soapy water and a hair brush, aseptic asepsis is unnecessary, and the cleaning technique starts;
Then, rinse again with a large amount of sterile saline;
Then, change gloves, give your hands a set of cleansing techniques, and use another set of brushes and soapy water to scrub the edges of the wound;
Next, 3% tincture of iodine? 75% ethanol?

Overthinking, Saint Saline, dispatch!

After the rinsing, the routine draping, followed by the scalpel and the hemostat, flying up and down with a cold light.Saiwei sat on the side obediently, watching Gretel bury his head in dealing with his broken arm, and couldn't help shivering.

Even though the arm had already been bitten off by the Black Cloud Leopard and was not attached to him, every time the knife flashed and cut off a small piece of muscle or a small piece of blood vessel, he would tremble subconsciously.

It's terrible, why is the method of a human healer so terrible... When the elder healed him, there was a flash of red light, and he pressed on the broken part of his arm, and then he was fine...

"Big, my lord... My arm, can I connect it... I won't die..."

"Probably not. Your arm is a little longer. Fortunately, it took a short time to break it, so you shouldn't die." Gretel replied without raising his head.

He turned his eyes and glanced at the half-broken arm held by the mage's hand.Palms, wrists, forearms, upper arms—

"It's not easy to connect the arm if it grows?" Elder Yuguan took a step forward and couldn't help asking:
"The broken arm is longer, and it's not easy to die. Shouldn't it be better?"

"Elder, severed limbs are poisonous..."

Gretel sighed.To be precise, this kind of high-position amputated limb is rich in muscle. After 6-8 hours of ischemia at room temperature, the muscle cells will degenerate and necrosis, releasing toxic substances such as potassium ions, myoglobin and peptides.

They collect in the interstitial fluid and blood of amputated limbs.It's fine if you don't take it back. After the severed limb is replanted, it will flow through the blood vessels and flow throughout the body.

"So, put the poisonous limb back on the person, and the person will die?—So, what kind of limb is not poisonous?"

Elder Brock's voice was low, talking to himself.He always remembered that tragic failure, the first time he released the regeneration technique to connect limbs for the high-level warriors of the tribe——

When casting a spell, there is always a powerful force that draws its own mana.It was as if the soldier's body was saying: "Not enough, not enough, this amount of healing is far from enough to restore me..."

In the end it really wasn't enough.The leg was connected, but one day later, the soldier fell into a coma and struggled for two days and two nights, but in the end, he still couldn't be saved.That failure is unforgettable.

The teacher who taught him the regeneration technique once said: "In this spell, it is better to let the limbs grow again than to connect the broken ones. To grow again, if the growth is not uniform once, it can be done again; if the connection is not good, people will die. will die!
Elder Brock observed Gretel as secretly as possible, pretending not to care.Such precious knowledge, would this young human healer speak?What would he ask in exchange for, say, a totem spirit?
In fact, if you use the secret of connecting limbs to exchange for a totem spirit, it's not impossible.But as a tribal elder, he always hopes to exchange something more...

Unexpectedly, Gretel didn't ask for any conditions at all.He stared at the broken limbs, saw the pale bone stubble, the shocking fracture, blood vessels, muscles, ligaments, flying in his hand, and uttered a sentence like chatting:
"It doesn't matter if the time is short, but it will be very troublesome if the time is long. Generally speaking, after such a long arm or leg is broken for 6 to 8 hours, you can't pick it up—"

Toxic substances entering the whole body can cause systemic reactions and even death, which is clinically referred to as reperfusion injury.Therefore, the replantation time of high limbs should be strictly controlled within 6-8 hours.

Fortunately, it hasn't been long since the injury.In the event of reperfusion injury, the physique of the barbarian should be able to withstand it.

Alas, I can't do liver function and kidney function tests, and I can't take targeted and timely medications. If something is wrong, I can only rely on treatment to get rid of it——

Gretel complained silently, speeding up.Behind him, Elder Brock concentrated silently, remembering every word and every action of Gretel.Maybe, a trick here can increase the success rate of regeneration by 10%?

Afterwards, a few elders who were lucky enough to squeeze in, although they were not qualified to release the regeneration technique at all, were still dead memories, and they wished to take a notebook and copy down every detail.

Take a broken limb!

Rare!

If this human healer succeeds, just the treatment method and these few words can be exchanged for a treasure from other tribes healers...

Huh?
What is this servant of the God of Nature doing?
Why did he take a weird-looking tube, suck some salt water, and start sticking it into the broken arm?
****
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(End of this chapter)