Krafft's Anomaly Notes

Chapter 35 How to Put a Brown Bear in a Jewelry Box
"The current situation is like this, 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's secret medicine will make her sleep A whole day or more."

Kraft drew on the paper a general direction of the intestines in the abdominal cavity, and showed Gris the position to be reset.

The father wrung his hands together. Such a thing was unheard of for him, and he could not judge from his own experience and common sense.

"In fact, the process is only three simple steps, just cut a small opening, so long." Kraft gestured with his hand, "Then we can access that small section of intestines, reset it, and finally close the small opening very quickly." Sew on."

"We're going to finish all this soon. There may be symptoms of fever, wound suppuration and so on, but at least she won't be dying of intestinal problems soon."

"Okay, okay, thank you." Gris was moved by this statement, maybe because it sounds simple, or maybe because the description, which has both good and bad, is more frank, without using holy water or herbs like priests and clinic doctors Guaranteed, "She is my only family, even if I have to sell the tavern..."

"I will do my best." Kraft held his hand, "Don't worry about the consultation fee, we can talk after Liz recovers."

He turned around and walked into the observation classroom, which was the place where he performed shoulder joint resets when he first came.Lucius and Liston were already waiting for him inside, and Liz lay sideways on the carefully cleaned stone platform, her body curled up into a ball.

It's not that I don't want to find a different place, but this classroom, which is designed to display treatment methods and anatomy, is naturally suitable for surgery.

The classroom with all the windows open has good lighting, and the space around the stone platform is open, and the height itself is suitable for hands-on work.Liston had previously cleaned it thoroughly with lime and rinsed it with boiling water.

"Okay." Kraft nodded to Lucius, who lifted Liz's upper body so that Kraft could feed her the diluted black liquid.

This was the first time Kraft witnessed the effects of drinking the diluent.

Liz, who was full of pain, disappeared within five seconds after drinking the drink, as if the computer was shut down, as if some invisible force came here, smoothing her tense facial muscles, and bringing her emotions and feelings to a new level. Pulled away from the body, leaving only a peaceful shell.

Her limbs quickly relaxed, the hand covering her stomach dropped down, her spine softly fell backwards, she lay down flat along Lucius' hand, and stuck to the table without any resistance.

Kraft has never seen any drug that is orally absorbed through the digestive tract can take effect so quickly and with such a significant effect.

Liston on the opposite side stretched out his hand in surprise to feel Liz's breathing, and then felt for the pulse, which was steady and regular, but slightly slowed down.

"A secret medicine passed down from the family?"

"Yes, the family secret medicine, the last one. Don't worry about it, wash your hands."

The classic surgical hand washing method, but the conditions here are limited, so Lucius can only be used as a smart faucet, holding a pot and slowly pouring water from top to bottom, first lime water, and then rinse with cooled boiled water.

"Like me, the palms, the backs of the palms, the crevices of the fingers, then arch the hands and scrub, and finally the fingertips and thumbs. The wrists and the entire forearm must be washed."

Kraft threw the black robe and sword aside, rolled up his sleeves, and showed Liston a less standard procedure.It stands to reason that you have to brush your hands and soak, but there are really no such things.

"Lucius, can you wipe her entire stomach? Not just the part we're going to operate on, but the whole body, including both sides, from the inside out."

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

"One last check, everyone knows what they should do, right? Lucius, you are in charge of all the content outside this table, and help hold the mirror to shine light here. Just don't touch it."

"Liston, we are the ones who touch the wounds, don't let your hands touch anything other than the abdomen and the equipment, don't let it hang below the waist, and not above the shoulders. We want to be as 'clean' as possible. ... can't explain it now, we'll have a chance later."

Kraft finished ordering all the precautions he could think of, put his hands in the air in front of his chest, and waited for Lucius and Liston to give him a positive answer.But it seemed that the series of words just now frightened them, and the two became visibly nervous, with the words on their faces, "What you said just now outside the door was not that simple."

This look brought back memories of Kraft's first time on the operating table.At that time, he had repeated this process several times in the simulation training room, and he could fluently recite a set of procedures from surgical hand washing to entering surgical gowns and disinfecting drape.

But in fact, he was trembling when he put his hand under the faucet, pressed the hand sanitizer several times, his mind went blank, and he was afraid that something was not cleaned.

As for others, Lucius and Liston had never experienced such a process, and they were too nervous by their sudden seriousness.He felt that some old jokes should be told to lighten the atmosphere.

"Do you guys know how to stuff a brown bear into a jewelry box?" Since there are no elephants or refrigerators here, the joke needs a little localization.

"what?"

"Open the jewelry box, stuff the brown bear in, and close the jewelry box."

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

Lucius gave an awkward but polite smile, and Liston got even more nervous.The joke reminded him of how Kraft described the operation—"make an incision, reset the intestines, and sew it up." In fact, it must not be that simple. What they are facing is a case that has never been done before in this world. operation.

"Take a deep breath, my friend, this will make you feel better, and then pass me the knife. This is a rare opportunity, so let's treat it as a special lesson? We may even have a chance to explain it in detail." Clough, who realized the failure of enlivening the atmosphere Special tried to save it, hoping that Liston could regard this as a long-lost practical teaching.

"We choose the right side through the rectus abdominus incision, if it is a small baby, you can also use the upper abdominal transverse incision..."

The blade sliced ​​through the skin, and blood oozed from the cut surface.The knife was kindly provided by Liston. It is thin and slender, but the material is good. It deserves to be a knife customized by a lecturer who focuses on anatomy.

Although it is not as sharp as a scalpel, it feels good in the hand, much better than the imaginary drastic.

"Clean sackcloth, Liston. Lucius, change your position and let the light shine from the opposite side."

Because there is no serious gauze, we can only use the linen commonly used in this era to make up.The one in his hand is already considered a product of fine craftsmanship, even so Kraft dared not wipe it with it, and could only rely on its own water absorption to absorb blood to ensure a clear vision.

Lucius turned to the other side of the table, raised the metal mirror in his hand, and let the light spot hit the incision.This mirror can only barely reflect the figure, but fortunately it just needs to be illuminated.

A hook was delivered to Kraft.Thanks to the needs of anatomy, this tool can still be found in the academy, rather than finding something to replace it temporarily.

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

"Of course, it's the same as the knife. I haven't found a chance to use it yet." Liston sent another one. They need to use these two bent metal strip tools to create enough space so that they can see the inside s things.

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

Kraft is convinced that the location of the knife is correct, and now he wants to find the location of the intussusception as soon as possible in the shortest possible time.This is not a sterile operating room, the longer the wound is exposed, the greater the possibility of infection.

As the light moved, a yellow fat bump appeared in the field of vision, "Stop, it's here."

Kraft caught the sign, which was the fat of the intestine, which ran along the band of the colon.Going all the way down the colonic belt, the appendix can be found at the place where the three colonic belts converge, above which is the cecum, and the ileocolic intussusception he is looking for is next to it.

He put his finger into the abdominal cavity, touched the crux of the problem, and gently pulled the intestine, "Light, this way."

Lucius, who had gradually mastered the technique, deflected the mirror, and the light spot moved towards Kraft's fingertips, illuminating that segment of intestine.It was the best situation, judging from the color, the intestines had not been necrotic, otherwise Kraft had to consider how to cut off the necrotic intestines, and then anastomose the two ends.

Then there are some operations that will make people feel more scary.

"Look, this is the inserting part, now I'm going to push it back." Kraft relaxed a little, and explained to Liston who was pulling the hook what he was doing now, "Don't get your head too close."

After being restored to a certain position, he pulled the intestinal segment outward and gently pushed the proximal end with his thumb and index finger. Lucius, who was holding a mirror a few steps away, could see the red lump in his hand.

This scene made Liston feel a little uncomfortable even after undergoing autopsy. The feeling of calmly operating on a living person is completely different from that on a dead person.He glanced at Liz's face, the child was still in a peaceful sleep, completely unaware that someone had stroked a section of her intestines.

Delicacy and roughness coexist, years of sword practice have created the stability of these hands, and the mind from another world is manipulating them to squeeze out the intussusceptible ileum from the colon little by little.

"Don't shake, just hold on for a while."

The light spot was trembling, it was Lucius' arms trembling, it was hard to tell whether it was because of exhaustion or the fear of the sticky pink stick in the hands of the caster, it was something that could not be overcome no matter how many times he practiced on the dead, only Can be adapted in real practice.

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

The step of "putting the brown bear into the box" was basically over. Kraft successfully unsheathed the ileum completely. The protruded intestinal tubes in the field of vision looked normal, with no rupture or the like, and the appendix was not congested and edematous.

This is really blessed by the gods. Gris discovered it in time, and the priest didn't delay for a piece of holy water. It might not be so ideal if he came in the afternoon or evening.

"sewing."

Liston handed him the looper and the thread.

The needle is made by bending a sewing needle. The thread is the toughest among the thin threads he can find. It was kindly provided by a student who sells textiles at home. It is said that it is made of some kind of spider silk, which claims to be able to replace the connecting armor The iron rings of the components are usually sold by the piece.He gave Kraft a bunch straight away.

After this matter is over, it's 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 explain the student's beating behavior after being discovered.

Full-thickness continuous suturing is a helpless choice in the absence of absorbable sutures. It is inevitable to leave a scar on the little girl's stomach.But children grow fast, I hope it will fade in the future.

Fortunately, the climate in the northern part of the Norse Kingdom is not popular for navel-baring clothes. When the children grow up, they will not complain about the limited qualifications of doctors when they choose clothes one day.

The stitching is pretty fluid, and it's Kraft's favorite part.Neatly spaced needles in and out, pulling the opening back into place, would subtly satisfy his little OCD.

He finished the last stitch, neatly tied three surgical knots with his fingers, wiped off the remaining blood, and covered the wound with four layers of linen cloth.

"Tape." Kraft reached out habitually, but failed to get what he wanted, and looked up to see Liston in a daze. Live the dressing."

"Lucius, you can put the mirror down now, go and have a rest."

Liston and Lucius watched as Kraft finished wrapping strips of cloth around Lise's waist, tied a beautiful bow, straightened it, and covered her again.

With the help of the "family secret medicine", the operation "established only on "Human Body Structure" was completed without any disturbance, and the person who made history stretched out his hand to wipe his sweat, without any awareness of it, and no image He collapsed on the ground and gasped for breath.

"So we really put brown bears in jewelry boxes?"

(End of this chapter)