Krafft's Notes on Anomalies

"This is the current situation. We need to make a small opening in her belly to put the intestines back into place. But don't worry, she won't feel anything during this process. The secret medicine passed down from my family will make her sleep A whole day or more.”

Kraft drew a rough outline of the bowel movement in the abdominal cavity on a piece of paper and showed Gris the circle of the location to be reset.

The father twisted his hands together. Such a thing was unheard of for him and he could not judge based on his own experience and common sense.

"Actually, the process only has three simple steps. It's just a small incision, so long." Kraft gestured with his hand, "Then we can access that small section of intestine, reset it, and finally quickly close the small incision. Sew it on.”

"We will finish all this soon. There may be symptoms such as fever and wound suppuration afterwards, but at least she will not die soon due to intestinal problems."

"Okay, okay, thank you." Gris was moved by this statement, perhaps because it sounded simple, or perhaps because the description of good and bad seemed more candid, instead of using holy water or herbs like priests and clinic doctors. For sure, "She is my only family, even if I have to sell the pub..."

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

He turned around and walked into the observation classroom, where he performed shoulder joint reduction when he first arrived. Lucius and Liston were already waiting for him inside. Liz lay on her side on the carefully cleaned stone platform, huddled up.

It was not that I was unwilling to find another place, but that the classroom, which was designed to demonstrate treatment methods and anatomy, was naturally structured to be used for surgery.

After opening all the windows, the classroom is well-lit, 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 up so that Kraft could feed her the diluted black liquid.

This was the first time Craft witnessed the effects of drinking diluted liquid.

The expression on Liz's face, which was full of pain, disappeared in less than five seconds after drinking it, like a computer shutting down. It was like some invisible force came here, smoothing her tense facial muscles and transforming her emotions and feelings. Withdrawn from the body, only the calm body remains.

Her limbs quickly relaxed, the hand covering her stomach dropped, her spine fell softly, and she lay down along Lucius's hand, pressing against the table without any resistance.

Kraft had never seen any drug that was taken orally and absorbed through the digestive tract that worked so quickly and so effectively.

Liston on the opposite side was surprised to reach out and feel Liz's breathing, and then felt her pulse. It was steady and regular, but slightly slowed down.

"A secret medicine passed down from the family?"

"Yes, the family secret medicine is the last one. Don't worry about it and 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 with lime water, and then rinsed with cooled boiling water.

"Like me, wash the palms, the backs of the palms, between the fingers, then arch the hands, and finally the fingertips and thumbs. The wrists and the entire forearm should be washed."

Craft threw aside his black robe and sword, rolled up his sleeves, and showed Liston a less standard procedure. Logically speaking, you need to wash your hands and soak them, but there are really no such things.

"Lucius, would you like to rub her entire belly? Not just the area we want to operate on, but the entire body, including both sides of her 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 and thread, otherwise I have to throw them into the boiling water and fish them out again..."

"Confirmation for the last time, everyone knows what they have to do, right? Lucius, you are responsible for all the content outside this table. Help hold the mirror and shine the light here. Just don't touch it."

"Liston, we are the ones who have to touch the wound. Don't let your hands touch places other than the abdomen and instruments. Don't let it hang below the waist, nor above the shoulders. We have to make it as 'clean' as possible .There’s no way to explain it now, but we’ll have a chance in the future.”

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

The sight 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 the door, putting on surgical gowns, and sterilizing drapes.

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

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

"Do you 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.

"ah?"

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

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

Lucius showed an awkward but polite smile, and Liston became even more nervous. The joke reminded him of how Kraft described the operation - "make an incision, reposition the intestines, and sew them shut." In fact, it was definitely not that simple. What they were facing was an operation that had never been done before in the world. operation.

"Take a deep breath, my friend, this will make you feel better, and then hand me the knife. This is a rare opportunity, let's treat it as a special course, okay? We may even have a chance to explain it in detail." Clough realized that the lively atmosphere had failed. Te tried to save it, hoping that Liston could regard this as a long-lost practical lesson.

"We choose the right transrectus abdominis incision. If it is a small baby, we can also use an upper abdominal transverse incision..."

The blade of the knife sliced ​​open the skin, and blood seeped out from the cut surface. The knife was kindly provided by Liston. It was thin and slender, but the material was good. It was a knife customized by a lecturer who focused on anatomy.

Although it is not as sharp as a scalpel, it feels okay in the hand and is much better than expected.

"A clean piece of linen, Liston. Lucius, change your position and let the light shine from the opposite side."

Since there is no serious gauze, we can only use the linen cloth commonly used in this era to make up the number. The thing in his hand was already considered a product of fine craftsmanship. Even so, Kraft did not dare to wipe it with it. He could only rely on its own water-absorbency to absorb blood to ensure that his vision was clear.

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 barely reflect the figure, but fortunately it only needs to be illuminated.

A retractor was sent to Kraft. Thanks to the needs of anatomy, this tool can still be found in the academy, rather than having to find something temporary to replace it.

"I hope this isn't used."

"Of course, it's the same as the knife. It's a newly made set and I haven't found a chance to use it yet." Liston sent another one. They had to use these two curved metal strips to open up enough space so that they could see inside. s things.

"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 squirming shadows and pink intestines are mushy in the limited field of vision.

Kraft was convinced that he had cut the knife in the right place, and now he wanted to find the location of the intussusception as quickly as possible. 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 bulge appeared in the field of vision, "Stop, it's right here."

Kraft captured this landmark, which is the intestinal fat duct that runs along the colonic band. Following the colonic band all the way down, the appendix can be found where the three colonic bands converge. Above it is the cecum, and the ileocolic intussusception he is looking for is right next to it.

He put his fingers into the abdominal cavity, touched the crux, 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 the section of intestine. This is the best case scenario. Judging from the color, the intestines are not necrotic yet. Otherwise, Kraft would have to consider how to cut off the necrotic intestinal segments and then anastomose the two ends.

Next are some operations that will make people feel more terrifying.

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

After restoring it 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 swelling in his hand.

This scene made Liston, who had experienced dissection, feel a little uncomfortable. The feeling of calmly operating on a living person was completely different from that on a dead person. He glanced at Liz's face. The child was still sleeping quietly, completely unaware that someone had rubbed a section of her intestines.

Delicacy and roughness coexist. Years of sword practice have created the stability of these hands. The mind from another world controls it to squeeze the intussusceptible ileum out of the colon bit by bit.

"Don't tremble, just hold on for a while and you'll be fine."

The light spot trembled, which was because Lucius's arms were trembling. It was impossible to tell whether it was due to fatigue or fear of the slippery pink strip in the hand of the caster. It was something that could not be overcome no matter how many times it was practiced on the dead. Ability to adapt in real practice.

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

The step of "packing the brown bear into the box" was basically completed. Kraft successfully degloved the ileum completely. The prolapsed intestine looked normal in the field of vision. There was no rupture or the like, and the appendix was not congested or edematous.

This is really a blessing from God. Gris discovered it in time, and the priest didn't delay giving him another holy water. If he came in the afternoon or evening, it might not be so ideal.

"sewing."

Liston handed him the bent needle and silk thread.

The needle was made by bending a sewing needle, and the thread was the toughest thread he could find. It was kindly provided by a student whose family sells textiles. I heard it was made of some kind of spider silk, and it was said to be able to replace armor. The hoops for parts are usually sold by the root. He gave Kraft a bunch directly.

After this matter is over, it is best to take the time to come to thank the student and make up for the money at the same time, so that it will not be difficult to explain when the student's behavior of beating his mother is discovered.

Full-thickness continuous sutures are a helpless choice when there are no absorbable sutures. It is inevitable that the little girl will have a scar on her belly. However, children grow quickly, so I hope it will fade away in the future.

Fortunately, midriff-baring clothes are not popular in the climate in the northern part of the Kingdom of North, so when the children grow up, they won't complain about the doctor's limited skills when choosing clothes.

The sewing operation is quite smooth and this operation is Kraft's favorite part. Inserting and removing the needles at regular intervals and pulling the opening back to its original position will subtly satisfy his little obsessive-compulsive disorder.

He finished the last stitch, tied three surgical knots in a row with his fingers, wiped away the remaining blood, and covered the wound with four layers of linen.

"Tape." Kraft stretched out his hand out of habit, but didn't get what he wanted. He looked up and saw Liston with a confused look on his face. "Uh, I mean roll up a long piece of linen. We have to wrap it twice around our waists." Keep the dressing in place.”

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

Liston and Lucius watched Kraft finish wrapping the strip of cloth around Liz's waist, tying an extra beautiful bow, straightening it, and covering her with clothes again.

With the help of the "family secret medicine", the operation "only established in "The Structure of the Human Body"" was completed without any trouble. The man who made history stretched out his hand to wipe his sweat, without any awareness or image of it. He collapsed on the ground and gasped for air.

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