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

Chapter 1507 Xiaolong is cured, why is it not completely cured? (Platinum Tower Leader plus 8)

Chapter 1507 Xiaolong is cured, why is it not completely cured? (Platinum Tower Leader plus 8)

No one answered him.

Gretel's assistants and disciples, who are familiar with his operation method, help in the operating room, or listen to Gretel's explanation in the operating room.

This time, the ones who put down their work and come outside to take a look are either conjuration healers who are used to throwing healing techniques and are not familiar with human anatomy;

Or a necromancer who is familiar with human anatomy, but has never treated a living person, and whose actions are always rough...

They have never experienced that kind of careful, little by little separation, like unraveling two cobwebs stuck together, or carving patterns on tofu, and they don't know what the purpose is.

If Grete heard Noctis's question and was free, he would answer him a few words.Tissues in the body are naturally connected with each other, so that they don't bounce around and just throw them out everywhere.

When performing surgery, to move a specific tissue, the first step is to separate, separate, carefully separate...

Separation is too violent, tear it, pull something that shouldn't be pulled.Tearing blood vessels, tearing organ capsules, pulling nerves...

Before the work that should be done has had time to be done, all kinds of troubles have come out.

Just imagine, swiping once, the blood is soaring;

With a brush, the liver is cracked;

With a brush, the esophageal vagus nerve is pulled, and the heart rate, respiration, and blood pressure all start to soar. In severe cases, the patient dies inexplicably...

Whether it is performing laparoscopic surgery, thoracotomy, or laparotomy, no doctor dares to violently and arrogantly tear up and talk nonsense.Even after traveling to this world, Gretel still didn't dare to use the healing technique.

...Of course, if Gretel heard Noctis's question now, his answer would probably be:

"Why do you ask now? Why do you hear what I said now? ——Miscalculation, redecorate the operating room, and we must isolate the spiritual power from outside!

Decorate according to the standard that can isolate the legendary spiritual power!Right now, right now, right now! ! ! "

Well, it's great that the patient's family is isolated outside the operating room and can't see what's going on inside.Otherwise, God knows how many weird things will happen...

Gretel, who was not disturbed by the patient's family, still performed the operation with peace of mind.Determine the size of the esophageal hiatus, the content of the hernia, and the route of the hernia into the mediastinum, and carefully dissect the hernia sac;

The contents of the hernia are also contained. In the process, excess fat tissue needs to be excised and the peritoneal sac removed.Because the hernia sac is a little adhered to the surrounding tissue, the separation must be very careful;

Observe the position of the cardia, thank God, the cardia has not herniated into the chest cavity, so there is no need to consider the problem of short esophagus - although MRI and CT have been done, but because of the problem of esophageal tension, it is still necessary to see it with your own eyes;

Next, the vines gouged out a circle at the esophageal hiatus to expose the wound.The treatment technique kept up with it in time, guiding the diaphragm to grow and grow forward, and stopped about 1 cm away from the esophagus...

Well, according to the CT images taken before, during the eating process, the esophagus will keep peristaltic, dilated, contracted, dilated, and contracted, pushing the food down.

Leaving a room of about 1 cm at the esophageal hiatus can probably ensure sufficient patency of the esophagus so that it will not be narrowed here.

After everything is done, the treatment will be scanned again to check that there is no other organ damage and no active bleeding.

The vines didn't even need to be pulled out, the spell was released, the vines would naturally scatter, and after a healing spell, the incision on the skin would also heal.

"All right?"

"All right!"

Seeing the child staggering out following Gretel, the Noctis couple suddenly raised their hearts in their throats and rushed forward.

Previously, Gretel said the operation process was so terrible, and he had to lift the liver, drag the stomach down, and gouged out a piece of flesh on the diaphragm;

As for complications, it ranges from cardiac arrest, sudden death, massive bleeding, pneumothorax, to liver tear, bile leakage, and abnormal liver function after surgery.

It was a long and long list, and his hands were shaking when he signed it. During the operation, there were also a group of high-level healers standing inside, ready to provide healing support at any time...

God knows his child, according to the human algorithm, there are only three levels.Two level [-] healers, even if his son died, would be enough to bring him back from death twice... Bah, bah, bah, bah, bah!

Pulling the child into his hand, looking left and right, right and left, the surging mental power swept up and down several times before making sure that the child was fine - during this process, the mental power of the husband and wife collided accidentally twice.

The couple breathed a sigh of relief until it was confirmed that the child was fine. They put their arms around the child and thanked Gretel.

——One thing to say, two tall and strong elves, hugging a young dragon with a length of 1.5 meters, a shoulder height of 0.8 meters, and four feet on the ground. The visual effect is quite terrifying, and there are so many slots...

"After the surgery, you can rest assured." Gretel looked at them with a smile:

"The child has fasted for a period of time before. Don't eat too much at once. Eat a small amount first and increase slowly. If there are any problems, please send them to me."

Thank you, Mr. and Mrs. Noctis.It is impossible to take it home first, and then take it back to see if there is a problem. After all, the dragon's nest is too far away, and traveling thousands of miles is too much trouble for children.

The pair of red copper dragons simply took their children and lived near the hospital.The adult dragons have eaten a big meal, and they don’t need to eat for at least a month. They can take the food that the young dragons eat with them...

After staying here, it didn't take long for the husband and wife to discover something was wrong.The next day, in another hurry, they came to Gretel with the child:

"Master Nordmark, why does the child still feel uncomfortable after eating poisonous insects?"

"... How is the degree?" Gretel immediately got up to look.The little baby dragon was spinning around on the ground, whining softly from time to time.The wife of Noctis, the adult copper dragon Delphine, looked at the child worriedly:

"It's not as uncomfortable as before. Before he ate poisonous insects, he always coughed, choked, spit, had chest pain and back pain, and tossed and tossed for a long time. Now he just feels uncomfortable, uncomfortable, and vomits acid water..."

"Gastroesophageal reflux." Gretel came to a conclusion after hearing this.However, he didn't say it immediately, but carefully recalled his diagnosis process and treatment process:

What am I missing?

Why does the child still have symptoms of gastroesophageal reflux after the surgery?

Hiatal hernia treatment, what am I missing?

That's right -- that's right, fundoplication.Regarding the operation of hiatal hernia, there is only a short line written in the book: After the hiatal hernia is repaired, fundoplication is performed at the same time...

I didn't write clearly how to do fundoplication, nor did I explain why it was done.

Now, facing the symptoms of gastroesophageal reflux, Gretel went back to read the book again, and read physiology, pathology, pathophysiology, internal medicine and surgery together, and read it back and forth, and suddenly realized:

Fundoplication is to form a valve outside the esophagus, compressing the lower end of the esophagus, so that the food in the stomach cannot flow back into the esophagus.

In patients with hiatal hernia, the lower esophageal diaphragm is usually weak and cannot provide enough pressure, so fundoplication is used to supplement...

Seeing it is clear, but unfortunately it is too late.When I had surgery before, I did a fundoplication by the way, and I just did it; now that the surgery is done, I have to tell the parents of the child:

"Hi, when I was doing the surgery before, I missed a surgery and didn't do it..."

Gretel reckoned that Noctis didn't beat him to death because of his generous personality, not because he had someone behind him.Thinking about it again, there is actually no need for another operation:

It is clearly written in the textbook that 50% of gastroesophageal reflux disease should be considered as chronic disease management;

For more than 70% of patients, medical treatment such as acid suppression can achieve satisfactory curative effect;

Only about 35% of gastroesophageal reflux disease can be considered a surgical disease.

The child's condition has improved considerably, and it is obvious that he can be treated with lifestyle management and acid suppression!

Wait...Where can I find ranitidine for my child...There is no omeprazole either...Moformline, there is no morphine!

have what……

There are alternative medicines...or alternative spells...there is one!

"The child's condition has improved a lot. As long as he grows up and has a stronger digestion ability, the situation will be alleviated." Gretel said solemnly, saying:

"Before that, you can use spells to assist. One is healing—"

Raising his hand, a mage's trick swept gently, and the slight healing technique rolled up the acid and fell back into the stomach.Then, dots of warm white light entered the young dragon's body:

"The acid going back up will corrode the esophagus and cause damage to the esophageal mucosa. Therefore, after each acid reflux, it is best to apply a healing technique to appease the esophagus."

Without ranitidine, it is impossible to reduce the damage of acid reflux to the esophageal mucosa, and it is the same with cleaning + treatment!I am really too witty!

After the healing technique fell, the young dragon snorted, and he could tell from his body language that he had stretched a lot.Gretel thought for a while, then dropped another magic spell:

The tenacity of the bear!

Endows the subject with the physique of a bear, which is stronger and able to endure more injuries and pains.

At the same time, the digestion ability has also been greatly enhanced. What used to take three hours to digest, now, an hour and a half is enough!

"Every time after eating the poisonous insects, give him this magical spell, so that he can quickly digest and empty the contents of his stomach." Gretel told the Red Copper Dragon couple solemnly:

"Avoid overeating and avoid full meals three hours before going to bed. When the child grows up a bit and his body improves, there should be no problem."

Stomach motility medicine!

Without gastric motility medicine, gastric motility magic is the same!

Combined treatment of surgery + divine art, achieved!

(End of this chapter)