Chapter 607: The Twists and Turns of Surgery
"Emmm... should we make an incision?"
Actually, Garrett also leaned towards using a small suprapubic incision extraction. It was simple to perform and had a large margin for error.
If the thermoter was encrusted with stones, or if there were other issues like bladder inflammation, fistulas, or perforations, it would be easier to see under direct vision... It would also be easy to use an Arcane Eye to check.
If anything was wrong, a Healing Spell would take care of it all, ensuring safety without hidden dangers.
Of course, it would cost more ^_^
"An incision, right?" He confird with the patient, who nodded vigorously. Garrett then turned and walked towards the corner of the operating room.
"Priest Donald, please prep the patient, disinfect, and drape. I’ll go scrub in. The range is from the xiphoid process at the lower edge of the rib cage on both sides to the upper third of the thighs. Clean all hair. Thank you!"
"Got it! Leave it to !"
Amidst the sound of running water, Priest Donald eagerly stepped forward. Sir Harrington, lying on the operating table, saw him approaching with a blade in one hand and soap in the other, and imdiately panicked:
"What are you going to do?!"
"Prepping! Didn’t you hear just now? Oh, prepping ans shaving the hair around the surgical site for disinfection." Priest Donald gestured on his body.
"For your lower abdominal surgery, the prep area needs to be..."
He raised his hand to the middle of the torso, at the edge of the lowest rib: "Here,"
Then moved to the thigh, about a third of the way down: "And here. All the hair in between needs to be shaved off."
"What?!" Sir Harrington imdiately panicked. Reflexively, he covered his private parts, desperately shrinking back.
"Do I have to shave here too?!"
"Of course, you do! What were you thinking?" Priest Donald gave him a puzzled look.
"If you don’t shave, do you want a hair to fall into the incision, causing pain when it cos out, or even grow into the wound during healing?"
"Ugh..."
Sir Harrington imagined the scenario, shuddering all over. But still, the thought of shaving his private parts was too embarrassing. He curled up, pleading softly.
"Can we shave a little less? Can we not shave here? ...No? What if I choose the vines option, can I avoid shaving then?"
"Oh, with the vines, you need to shave a little less." Garrett, who had finished cleaning his hands with a Cleansing Spell, and was scrubbing with soap, answered from afar.
"You only need to shave the part you’re covering with your hand..."
"Isn’t that the sa?!"
Sir Harrington scread hoarsely.
Garrett remained unmoved, his heart as hard as stone. Before he traveled to this world, in any surgical departnt, hundreds of patients needed prepping daily. The doctors’ orders were final.
Negotiation?
Not possible!
Without Garrett’s intervention, Priest Donald proceeded without hesitation. With a flick of his fingers, two soft water ribbons flew out, binding Sir Harrington’s hands. Shaving, shaving, hair flying...
"Don’t touch there! I’m going to get hard, I’m getting hard!"
Sir Harrington’s screams made Garrett grateful for one thing: the operating room was well soundproofed...
Of course, no matter how good the soundproofing was, the patient’s condition needed consideration. Although male patients’ prepping was usually done by male doctors in urology, with many patients, so issues were bound to arise.
In the old world, doctors would usually keep a straight face and finish the procedure calmly. But now, there were alternatives:
"If it doesn’t work, Donald, step aside and let soone else do it..."
Both the priest and the knight heaved a sigh of relief. Then they heard clattering, and a dark gold skeleton walked to the operating table, taking Priest Donald’s blade...
"Don’t worry, this skeleton is a gift from the Immortal Lord. It’s very dexterous and won’t hurt you at all!"
Sir Harrington instantly quieted down...
Well, problems could arise with male doctors in prepping. In urology, you’d hear about it now and then. But if prepping with a skeleton goes wrong, I salute you for being a brave man!
Fortunately, the preoperative disinfection and draping alleviated the knight’s embarrassnt. Covered by the drape, with only the lower abdon exposed, it didn’t feel as terrifying. By the ti Garrett finished scrubbing, raising his hands and walking over, the knight even had the mind to lift his head:
"Can we skip the Calming Spell? Just make a small incision on the lower abdon, can we just numb that area?"
"Emmm..."
Actually, not using general anesthesia was possible. For a small suprapubic incision, only spinal anesthesia was needed. However, Garrett didn’t have the anesthetic for spinal anesthesia. Injecting the drug into the lumbar space with a needle seed more damaging than using a spell...
"Shall we try? If it doesn’t work, we’ll switch to the Calming Spell?"
"Sure, sure!"
Garrett had him turn to a side-lying position, head bent down, knees hugged. Finding the space between the L1-2 vertebrae, he took a deep breath, concentrated, and cast a Reveal Invisibility spell.
Life’s glow faintly illuminated the ditative vision. Spinal nerves, sacral nerves, T12, L1 nerves...
This is the spot!
Alleviate Pain!
Magical energy advanced, focused on a small area, enveloping the spinal nerve roots. Then, Garrett pinched Sir Harrington’s lower abdon:
"Does it hurt?"
"No... I can feel it, but it doesn’t hurt..."
Spinal anesthesia succeeded! Yay~~~
He felt the patient’s lower abdon, which seed relatively full, and made an incision. With the first cut, Sir Harrington began urging repeatedly:
"Is it done? Is it done?"
"Not so fast! We need to cut layer by layer!"
Garrett, known for his speed, had just cut through the skin and subcutaneous fat. Next was to cut the superficial fascia, the linea alba, exposing the extraperitoneal fat, and pushing the peritoneal reflection upward. Fully exposing the incision, revealing the anterior bladder wall...
"Hand a needle!"
A needle inserted, urine flowed out, confirming it was indeed the bladder. Cutting the bladder, a Mage Hand flew out, lifting the bladder incision...
"What are you pulling? Is it done? Can you take it out?"
Garrett: "..."
The downside of local and spinal anesthesia surgeries. The patient talks, makes requests, and might even argue with you. Likewise, the doctor can’t joke around...
Really wished for an anesthesiologist on site, to just place a mask over the patient’s face: "Take a deep breath..."
But the surgery must continue. The Arcane Eye flew in, scanning the bladder for foreign bodies, their position, size, shape, and whether there were stones, and checking the bladder mucosa for any pathology.
Another Mage Hand turned into an oval forceps, guided by the Arcane Eye, locating the foreign body, extracting it through the bladder incision.
Guided by the Arcane Eye, a Healing Spell swept through, ensuring everything was treated, repeatedly flushing with saline.
Closing the incision layer by layer...
"Done!"
Lifting the Alleviate Pain spell, Sir Harrington leapt up, feeling around. After confirming he was fine, he made an expected yet surprising request to Garrett:
"...Does the God of Nature have a hair regrowth spell?"
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