A Hospital in Another World?

Chapter 507: Can’t use divine magic for thrombolysis, how about thrombectomy then?

Garrett closely monitored the patient’s intestinal blood vessels, his mind racing.

No thrombolytic medication available.

Divine anti-coagulation cannot be used for thrombolysis.

Attempt to remove the disease failed.

He tried a cleansing spell to extract the blood clot from the blood vessels, but it failed.

In his mind, the known spells, divine powers, and medications passed one by one. There was a viable spell within magic: necromancy, "Oceanic Anemia." With this spell, the target’s blood could be turned into seawater, causing harm.

The spell required a drop of seawater; if replaced with saline, it could turn the blood in that section of the vessel into saline…

However, the problem was, this was a fifth-level spell, which Garrett did not know.

Emmm... What else could be done?

The Silver Dragon girl leaned over to look. From the direction of the patient’s head, Leon Carlos, though hesitant to lean forward, was also curious. He looked at Garrett and then at the segment of the intestine—though he could not make sense of it. Garrett, with a troubled expression, pointed it out to them:

"There’s a blood clot blocking inside... I’m thinking, what can be used to make these blood clots disappear... There’s no medication for thrombolysis, about thrombectomy..."

"What about thrombectomy?"

Seraina asked eagerly. While asking, she spread her fingers, ready to try:

"Your... vine... can it extend into the blood vessel to remove the blood clot?"

Extending into the blood vessel? Easier said than done. Garrett smiled bitterly:

"It’s not that easy... Look at this blood vessel, it’s so fine... My vine can’t extend into it..."

The suspected thrombosed mesenteric artery had a length of 30~40cm and an internal diameter of only 0.6+-0.09cm!

If it was a lower-level blood vessel supplying blood to this section of the intestine, those were even finer...

To control vines entering from the femoral artery, winding their way in, then dividing into four, six, eight segments to "tie up" and "drag out" the clot, his control of the vines was just not that precise!

"So, what about cutting it open? Cut it open, take it out—” she squinted her eyes, made a chopping gesture with her palm as a blade, and made a "cutting" gesture:

"And then heal it?"

Garrett quickly shook his head. This length and thickness, completely cut open, removing the clot, and then healing the blood vessel, it was doable, but the prognosis would be poor:

Blood vessels should be cut as little as possible, and incisions should be as short as possible. Blood vessels, even slightly irregular, could cause changes in hemodynamics. Then, you’d have issues like obstructions and clots coming to find you...

Even if it was an arterial thrombectomy, it only involved making a small incision, using the arterial blood flow itself to wash the clot downstream.

This segment of the vessel, if it was connecting to the branches of the intestine, those tiny blood vessels simply couldn’t flush it out.

Then... then...

"I have a way! Seraina, I have a way!" He suddenly jumped up. Right hand forming a circle, he raised it to his eye level, comparing:

"Seraina, that magnifying glass, make one for me! Quick! The one we used before when reattaching limbs!"

"Okay!"

Magical light flickered, shining on Garrett’s face. Garrett held his breath, lowered his head. At this moment, the less than one centimeter thick blood vessel, in his vision, magnified five or six times.

The scalpel gently made a cut on the dark red vessel wall, opening a small incision less than 1 centimeter. Garrett lifted the scalpel tip towards the opening of the vessel:

"【Cleansing Spell】!"

The faint glow of magical trickery silently enveloped it.

The coverage of the Cleansing Spell was in three dimensions: length, width, and height, each a cubic foot. Of course, a proficient spellcaster could stretch this cube, elongate, widen, or flatten it.

For instance, controlling it to one inch high and three feet square could conveniently clean walls.

Cough, nearly all academy-trained magicians have experiences of climbing on scaffolds, cleaning the exterior walls of buildings inch by inch. If the spell control is good, the cleaning area per spell is large, allowing the work to be finished more quickly.

Garrett had not undergone such intense training. Even if he had, it wouldn’t be useful now:

His current operation required controlling the Cleansing Spell’s impact range to match the internal diameter of the blood vessel to avoid damaging anything that shouldn’t be touched.

Fortunately, the magnifying glass was there. With the help of the magical magnifying glass, Garrett carefully controlled the area of the spell, advancing bit by bit:

Cleansing Spell!

Cleansing Spell!

Hey, it seemed effective, it really cleared a bit! So, continue advancing—

Each casting could clear a length of only one or two centimeters. Moreover, the deeper he went, the greater the consumption.

After advancing seven or eight centimeters, Garrett’s mental energy was at its limit. Thinking about continuing with precise control made him dizzy, with a buzzing in his ears—

But this was already very good! Garrett breathed a sigh of relief, clamped the cleaned end of the blood vessel, healed the front end, and let go. The bright red blood flow immediately gushed forth cheerfully.

Workable!

So, continue!

Clean a section, heal a section, release a section. Clean another section, heal another section, release another section.

For the thirty to forty centimeters of blood vessel, plus the branching vessels, Garrett threw nearly a hundred healing spells. The arterial thrombectomy was complete, and he continued treating the veins—

When all was finally treated, Garrett was dizzy, almost collapsing onto the operating table.

He lowered his head, closed his eyes, and only saw stars flashing before his eyes. However, now was not the time to rest. Garrett could only pinch the tiger’s mouth of his left hand hard, instructing with a weak voice:

"Warm saline... cover with warm saline-soaked gauze, the water temperature should be above 37 degrees... approximately, between 40 degrees to 45 degrees..."

Carlos immediately ran to do it. Heating saline, casting freeze rays for cooling, soaking the gauze, using a Mage’s Hand to lift it slightly and wring it to a wet yet non-dripping state, quickly covering the intestines with it.

The sequence of actions flowed smoothly, no need for Garrett to instruct further, clearly well-practiced. They also needed to constantly monitor the temperature of the gauze, changing it every few minutes—

Seraina was responsible for watching on the side. Changing a piece of gauze, she reported joyfully:

"It’s reddened! It’s reddened!"

"Garrett, it’s reddened!"

"That section of the intestine has colored up! It’s no longer bluish-purple, it’s turned rosy!"

It’s reddened... That means it’s alive. Garrett, unknowingly, curled into a relaxed smile.

It’s good that this old lady’s intestines don’t need to be cut.

It’s good to have found a method for thrombectomy.

Next, to try out a method for remote thrombectomy. Another new research topic, that’s good.

Now that the intestines were confirmed to have revived, the subsequent hernia surgery posed no problem for Garrett. Such minor surgery, he had already mastered during his supervising period; now, repeating it was like doing it with his eyes closed—

And it didn’t even require suturing!

Just cutting, dissecting bluntly, and restoring the intestines! Most of the work could be done with healing spells, even if there were slight mishaps, healing spells could promptly patch things up—

A surgery that required an hour in his past life, with Seraina’s assistance, Garrett completed in just 20 minutes. Then, he clapped his hands, calling over Carlos:

"Rinse, close the abdomen, I leave it to you—can you handle it?"

"I can!"

"And me?"

Seraina pouted unhappily. Underneath the mask, a small bulge formed:

"I can do it too! Why won’t you let me?"

Staying in the hospital with him, not returning to the comfortable mage tower, getting up in the middle of the night to save people, busy until now, and not even letting her assist?

This... was just like an intern who hadn’t managed to get a chance to suture. Garrett, confident, smiled at her:

"This patient is relying on you now! It’s Leon’s first time finishing up, wherever there are problems, it’s up to your healing spells to save the day!—Leon, do you remember the steps for finishing up?"

"Saline rinse, suction, check for no active bleeding, holy—saline rinse," Carlos answered smoothly:

"Then first heal the previously torn mesentery, then close the abdomen layer by layer, reversing the steps of the initial opening. Use the Mage’s Hand to pull each layer of the abdominal cavity, ensuring perfect alignment, then heal it together."

"Go ahead, I’m watching."

Garrett yawned slightly. Training apprentices for so long, finally, they were proving useful. To think, completing the main part and stepping down, leaving the closure to someone else, he finally felt a bit like a

chief director—

But Carlos couldn’t grasp his sentiments. This young necromancer, like every intern entrusted with the important task of suturing by their teaching seniors or brothers, blushed, saying loudly:

"Alright, sir! Please rest assured and leave it to me!"

Not to say he wasn’t worried, but it was really possible to be worried... A newbie on the road, any part could go wrong. Otherwise, why would I still be here watching, not going to wash my hands...

"Hey, pay attention to the temperature of the saline! 37 degrees! Was it above 40 degrees just now? Has it come down yet?"

"Lift the intestines gently! Gently!—Who let you directly lift the intestines?!"

"Ah ah ah! Sir, the patient, the patient she—"

"Heart stop suddenly, I saw it. Don’t freeze! Cardiac massage! That’s why I told you to be gentle, now you understand?"

Garrett unsurprisingly ordered. Although it was a low probability event, pulling on the intestines, stimulating the vagus nerve, indeed had a probability of causing cardiac arrhythmia.

Otherwise, why would he keep the electrocardiogram hanging, and why would he stand by watching...

Stumbling, with various dangers, they finally successfully closed the abdomen. When the patient was pushed out of the surgery room, Sir Albert saw his mother open her eyes, grateful to the point of nearly collapsing to his knees.

"Hey... don’t, don’t. It’s good that the old lady is all well." Garrett quickly stopped him:

"If you trust us, when you have the chance, could you refer a few patients over? Those not healed by healing spells, let me try to see if I can help..."

"Rest assured! It’s on me!"

Sir Albert, patting his chest, repeatedly agreed. Garrett gave him a smile, returned to the inner room, and immediately energetically pumped his fist:

"Yay!"

Finally, fresh patients!

Finally, no longer just a muckraker!

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