A Hospital in Another World?-Chapter 514: Spatial Spells, Cutting Through Bone for Tumor Removal?
Chapter 514: Spatial Spells, Cutting Through Bone for Tumor Removal?
A question silenced the opponent. Garrett triumphantly glanced at Mage Jason, then bowed his head and continued working. Ready to start cutting out the tumor?
Humph!
Though lipoma excision is just a level 1 minor surgery, excising a periosteal lipoma, which has infiltrated into the muscles and adheres to the bone, is at least a level 3 surgery. Only senior attending physicians can perform it independently, and junior ones need supervision!
You?
Have you memorized the fifth edition of "Surgery"? — Oh, don’t even mention the fifth edition; I haven’t even written the first edition yet;
Have you achieved a thousand cuts on mice? — Sorry, there’s no professional mouse breeding in this world;
Have the senior instructors manipulated cadavers? — Probably something a Necromancer has done, but most medical branch magicians haven’t;
Have you hung hooks in hundreds of surgeries? Have you felt every type of appendicitis? Have you completed your specialty training? Got your medical license? Completed a year of residency?
Your supervising physician hasn’t nodded yet, and you want to start cutting tumors?
You must be dreaming of peaches!
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Like you, an intern with no experience, who can’t even hold a needle holder properly or perform aseptic operations, isn’t qualified to stitch skin, let alone approach the surgical table!
He refocused his mind, his movements were light, even, and swift. Biceps, pull apart; Triceps, pull apart; Arm muscles, pull apart...
Brachial artery, freed and protected; Brachial vein, freed and protected; Cephalic vein, median nerve, ulnar nerve, radial nerve... and various other branches and collateral branches, all carefully isolated and protected as much as possible.
Protect as much as you can. For a transformational mage, one right hand is worth half a career and half a life. Anyway, the Silver Dragon magnifying glasses are already worn, just take your time.
After making the incision, it became clear that the tumor extended from below the large tuberosity of the humerus to about 7cm above the right elbow, growing between the biceps and triceps. Garrett, while freeing tissues, hissed and muttered:
“See, if you had removed it earlier, there would be no issues... Now it’s grown so big, all the nerves and blood vessels on the inner side of the upper arm are pressed against, displaced, bent, swollen... There’s no way that isn’t causing problems...”
Poor Mr. Ramos lay on the surgical table, his whole body immobilized by a Peace Spell, unable even to roll his eyes at Garrett. Nor could he complain to Garrett:
“It’s as if I could have removed it myself... A few years earlier, and you weren’t even in Nevis! Who would I have gone to remove it? That group of Necromancers?”
Garrett freed all the muscles, protected every blood vessel and nerve he could, and finally the large yellow lipoma was fully exposed:
It was not a single mass but lobulated, clearly separated into lobes. A yellow-white nerve ran perfectly through the middle.
“The capsule is quite intact…” Garrett, using Mage Hand, carefully picked up a lobe to look underneath. The base of the lipoma, forming coral-like bone growth, was tightly connected to the humerus:
“Tsk, troublesome, these bone growths need to be scraped off—Leon, hand me a scalpel, add an [Enchanted Weapon]!”
“Right away, sir!”
Allowed to stand opposite the surgical table, helping with hooks and passing instruments, Leon Carlos crisply responded.
Mage Hand flew up, delivering the surgical instruments Garrett requested. Dwarf-forged, these tools were sharp, lightweight, durable, and convenient for casting spells, allowing one to scrape and guide healing spells to protect the incision. Garrett continued muttering as he worked:
“Leon, remember, with tumors like this, if the capsule is intact, be very careful not to break it… Better to go slowly, bluntly dissecting from the outside, to remove it whole... If it breaks, who knows what bad stuff inside could spread to the whole body...”
“I understand, sir. Just like a necrotic cyst from the Necromancy branch, it must be completely removed without breaking, right?”
That’s correct, although what I was actually referring to was a cancerous cyst, I haven’t seen a necrotic cyst yet. Tsk, perhaps later, I could ask for a senior instructor from the Sleepless Tower?
Whether it’s Archmage Edgar or Archmage Grom, they’d probably be willing to help me... At most, I’d agree to let them observe during the surgery!
Garrett secretly added a note to his journal and continued working.
“Eh, sir, why did you cut the
tumor apart—”
“What else? It was too big to pull out!”
That was when Garrett’s foresight in surgical approach became apparent: The tumor was too large, and removing it from one direction would be inconvenient, mainly because too much muscle and nerve would need to be pulled apart to make room for the tumor. The damage to the normal body would be too great.
But by making anterior and posterior incisions, dividing the tumor into two parts for removal seemed much easier. Hmm, just make a small incision at the lobulated part—
Done!
Got it out!
Bingo!
Garrett removed the tumor mass, eliminated the bony base, and repositioned the muscles, blood vessels, and nerves. He then threw a Mage Hand toward Mage Jason, waving it slightly. Jason immediately scampered over:
“What is it?”
“Well, the healing~~~”
Mage Hand disappeared. Another Silent Phantom flew up, forming an arrow in the air, pointing to the area needing healing.
Throwing healing spells, throwing more healing spells, furiously throwing healing spells!
Especially for the compressed and swollen ulnar nerve!
The contact surface of the nerve with Mage Hand!
The outer wall of the blood vessels in contact with Mage Hand!
Garrett happily crossed his arms over his chest, manipulating the [Silent Phantom] to guide Jason. Well, the hardest part was done, now the laborious work could be handed over to someone else.
He could save his energy to closely watch how the swollen nerve slowly returned to normal under the healing spells—
“Hey! Keep your hands away! Don’t put them over the incision! Just throw the spells remotely!”
With healing spells involved, the latter half of the surgery went smoothly. There was no need for suturing; just keep throwing healing spells.
When it came time to suture the skin, or rather, heal the skin, the operation concluded, Mr. Ramos’ right arm looked thinner, completely intact, clean, as if nothing had ever happened.
…Except it was really too clean. The sweat and underarm hair were all gone, shaved as smooth as a peeled egg.
Mr. Ramos was lifted from the surgical table, moving his right arm, then his right hand. Quickly, he exclaimed joyfully:
“I can move it! — It’s not numb anymore! I can even make a tight fist!”
Right hand thumb and index finger formed a perfect “O” shape, thrust right in front of Garrett’s eyes.
Garrett was also surprised. In his previous clinical practice, surgery to remove a tumor was relatively quick, but nerve recovery was much slower. Slowly allowing the body to absorb the swelling, gradually exercising, slowly regaining function. From the end of the surgery to full recovery, it usually took several months.
Nothing like now, where a barrage of healing spells were thrown without sparing any expense, and it was instantly restored.
Really nice, this needs to be noted down…
Inside the pocket of his surgical gown, an oak wand poked out a root, wrapping around the [Endless Ink Pen] and scribbling away. As he was writing, he suddenly turned around:
“Mr. Tarn, what are you doing!”
Jason Tarn stretched out his right pinkie, hooking fingers with Mr. Ramos, playing “Pinkie promise, hang yourself, a hundred years, no lies…”
However, testing finger strength, that method isn’t standard at all!
Obviously, though Mage Jason had not undertaken the main task of healing, he was much more excited than Garrett. After checking finger by finger, he pinched Mr. Ramos’ right arm here and there, from left to right, from top to bottom. After a long while, he called out to Garrett:
“Mr. Nordmark, do you have—any magical items above level 12 here?”
…That kind of thing, I really don’t have…
The highest-level magical item I have on hand is the level 9 [Endless Ink Pen]…
Higher would be the energy core of the Mage Tower, which is said to exceed level 15, but obviously, I can’t carry that around. Tsk, in the future, the Mage Tower should be made a part of the hospital, at least integrating large equipment like CT and MRI directly with the Mage Tower…
Luckily, Seraina has it. Garrett Nordmark, without blushing at his flashy approach, went out for a trip and snagged some wool from Miss Silver Dragon, again activating [Detect Magic] to inspect the situation:
“Wow! This bone is completely clean now!” Mage Jason couldn’t wait to exclaim:
“Not a strange thing left!”
“Right, what about the stuff that grew into the bone? When did you get rid of it? I didn’t see you cutting open the bone…”
In front of Mr. Ramos’ overly smooth right arm, Garrett’s face paled:
“Grew into the bone? — Right, Jason, you said, the tumor had grown into the bone — isn’t it clean now
? Will it recur later?”
Garrett breathed in, out, in, out again. Looking left, Mage Jason’s face showed surprise; looking right, Leon Carlos was slightly frowning, obviously also straining his brains, yet unable to figure out where the problem lay.
And Seraina, her eyes bright, her face excited. Obviously, she wasn’t going to think hard, just waiting for Garrett to unveil the mystery, feeding the answer directly to her.
Letting amateurs read the images indeed easily causes problems, even unnecessary panic. Oh well, educating the patient or giving a lecture, he was used to it, just another one to go.
He returned the headpiece to Miss Silver Dragon, swung his hand vigorously between the two magicians, and again unfolded the [Silent Phantom], simultaneously displaying the pre-operative and post-operative lateral X-ray films of the humerus:
The left side spotty and scaly, shadows of branches visible inside and outside the bone;
The right side neat and clean, pleasing to the eye, indeed a standard good bone.
“Was what you saw before like this?”
“Exactly, exactly! — Look, it really did grow into the bone! It’s gone after the surgery, but I didn’t see you... cut... inside... the bone...”
Mage Jason’s voice grew fainter. In front of the patient, Garrett had already summoned another phantom. The humerus, the lipoma outside the bone, the bone growth within the tumor...
“This tumor was encircling the bone, see? Using [Detect Magic], what you saw was a plane, so it looked like it grew into the bone. Now that the tumor is removed…”
He pointed to the right side of the post-operative image:
“These bone growths are gone, and the bone you see is clean. There was never anything growing into the bone!”
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