* 
Welcome Guest. Please login or register.
Did you miss your activation email?


*
gfxgfx Home Forum Help Search Login Register   gfxgfx
gfx gfx
gfx
Pages: 1 2 [3]
Print
Author Topic: Surgical Procedures- Warning somewhat graphic  (Read 15327 times)
0 Members and 1 Guest are viewing this topic.
Athviaro Shyu-eck-Silfayr
Aspiring Member
**

Gained Aura: 64
Offline Offline

Posts: 848



View Profile
« Reply #30 on: 09 February 2011, 19:57:44 »

Agran's eye surgery doesn't seem to be on.

These are suggestions on how I would rephrase bits that don't work. Take 'em or leave 'em, but as always I try to preserve the original when polishing. Some of these bits need to be rephrased, even if not how I do it.

Quote
Eye Surgery- While a very dangerous and rather unknown Add "procedure" here, or remove the "a" at the start, eye surgery has been attempted and succeeded, leading to at least moderate vision improvement on the subjects. The surgeon will take a long and very thin needle was pushed through the outer part of the eye to break up any ‘blockages’ and the remaining pieces were gently sucked up using an equally long and thin tubeThe surgeon will push a long and very thin needle through the outer part of the eye to break up any 'blockages' and the remaining pieces are gently sucked up using an equally long and thin tube.  Since this practice is rather dangerous and requires an expert’s skill, it is difficult to find surgeons willing to perform this outside of New Santhala. There have been rumours of attempts by Northern healers to attempt this, but whether the surgery was a success, or more importantly, if the patient lived, have remained so far, unconfirmed. Remove last comma.

Tense clarification needed; I suggest present, as it is general rather than anecdotal.

Ath
Logged

"I don't care what you did as a boy."
"Well, I did nothing as a girl, so there goes my childhood." - Ginger Rogers and Fred Astaire, The Gay Divorcee, 1934.
The Life and Works of Athviaro Shyu-eck-Silfayr
Kalta'hnk - My ramblings on anything to do with the Glandorians - The Glandorian Men (Proposal)
Seeker
Moderator
****

Gained Aura: 465
Offline Offline

Gender: Male
Posts: 1.934


Fire Mage


View Profile
« Reply #31 on: 10 February 2011, 08:27:53 »

Changes made.  I think this is done.  Unless there are more comments.
Logged

Every entry deserves a picture.   -Seeker
Valan Nonesuch
Moderator
****

Gained Aura: 113
Offline Offline

Gender: Male
Posts: 1.507


Like a pudding bag full of knives


View Profile
« Reply #32 on: 10 February 2011, 08:35:16 »

Can we have a name reasoning for the Santhalian Section? Cesarean sections are popularly (but incorrectly) believed to refer to Julius Caesar being delivered by that method.
Logged

Beyond the horizon where the earth and the heavens meet
lies a certain point where they are not joined together and where, by stooping,
one might pass under the roof of the heavens.
Seeker
Moderator
****

Gained Aura: 465
Offline Offline

Gender: Male
Posts: 1.934


Fire Mage


View Profile
« Reply #33 on: 14 February 2011, 03:27:32 »

I now have the following sentence

"To date only the healers in and around New Santhala have been able to perfect the procedure giving birth to the name Santhalian Section."
Logged

Every entry deserves a picture.   -Seeker
Valan Nonesuch
Moderator
****

Gained Aura: 113
Offline Offline

Gender: Male
Posts: 1.507


Like a pudding bag full of knives


View Profile
« Reply #34 on: 14 February 2011, 04:37:08 »

Thwip! Twang!
Logged

Beyond the horizon where the earth and the heavens meet
lies a certain point where they are not joined together and where, by stooping,
one might pass under the roof of the heavens.
Kelancey the Green
Aspiring Member
**

Gained Aura: 26
Offline Offline

Gender: Male
Posts: 316



View Profile Homepage
« Reply #35 on: 30 June 2012, 02:43:44 »

I really hope I'm doing this right...  undecided
I would like to add Internal Bleeding and Bleeding Wounds to the Blood Loss Management entry on this site.


INTERNAL BLEEDING
Overview
Internal bleeding may present a dire threat to the health and life of the victim, resulting from an array of causes, be they traumatic or idiopathic.  Ranging from an incidental bruise on the cheek to exsanguination and collapse of the sanguine constituent, the site of the bleeding is the key to the threat of the injury.  In life-threatening cases, prompt medical attention is needed to extirpate the outflow of blood and help restore the natural flow of sanguine.

Symptoms and Effects
Any significant amount of blood loss will produce fatigue, difficulty breathing, and weakening of the heart throbs.  Bleeding into certain sites, as in the belly, chest, and limbs, is almost universally heralded by a swelling or lancing sort of pain.  In other sites, this bleeding may be completely painless, as in bleeding within the head or gut.  In these latter instances, vigilance and high degree of suspicion of internal injury are advised to be made aware of the blood loss.

Injuries to the belly can contain a leak of up to 1 barrel, that is 30 mugs, of blood, with only the pain of injury and the tumescence of the belly to show any sign of internal blood loss.  Bleeding within the muscles of the arms and legs may contain as much as 3 mugs of blood in each limb.  Because of the limited space within the skull, intracranial bleeding is surviveable up to approximately 1 tot, thereafter giving way to stupor and death.  In most cases, even minor intracranial bleeding causes profuse vomiting and lethargy, sometimes accompanied by thrashing spells.

Bleeding in the bowels may be silent or only mildly painful, perceived as either a gnawing or sharp lancing pain, and may persist undetected for up to months.  This type of bleeding may result in black, tarry stools, or, if the bleeding is lower down, bright red blood may issue forth into the toilet.  Some tumors can cause this type of bleeding, and early diagnosis is the key to treating these aggressive tumors.  The lungs and chest can hold a massive quantity of blood, up to 1 firkin in each lung.  However, such congestion can rapidly drown a person in their own blood, described by survivors as "air hunger", and thus this constitutes the most emergent case of internal bleeding.

Incidence, Causes
Fortunately, most of us shall never know the bitter agony of massive internal bleeding.  Still, soldiers, sentinels, and city watchmen put themselves at risk with every blow they sustain from a weapon.  Rarely will internal bleeding occur without any traumatic antecedent; further inquest into the causes of atraumatic internal bleeding are warranted.

Diagnosis
Though no method of detection is universally effective, a simple concensus of healers suggests that probing an inflamed and reddened area with a hollow, wide-aperture stylet is the most direct way to finding the source of the bleeding.  In the case of bleeding into the lungs, chest, and belly, this may also be the optimal treatment, siphoning off the excess of sanguine until the balance of constituents returns.

Cure/Prevention
As mentioned above, siphoning blood from a hollow cavity--chest, lungs, or belly--with a wide-aperture stylet is rapidly effective.  This usually requires multiple evacuations over a course of 3 to 10 days, performed at 6-hour intervals, or more frequently if the bleeding is severe.  Bleeding into the skull requires opening the skull with a trephine to allow the old blood to dehisce, and leaving the surgical wound open for no less than 3 days.  Careful application of wound cleansers, such as ormelin or the sap of the mil'no plant, will help stave off contagion in the days following surgical evacuation of the blood clot.

Bleeding into the muscles of the chest wall or limbs is a simple matter of opening the skin and muscle and allowing the foul blood to drain.  The muscle and skin may be surgically sown shut just after drainage of the blood.  This author routinely relies on studious application of leeches to bring down bleeding at any site.  This method is more effective if the hemorrhage is superficial, as in a bruise or gash in the skin.

History, Myth/Lore, et al.
The trephine is an off-shoot of a twist drill developed from the beak of the corbie (or carrion crow).  This invention is attributed to the Kuglimz, who call this bird Jav'vier.

The quills of the riccio, or pricklepig in common speech, may be plucked, rinsed, and used as hollow needles for  draining blood from internal bleeding, or for administering herbal preparations to someone who is too ill to drink.  A small purse, from the washed-out intestine of an animal, is tightly knotted onto the base of one of these quills.  A dose of the preparation to be administered is suctioned up into the purse.  Then, the tip of the quill is inserted into a vein in an arm or leg, and the purse is squeezed, ejecting the medicine into the body to course through the blood.

The Rosesnake has numerous uses in healing, not the least of which are its fangs--these make an easy stylet for opening superficial blood collections.  The tail thorns can pass as lancets for draining boils or other fluid collections under the skin.  Finally, the Rosesnake venom has healing properties, which this author has yet to study in any depth.

Fleshworms are a definite boon to any healer.  Where leeches are effective at gorging on any blood, living or dead, fleshworms only feast on dead skin, flesh, and so on.  They are selective to only devitalized flesh and constituents, making them tiny healers, ridding the body of necrotic or decaying parts.  As despicable as this initially seems, fleshworms can do a great service when a wound has not been tended early enough to prevent contagion from setting in.
« Last Edit: 03 July 2012, 22:32:31 by Kelancey the Green » Logged

"Luminous beings are we, not this crude matter."
--Master Yoda
Kelancey the Green
Aspiring Member
**

Gained Aura: 26
Offline Offline

Gender: Male
Posts: 316



View Profile Homepage
« Reply #36 on: 30 June 2012, 02:50:16 »

Please, I would ask to add Bleeding Wounds to the already-existing entry on Surgical Procedures on this site.
Please be gentle with your criticism?  innoc


EXSANGUINATION, BLEEDING WOUNDS
Overview
Exsanguination means to lose blood such that the sanguine constituent collapses, blood does not course to all parts of the body, and, in the extreme, the victim dies from losing blood.  As explained in detail by Sage Aurora Damall in her treatise On Cuts and their Treatments, the risk of exsanguination is dependent of the gravity of the injury sustained.  Most healers will gain expertise in treating these injuries in times of conflict, as field chirurgeons and Dalorins retained by fighting units attend wounded soldiers on the battlefield soon after an injury occurs.

Symptoms and Effects
Blood loss most often is not painful; indeed, a wounded person may lapse into stupor, thence into death, without any complaint aside from lethargy and slowing of their thought process.  Some signs and symptoms that healers show be vigilant of include nausea, dry mouth and nose, sunken eyes, pallor around the lips and fingertips, absence of production of urine, shallow and weak heart throbs, and rapid breathing.  This last effect is likely a result of the phlegm attempting to compensate for the impending collapse of the sanguine constituent, a final effort to recompose the constitution of the ailing individual.

Incidence, Causes
Again, the reader is requested to refer to Sage Damall's treatise On Cuts and their Treatments for a thorough examination of the causes of seeping wounds.

Diagnosis
In assessing exsanguinating wounds, a healer can never be too careful.  All bleeding wounds have at least one escape or outlet for the sanguine; one must gauge both the diameter and the depth of the wound. Take care to look for exit wounds as well, particularly if the victim suffered a deep penetrating wound or received an arrow or other projectile wound.  Look for fragments of the projectile inside the wound.  
  • If an arrow has penetrated the chest or belly, but has not completely gone through to the other side of the chest or belly wall, the healer must forcefully push the arrow through the nearest exit point.  Take care when doing so to mentally visualize the internal anatomy, and make great effort to minimize the damage you will cause by shoving the arrow through to the other side.
  • If an arrow has penetrated an arm or leg, but not travelled clear through the extremity, one must first mentally visualize the anatomy before proceeding.  First think through which method of extraction, pushing it through or pulling it out, will minimize the damage to the arm or leg.  If you cannot avoid severing a blood vessel, leave the arrow in its place and allow a chirurgeon to extract the arrow--he or she is better equipped to stanch the rapid hemorrhage from a major vessel.
  • If an arrow has penetrated the head, mouth or eye, a chirurgeon must be allowed to pull the arrow out.  Never push an arrow through to the other side of a head or eye wound.  Again, the most common cause of death in an arrowshot victim is not the arrow itself, but the massive blood loss caused by the healer who extracts the arrow.  You have to be prepared to immediately plug the entrance and exit wounds you cause.

If you see that a hollow organ has been opened by the puncture wound, the victim needs to be attended by a chirurgeon immediately lest catastrophic spillage of bodily constituents occur.  It is well established as fact that bile and choler both cause burns if they are spilled outside of their respective cavities, and either will greatly complicate wound healing.  Mixing of bodily constituents--such as introducing bile or choler into the blood vessels--is almost universally fatal.  A healer would be wise to follow these practices if a hollow organ--stomach, gut, spleen, or any other--is even suspected of rupture:
  • Wash your hands thoroughly.  Too often, we healers are the greatest source of harm to our infirmed victims who depend on our care.
  • Wash the wound thoroughly, and preferably wash the entire victim from head to toe.  This includes pouring some mild, dilute solution of water and/or astringent to any deep wound.  Painful as this may be to irrigate a deep wound with soapy water, this may also save the person's life.
  • Yahrle ointment has binding properties that may stave off contagion for a while, and may help injured organs to repair themselves.  Bladeleaf gel has been purported to have a similar effect, but this is not well-studied, at least not by this author.  Odea moss has at least the binding properties, but not the capacity to hold out contagion and spillage of bodily constituents the way the first 2 compounds do.
  • One may consider applying either yahrle ointment or bladeleaf gel to the punctured organ, but this is not a final, definitive treatment.  This will buy you time until you can deliver the victim into the care of the chirurgeon who will thread and knot the wounds closed.

Cure/Prevention
Healers are reminded here of the adage, "All bleeding stops," meaning that fast treatment of a seeping wound is critical, before collapse of the sanguine overcomes a victim.  If time permits, as judged by the healer attending a victim, then cleansing of a wound with mil'no sap or ormelin prior to surgical closure of a wound may help wounds to heal faster and more neatly.  Oil of the totit plant has a similar cleansing effect, though this may be more difficult to obtain than the first two.

Stitching materials are chosen according to the site and depth of injury.
  • For deep wounds of the abdomen and chest, this author recommends silkel thread on a curved metal needle, because the healer can put significant tension on the thread without fear that the thread or needle will break.
  • For wounds of muscles, Yuatu'way fiber, obtained from the totit plant, tied to a long straight or curved needle, is more appropriate, since the fibers will glide more easily and not pull or tear the muscles as might a tougher composite thread such as silkel thread.
  • For superficial wounds, scar formation is a threat to be avoided whenever possible.  Needles from the sepulchura cactus can be straight or curved, and do not tear skin the way metal needles do.  The silk of the lu'an moth is supple yet strong, and makes for good wound healing when used on skin gashes.
  • Conversely, in instances where scarring may be desirable to form a tight seal of a skin wound which will resist infection, wild tribes of Nybelmar and Aeruillin commonly use the Stone Myrmex to seal small cuts, drawing the edges of the wound together and then placing the insect’s head along the incision, whereupon the beast spits its defensive material, which hardens upon exposure to air. A single Myrmex can seal about a thumbnail’s width of cut before its supply becomes exhausted (indicated by an unwillingness to bite and a lax, drooping abdomen), and another insect must be chosen. The sealed cut resists infection, and the ‘stitches’ will hold up well under perspiration and water, but must be renewed every few days with the natural shedding and flaking of skin.
  • For wounds small enough that they do not require stitches, the webbing of the Santharian drape-silk spider binds wounds excellently, and is absorbed by the skin within 5 days.  The webbing may be matted and packed into a wound, or simply applied on the surface to keep out dirt and grime.
   
Stopping blood loss from a wound is more complicated than just putting in a few stitches.  Many wounds require aid from herbal preparations, either applied to the wound directly or imbibed to allow the whole body to recover from the loss of blood.  Some suggestions to this end are mentioned here:
  • Drinking 1 tot of ormelin within the first hour after sustaining a grievous wound, then a sip of ormelin before bed and at sunrise every day for a week, will bolster the sanguine after near-fatal injuries.
  • A potion obtained from the blue flowers of the arryi flower, or purple lantern, is purported to work just as well with smaller quantities than that needed of ormelin.  This potion is to be drunk within 6 hours of sustaining a fatal or near-fatal wound, also with the intent of fortifying the sanguine constituent.
  • Odea moss is relatively easy to obtain in most areas of southern Sarvonia.  When mixed with a drop of the victim's blood, the moss may be ground into a paste which is applied into and onto a bleeding wound. This stops the bleeding and helps the wound to close within a week or so.
  • Though silkel flowers may only be harvested one in every ten or twenty years, the paste made from these flowers is indispensible as a topical unguent to close bleeding wounds, often without any scarring.

History, Myth/Lore, et al.
The Gnorians, independent gnomes of the eastern Santharian coast, were the first civilization to explore medicinal herbs for bleeding wounds.  Of course, their renown for medicinal alchemy is well known throughout all Sarvonia.  This author has tried without much success to learn who among them is most prominent in healing alchemy; perhaps they prefer to remain anonymous to human researchers.

The Tenthinrhim "Youth tribe", or Wood Elves, was the first civilization to close bleeding wounds with needle and thread.  Kaierians in the field of battle had to devise a way for wounded warriors to press on in combat without succumbing to blood loss.  Among many other devices and skills they developed, they improvised a method of using silkel thread to tightly close wounds which would scar rather than fester.  This practice flourished over time, and was adopted by chirurgeons and healers alike in tending to victims with cuts and puncture wounds.

The Shendar tribe, having high sanitary standards, was the first civilization to minimize contagion by washing both healer and healing tools.  To the best of this author's ability to encounter, the practice goes back before recorded history in Uderza, though likely oral tradition has perpetuated this practice for many generations predating recorded history in that region of Caelereth.
« Last Edit: 03 July 2012, 22:39:03 by Kelancey the Green » Logged

"Luminous beings are we, not this crude matter."
--Master Yoda
Seeker
Moderator
****

Gained Aura: 465
Offline Offline

Gender: Male
Posts: 1.934


Fire Mage


View Profile
« Reply #37 on: 30 June 2012, 09:36:09 »

Give me a couple days and I will make some suggestions.  Already I am thinking we can incorporate these ideas and information better in the Pain remedy, Blood loss, and Infection entry. 
Logged

Every entry deserves a picture.   -Seeker
Kelancey the Green
Aspiring Member
**

Gained Aura: 26
Offline Offline

Gender: Male
Posts: 316



View Profile Homepage
« Reply #38 on: 01 July 2012, 23:20:02 »

@Seeker:  I just moved Bleeding Wounds and Internal Bleeding over to Blood-Loss Management.  Please disregard my posts on your already immaculate entry of Surgical Procedures.
Logged

"Luminous beings are we, not this crude matter."
--Master Yoda
Artimidor Federkiel
Administrator
*****

Gained Aura: 538
Offline Offline

Gender: Male
Posts: 23.091



View Profile Homepage
« Reply #39 on: 03 July 2012, 04:21:36 »

@Kelancey: You've used the right icons here, Kelancey, but you should open up new topics when making additions to existing entries. And one topic per entry. Because checking the entry icon in the topics overview is meant to tell you what to do with the entry. In this case the entry already seems integrated. Also the first post of a topic is always meant to be the final version and the one you edit if you make changes. This also applies for additions/updates to existing entries! cool
Logged



"Between the mind that plans and the hands that build there must be a mediator, and this must be the heart." -- Maria (Metropolis)
Pages: 1 2 [3]
Print
Jump to:  

Recent
[27 March 2019, 00:01:57]

[21 June 2018, 14:28:00]

[31 May 2017, 06:35:55]

[06 May 2017, 05:27:04]

[03 April 2017, 01:15:03]

[26 March 2017, 12:48:25]

[15 March 2017, 02:23:07]

[15 March 2017, 02:20:28]

[15 March 2017, 02:17:52]

[14 March 2017, 20:23:43]

[06 February 2017, 04:53:35]

[31 January 2017, 08:45:52]

[15 December 2016, 15:50:49]

[26 November 2016, 23:16:38]

[27 October 2016, 07:42:01]

[27 September 2016, 18:51:05]

[11 September 2016, 23:17:33]

[11 September 2016, 23:15:27]

[11 September 2016, 22:58:56]

[03 September 2016, 22:22:23]
Members
Total Members: 1019
Latest: lolanixon
Stats
Total Posts: 144588
Total Topics: 11052
Online Today: 45
Online Ever: 700
(23 January 2020, 20:05:39)
Users Online
Users: 0
Guests: 36
Total: 36

Powered by MySQL Powered by PHP Powered by SMF 1.1.21 | SMF © 2005, Simple Machines
TinyPortal v0.9.8 © Bloc
Valid XHTML 1.0! Valid CSS!
Theme based on Cerberus with Risen adjustments by Bloc and Krelia
Modified By Artimidor for The Santharian Dream
gfx
gfxgfx gfxgfx