As long as Ignatz appears in the surgery, the seats are guaranteed to be packed. In addition to the curiosity of a large number of wealthy people, there are also groups of medical students from the medical school next door who come to observe.

They usually stay in school to learn physiology, pathology and anatomy, but have very little opportunity to actually practice it. Cadavers that can be used for dissection are extremely precious, and they are far from being squandered. If they want to increase their knowledge of anatomy and surgery,

The best way is to go to the theater and watch the surgery.

Sometimes the school organizes a private tour, but more often the students have to pay for the tickets themselves.

Ignatz is a professor of anatomy and surgery at the medical school. He is usually very busy and it is not easy to attend his classes. So these students tried to buy tickets to visit, and the tickets were not expensive for them anyway.

"Teacher Ignatz, this guy is too fat."

As a senior who successfully completed all his studies with excellent grades, Berget, the second assistant, was trying hard to spread Alphonse's buttocks. Both the smell at the tip of his nose and the weight on his hands made him unbearable: "I think it's still...

Choose the lithotomy position [1], it is more convenient to expose the field of vision."

"Mr. Alphonse doesn't like the lithotomy position. He has concerns about exposing his vagina. Doctors need to consider the patient at all times, including protecting privacy, so I allowed him to use the lateral decubitus position that is only used for women to undergo this surgery."

Operation."

Berget looked sad: That's not what you said when you forcibly cut Laszlo's trachea.

"Everyone, hemorrhoid surgery using the lateral position is a test of the doctor's ability. I will first separate the prolapsed hemorrhoids, and then..."

Ignatz was holding a hemorrhoid clip in his hand. Although he was talking to the audience, his face was facing Kavi.

Since the morning, Ignatz felt that there was something strange around him, the hospital ward was strange, and the hand washing after the autopsy was also strange. Now that he returned to the theater, he calmed down and carefully looked at Kawei's preparations, and suddenly discovered these

All weird things are made by him.

The strange thing about the inpatient ward is that the windows are open for ventilation. Not only is there a fresh air mixed with ointment and a faint scent of wine, but the floor seems much cleaner than before. Washing hands after an autopsy is completely contrary to common sense, and alkali soap is also

Don't know where it came from.

Now there are even more strange places in the theater. The instrument box has the smell of flower essential oil of alkali soap, and now there is a cloth strip and long pliers in Kawei's hand.

Ignatz never made any preparations for the operation. He explained the process, used the knife when the patient was numb, cut and sutured. But while Kawei was talking about the operation, he wrapped the cloth strip around the long forceps.

The tip was wrapped into a small ball, soaked in brandy, and then stuffed directly into Alphonse's vagina.

In~out~, soaked with wine, in~out~, filled with wine, in~out...

The strange actions displayed in front of Ignatz and the entire audience, coupled with the particularly alluring smell of high-concentration brandy, made the scene extremely inconsistent.

The audience did not dare to speak nonsense and could only cover their mouths and discuss in a low voice.

Ignatz, who was standing aside, was even more confused.

These were all things that Kawei had discussed with him during lunch. At that time, he only said that he had this idea and hoped to use brandy before surgery to prevent postoperative wound ulceration. Ignatz was still immersed in the impact of the new surgery.

, I felt that the person who was holding the hand was short-handed, so I just hummed twice and did not refute.

What does he want to do?

Did he think I agreed by default?

Do you really think alcohol can cut off the poisonous miasma in the air?

Or are those precious corpses soaked in brandy and whiskey cleaner than living people?

Ignatz doesn't like to change his habits. If others did this, he might have scolded him. But now he likes the new technique created by Kavi. Once he accepts the deal and chooses to get something for nothing, he will give up if he wants to.

It will become extremely difficult.

Forget it, I'm too lazy to worry about this.

"What my assistant is doing now is preparation work before surgery." He breathed a sigh of relief and helped to explain, "Recently he has been conducting in-depth research on surgical care in the UK and found that they generally died after surgery.

The rate is 5% lower than ours. After repeated discussions with me, we decided to make some changes..."

Before he finished speaking, the sound of turning pages could be heard around the theater.

The surgical experience and new attempts of the chief professor of surgery at the medical school are rare experiences, so students naturally have to take note of them carefully.

"...The main method is to use high-concentration spirits to clean and wipe the area about to be operated on repeatedly. Alphonse's operation area is rigid, so the cleaning method is different from other flat skin."

Ignatz didn’t even know what he was talking about, but now the students had picked up their pens and could only bite the bullet and continue: "Although the cunning British did not explain the specific reasons for doing this in their medical journals

, but since the data are good for patients, I think it’s worth a try.”

"Excuse me, teacher, what kind of wine is this?"

Ignatz coughed slightly: "Brandy, a high-concentration brandy that has been distilled twice."

"Can we use whiskey instead? Or the vodka that Russians drink?"

"The difference shouldn't be big, but it needs distillation." Ignatz didn't know the principle, so he strictly followed the number of distillations that Kawei randomly made, and emphasized again, "Two distillations!"

Medical students are particularly sensitive to numbers, and everyone in the audience buried their heads: "Two times... steamed... distilled..."

"Everyone, this is just a playful verification experiment. Of course, it has the prior consent of Mr. Alphonse."

Ignatz wanted to stop talking, but suddenly spotted reporter Varela in the corner and simply continued:

"Oh, by the way, one more thing. My assistant and I have started researching cleft lip surgery, trying to find a new surgical method for Mrs. Gale's child before she fully recovers. We will do the two things simultaneously, once the results are available

, we will announce it as soon as possible."

His tone was sonorous and powerful, his expression full of confidence, and he was immediately greeted with bursts of applause.

"Start the operation!"

Hemorrhoids are a nasty thing that slowly tortures the human body and eats away at people's patience. Such a growth that grows on the daily excretion channel will cause headaches whether it is cut or not. This kind of headache was especially common before the 19th century.

Serious.【2】

The conservative treatment of hemorrhoids by applying plasters has always been the mainstream treatment. Many ordinary people who are broke will also choose powerful laxatives, thinking that they can get rid of these things through violent excretion.

Until now, with the advent of anesthesia and relatively reliable suturing and hemostasis technology in surgery, doctors have begun to become interested in this piece of "meat" again.

In fact, Kawei was also quite interested.

Because Ignatz said before that he had studied the "external peeling and internal ligation" method that has been widely advocated in the surgical community recently, Kawei thought it would be similar to the classic hemorrhoid peeling and internal ligation [3]. After all, the surgery is not difficult.

Hemorrhoids could be cut in the 19th century without the use of special instruments and as long as the techniques were in place.

But Ignatz's operation was too rough, and Kawei was very disappointed.

The hemorrhoid clip used by this surgical master can be used to block the blood flow of the varicose veins, making it easier to cut off the hemorrhoids in one go. However, before the cut, there was no distal ligation or dissection. Although after cutting off the large hemorrhoids in one go,

It looks very refreshing, but it is not so simple to deal with the remaining tissue.

Insecure sutures, bleeding, and broken threads are common occurrences.

The most troublesome thing was that when he was separating the hemorrhoids, Ignatz was too quick, and he almost cut the sphincter and the branches of the superior rectal artery with a few knives. Fortunately, Kawei was there to pull it in time with his hands and crow's-beak forceps.

, and then barely avoided it.

Cutting off the arterial branches was easy to say, it just caused more blood. With their ligation skills, it was not difficult to stop the bleeding.

But if the inner sphincter is cut, it can heal itself if it is minor. If it is serious... Kawei is determined to do suture repair, but he does not have a delicate needle and thread in his hand, and it is quite difficult to find an excuse.

Trouble. By then, the lovely Chef Alphonse will probably spend the rest of his life incontinence.【4】

If it had been anyone else, Ignatz would have cut it as he pleased.

But after all, it was Alphonse who gave him free rabbit heads, and Kawei still didn't want to see him miserable with his pants stained with shit in his later years.

"What's wrong with you?" Berget, who was flexing his butt and having nothing to do, could see Kawei's exhaustion.

"Oh, I'm just a little tired." Kawei wiped the sweat from his forehead.

"You're not strong enough. You've only had two surgeries and this is it." Berget seized a rare opportunity, looked at Ignatz cautiously, and asked tentatively, "Do you want to change your hand?"

To be honest, Kawei wanted to change, but there was no way. Alphonse had too many hemorrhoids. He left his position as an assistant, what would happen if his sphincter was cut.

"It's okay, I can still hold on."

"...I think you should change it. Berget hasn't been on the operating table for a long time." Suddenly, Ignatz, who had always insisted on letting Kavi be his assistant, said, "Hurry up and finish the operation.

Then let’s go see the count together.”

So that’s it.

Facing Bergt's uncle and his difficult mother Elena, Ignatz could only compromise. After being indifferent to Bergt for several days, he had to give others some face.

Kawei looked at Ignatz's eyes and thought of the deal he had just made, which was all about benefits and worldliness. He quickly handed over the crow's beak pliers in his hand and gave up his seat.

Beget next to him: I'm sorry, Mr. Chef, I wish you good luck.

It is a thankless job in the first place. Since others are willing to do it, then you should just stay aside and rest.

Kavey walked to the sidelines, wiped his hands, and simply gave up all the space around the operation, giving Sarson and Mellen a chance.

The hemorrhoids were small in size, so it would be better to be able to watch the operation process up close. The three of them were very happy and finally got on the operating table again. Even if they just helped to expose the field of vision, it would be better than doing nothing and watching from a distance.

However, the biggest headache in the audience turned out to be Ignatz.

He calculated that his operation would be more difficult after Berget came on stage, so he specially asked him to watch the whole process clearly, and only let him be replaced when only the last hemorrhoid mass was left.

But the reality is much crueler than imagined. The crow's beak pliers, which were very dexterous just now, instantly became a headless fly. Not only could they not predict Ignatz's steps, but they always walked in front of him at every step, and they often blocked his field of vision.

.

The field of vision is the key to a smooth operation, and it is also the key to the surgeon's concentration.
To be continued...