This skill is used to perform major surgical procedures. Unlike normal RL surgery this skill does not require instruments. The Medical Shinobi literally inserts their bare hands into the patient, by using an advanced version of the process used in the Extraction method you learned earlier in your training. To do this, you will place a hand on the body/skin of your patient and use your chakra to gently separate the cells and make an opening for you to enter the body, without actually making an incision in the flesh and damaging any tissue or severing blood vessels. This involves you making a controlled break in the the cytoskeletal (more on that in a second) structure of the skin and then triggering the cells around this break to migrate away from that spot, creating a controlled "orifice" in the patient while otherwise leaving them unharmed. You will need this opening to be able to use a technique which will heal the damaged tissue, since it is required to keep your palms just above the tissue that needs repairing. It will also give you the chance to move tissue around with your hands; like you would need to do if you're dealing with a complex bone fracture which can't be fixed with the Bone healing method simply because there are a lot of fragments.
The difficulty of this procedure depends greatly on the exact kind of operation being performed. It is even possible to remove an organ with this procedure in the event that it has been too severely damaged to repair. Note that in the process of using this technique, you don't damage the patient as you are instead manipulation the nerves, blood vessels etc; so that they move out of your way. This technique, though, because it doesn't actually do damage, to make incisions or remove tissue, you'll need to use at the same time, chakra scape and mystic palm, cutting and healing. This technique doesn't allow you to remove or cut tissue and thus has a limit.
As most people do tend to ask; Yes, you can use this to simply reach into your opponent and pull out their heart, however you would have to keep your hand on them for one full turn before you are able to even touch their heart so in combat, this is not effective.
Most surgery requires hours of exhausting work by the Medical Shinobi and only when there is no other choice should such a procedure be attempted in the field. To repair any damage done to the internal organs of the patient, you must use your chakra to reinforce the cytoskeleton of the tissue, re-knitting the flesh to its original state.
The cytoskeleton is essentially made up of proteins that lie in the membranes of each cell and protrude long chain molecules into the space between cells, allowing them to communicate, transfer materials through certain processes and the part you need, allowing cells to bind to each other, forming tissues. Using your chakra, you will stimulate the cell membranes, moving them closer to each other and then stimulating the cytoskeleton to rebind the cells back into the original, intact tissue.
This is essentially a far more complex version of the bone healer skill you learned previously but still a weaker version to Mystic Palm.
Now just to clarify on how the technique works; you are manually performing a process the body performs naturally. Cellular tissue in the early stages of development, such as during fetal growth or in the development of new blood vessels, migrates and binds to cells similar to it, therefore with this technique, it is important to realise that cells perform this as part of their natural functions and therefore you merely "encourage" this using your chakra to stimulate the cells movement and cytoskeletal binding, rather than using your chakra to force them together.
You are able to use this healing method on yourself as long as you can see, sense and know exactly what you're doing. However the issue is, if you require surgery (and this is a method for extended and deep surgery), you normally aren't in a good enough shape to perform one on yourself; thus meaning performing it on yourself might not be possible. It is, however, an excellent method for removing foreign objects or stopping internal bleedings, as examples. Just don't forget to take an anesthetic first.
If you were to try to use (Iryō Ninjutsu: Seru Soutei) Medical Technique: Cell Binding to attempt to rejoin a body cut cleanly in two, there would be some issues. For one, you can't have tissue loss nor can you have tissue movement. Your internal organs would move out of the position they were when it was cut and prevent you from "welding" it back together perfectly.
That is not to say you can't rejoin parts of a body using this technique; it can be done for Arms, legs, and similar but not for parts where once cut and detached, they change and end up not mirroring each other.
Homework:
Perform minor surgery on your partner.
Okay fellows, this is the last class before we learn about the canon medical ninjutsu that we haven't gone though. ^_^
(Iryō Ninjutsu: Soshiki Bunri) Medical Technique: Tissue Separation
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user places a palm on the patients body, pouring their chakra into the tissue, gently moving it apart to create an opening to allow him to perform surgery on the patients internal organs without creating an incision. In fact, the technique separates tissue in a non traumatic way, avoiding damage and relinquishing the need to heal the tissue afterwards. The opening closes virtually instantly after the chakra input is stopped. However, even if it doesn't do damage, the usage of the technique causes tremendous pain to the patient so the use of anaesthetics before the procedure is highly recommendable.
Note: User must have their hand on the patient for a full turn before this takes affect and must maintain constant physical contact and chakra supply to maintain it. However, the technique can be done in tandem with others such as chakra scapel or mystical palm.
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user places a palm on the patients body, pouring their chakra into the tissue, gently moving it apart to create an opening to allow him to perform surgery on the patients internal organs without creating an incision. In fact, the technique separates tissue in a non traumatic way, avoiding damage and relinquishing the need to heal the tissue afterwards. The opening closes virtually instantly after the chakra input is stopped. However, even if it doesn't do damage, the usage of the technique causes tremendous pain to the patient so the use of anaesthetics before the procedure is highly recommendable.
Note: User must have their hand on the patient for a full turn before this takes affect and must maintain constant physical contact and chakra supply to maintain it. However, the technique can be done in tandem with others such as chakra scapel or mystical palm.
The difficulty of this procedure depends greatly on the exact kind of operation being performed. It is even possible to remove an organ with this procedure in the event that it has been too severely damaged to repair. Note that in the process of using this technique, you don't damage the patient as you are instead manipulation the nerves, blood vessels etc; so that they move out of your way. This technique, though, because it doesn't actually do damage, to make incisions or remove tissue, you'll need to use at the same time, chakra scape and mystic palm, cutting and healing. This technique doesn't allow you to remove or cut tissue and thus has a limit.
As most people do tend to ask; Yes, you can use this to simply reach into your opponent and pull out their heart, however you would have to keep your hand on them for one full turn before you are able to even touch their heart so in combat, this is not effective.
Most surgery requires hours of exhausting work by the Medical Shinobi and only when there is no other choice should such a procedure be attempted in the field. To repair any damage done to the internal organs of the patient, you must use your chakra to reinforce the cytoskeleton of the tissue, re-knitting the flesh to its original state.
The cytoskeleton is essentially made up of proteins that lie in the membranes of each cell and protrude long chain molecules into the space between cells, allowing them to communicate, transfer materials through certain processes and the part you need, allowing cells to bind to each other, forming tissues. Using your chakra, you will stimulate the cell membranes, moving them closer to each other and then stimulating the cytoskeleton to rebind the cells back into the original, intact tissue.
This is essentially a far more complex version of the bone healer skill you learned previously but still a weaker version to Mystic Palm.
(Iryō Ninjutsu: Seru Soutei) Medical Technique: Cell Binding
Type: Supplementary
Rank: A-Rank
Range: Short
Chakra Cost: 30
Damage Points: N/A
Description: The user will focus chakra through one of his hands, forcefully making separated tissue (cuts, severed body parts, etc) to bind together. First, the user wills his chakra to physically bind the tissue together, only to then force the cells to bind together as they were before the trauma. By manipulating the Inter-cellular proteins on the surface of the cells to re-knit the tissue cytoskeleton. The technique can only bind cells and tissue together if there hasn't been any tissue loss. However, it can be used to even reattach cut limbs or body parts, assuming these were cut clean.
Note: For this technique to have effect, an actual separation between cells that were once together must be present. This technique will not work on uninjured tissue.
Type: Supplementary
Rank: A-Rank
Range: Short
Chakra Cost: 30
Damage Points: N/A
Description: The user will focus chakra through one of his hands, forcefully making separated tissue (cuts, severed body parts, etc) to bind together. First, the user wills his chakra to physically bind the tissue together, only to then force the cells to bind together as they were before the trauma. By manipulating the Inter-cellular proteins on the surface of the cells to re-knit the tissue cytoskeleton. The technique can only bind cells and tissue together if there hasn't been any tissue loss. However, it can be used to even reattach cut limbs or body parts, assuming these were cut clean.
Note: For this technique to have effect, an actual separation between cells that were once together must be present. This technique will not work on uninjured tissue.
Now just to clarify on how the technique works; you are manually performing a process the body performs naturally. Cellular tissue in the early stages of development, such as during fetal growth or in the development of new blood vessels, migrates and binds to cells similar to it, therefore with this technique, it is important to realise that cells perform this as part of their natural functions and therefore you merely "encourage" this using your chakra to stimulate the cells movement and cytoskeletal binding, rather than using your chakra to force them together.
You are able to use this healing method on yourself as long as you can see, sense and know exactly what you're doing. However the issue is, if you require surgery (and this is a method for extended and deep surgery), you normally aren't in a good enough shape to perform one on yourself; thus meaning performing it on yourself might not be possible. It is, however, an excellent method for removing foreign objects or stopping internal bleedings, as examples. Just don't forget to take an anesthetic first.
If you were to try to use (Iryō Ninjutsu: Seru Soutei) Medical Technique: Cell Binding to attempt to rejoin a body cut cleanly in two, there would be some issues. For one, you can't have tissue loss nor can you have tissue movement. Your internal organs would move out of the position they were when it was cut and prevent you from "welding" it back together perfectly.
That is not to say you can't rejoin parts of a body using this technique; it can be done for Arms, legs, and similar but not for parts where once cut and detached, they change and end up not mirroring each other.
Homework:
Perform minor surgery on your partner.
Okay fellows, this is the last class before we learn about the canon medical ninjutsu that we haven't gone though. ^_^
