At least for the time being it seems she isn't going to have to worry about sepsis or the poison from gangrene. Hopefully they can find ways to give her new limbs for the remaining amputated sections. But it must be pretty jarring for anyone who has had a limb transplant to see someone else's hand or foot on them. At least in this universe (hopefully) the complications will be minor to zero, unlike the real world, where such procedures usually fail, or even if they succeed, the patient has to take immuno-suppressants to keep the limb attached, as normally the body fights off the transplanted part as being foreign. This even extends to some cases of organ transplants, but there, compatibile donors are usually screened to see if there is a chance the organ donation will be limited in rejection.

It also seems that limb rejection, improper healing and sepsis is the usual result of full limb re-attachment surgery, never mind attaching limbs from a completely different individual. In the text, it's pretty much implied that what Adamska did was beyond the capabilities of a normal surgeon.

They basically seem to be a modern surgeon operating in a medieval society. Hell, if you look closely at the last page, they even seem to have a vinyl/latex glove analogue (whatever material is used is transparent and shows Adamska's stitches through it).

That said, limb re-attachment shouldn't trigger rejection if it's the patient's own limb. The whole reason for rejection is the immune system recognizing the attached organ/tissue as "non-self" and attacking it- which is basically its response to cancer (the immune system is actually pretty good at spotting and killing cancer- immunosuppressants make you that much vulnerable to cancer as a result).

AdventZero said:

It also seems that limb rejection, improper healing and sepsis is the usual result of full limb re-attachment surgery, never mind attaching limbs from a completely different individual. In the text, it's pretty much implied that what Adamska did was beyond the capabilities of a normal surgeon.

She used magic.

RIGperu said:

She used magic.

Yes, it's magic. I ain't gunna explain shit.

It's still implied that in-universe, anyone else trying to do the same thing as Adamska is going to have one dead patient on their hands.