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So you want to be a [[virologist]], creator of a <strike>[[traitor | lethal]]</strike> beneficial virus? Or just want to cure viruses that plague the station? Then this is the guide for you!
= A Guide to Surgery =
Here you'll learn how to make viruses and how to cure them.
A full set of surgery tools can be found in each [[Operating Theatre]] locker at the start of the round, though they are often moved into a bag near the operating table by surgeons. Once a surgery has been initiated, the nearby operating computer will give you a hint towards the next step. For Synthetic surgery, see [[Guide_to_Robotics#IPC_Surgery|Here]].


[[File:Virology.png|500px|thumb|alt=Virology|link=http://puu.sh/3EFaf.png|[[Virology]] is sealed from the rest of the station. You are not on the disposals network, nor do you share the same atmos system]]
== Surgical Tools [[File:Saw.png|32px]]==
Every operating theatre is equipped with a full suite of surgical tools. In the event that surgical tools go missing, you can either have them manufactured at an autolathe or order them from [[Cargo]].


=Virology 101=
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
'''The following are the standard surgical tools most doctors will need:'''
<div class="mw-collapsible-content">
* [[File:Scalpel.png]] '''Scalpel:''' Creates & mends incisions.
* [[File:Hemostat.png]] '''Hemostat:''' Ties bleeders, and removes objects.
* [[File:Retractor.png]] '''Retractors:''' Opens incisions and cavities.
* [[File:Bone setter.png]] '''Bone Setter:''' Sets broken bones in place.
* [[File:Bone gel.png]] '''Bone Gel:''' Mends broken bones back together.
* [[File:Cautery.png]] '''Cautery:''' Cauterizes incisions and debrides.
* [[File:Fixovein.png]] '''FixOVein:''' Mends ruptured arteries and veins.
* [[File:Saw.png]] '''Circular Saw:''' Saws through bone and amputates limbs.
* [[File:Drill.png]] '''Surgical Drill:''' Creates cavity spaces for implants.
* [[File:Mmi empty.png]] '''MMI:''' Provides storage for brains.
* [[File:Autopsy scanner.png]] '''Autopsy Scanner:''' Provides autopsy results.
* [[File:Anesthetics.png|32px]]  '''Anesthetic Tank:''' Anesthetizes patients.
* [[File:Sterilemask.png]] '''Sterile Mask:''' Prevents infections.
* [[File:LGloves.png]] '''Latex Gloves:''' Prevents infections.
* [[File:Scalpellaser.png|32px]]  '''Advanced Laser Scalpel:''' A scalpel that can also serve as a cautery and hemostat for clamping bleeders.
* [[File:IMS.png|32px]] '''Incision Management System:''' A scalpel, hemostat, retractor, and cautery all in one. Retractor function takes precedence over hemostat in certain situations.
</div></div>


If you are a [[Virologist]] for the first time, read this part very carefully!
== Ghetto Surgery [[File:Hatchet.png|32px]]==
Surgery can also be performed with other tools if proper surgical implements are not readily available. Use of these tools dramatically decreases the likelihood of successfully completing a step and often causes collateral damage, especially when attempting to make the initial incision. Furthermore, surgical procedures can be performed on tables and rollerbeds as well, with a 66% and 33% additional chance of failure respectively.


==Viruses==
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
'''The following is a list of non-standard surgical tools for ghetto surgery:'''
<div class="mw-collapsible-content">


Every virus behaves differently, from created viruses to event spawned viruses. Most viruses can spread themselves to other humanoids near the host in one way or another. These types of spread are:
* [[File:Scalpel.png]] '''Scalpel:''' [[File:Kitchenknife.gif|32px]] Kitchen Knife (90%), [[File:Glassshard.gif|32px]] Glass Shard (60%), [[File:Scissors.png|32px]] Scissors (12%), [[File:Claymore.png|32px]] Claymore (6%), [[File:Energyaxe.gif|32px]] Energy Axe (6%), [[File:Edagger.gif|32px]] Energy Dagger (6%), [[File:Chainsaw.gif|32px]] Chainsaw (1%)
* Airborne - The most dangerous and quick spreading, if you are anywhere within the breathing area of the infected crew member, you have a chance to be infected. Wearing internals stops further infections.
* [[File:Hemostat.png]] '''Hemostat:''' [[File:CableCoils.png|32px]] Cable Coil (90%), [[File:Mousetrap.gif|32px]] Mouse Trap (25%)
* Direct Contact - Requires you to touch, been touched, or be extremely close to the source of the infection. The infection will be spread by the skin and bodily fluids of an infected person, but will not survive long in the air. Wearing protective clothing and avoiding infected are great ways of not getting infected yourself.
* [[File:Retractor.png]] '''Retractors:''' [[File:Crowbar.png|32px]] Crowbar (90%), [[File:Fork.gif|32px]] Fork (60%)
* Blood - The infection will be spread by blood from the infected person. Beneficial viruses usually fall under this category.  
* [[File:Bone gel.png]] '''Bone Gel:''' [[File:Screwdriver tool.png|32px]] Screwdriver (90%).
* Special - The disease is not normally contagious and the affected crewman has been infected by a non-human vector source. You can work with the infected without risk yourself unless they expose you to the same vector source that infected them.
* [[File:Bone setter.png]] '''Bone Setter:''' [[File:Wrench.png|32px]] Wrench (90%).
* [[File:Cautery.png]] '''Cautery:''' [[File:Cigarette.gif|32px]] Cigarette (90%), [[File:Lighter.gif|32px]] Lighter (60%), [[File:Welder.png|32px]] Welding Tool (30%)
* [[File:Fixovein.png]] '''FixOVein:''' [[File:CableCoils.png|32px]] Cable Coil (90%).
* [[File:Saw.png]] '''Circular Saw:''' [[File:Hatchet.png|32px]] Hatchet (90%), [[File:Armblade.gif|32px]] Armblade (75%) '''(Amputation Only)'''
* [[File:Drill.png]] '''Surgical Drill:''' [[File:Pen.png|32px]] Pen (90%) '''(Cavity Only)''', [[File:Mecha_drill.png|32px]] Exosuit Drill (60%) '''(Dental Only)''', [[File:Mining_drill.png|32px]] Mining Drill (60%) '''(Dental Only)''', [[File:Rods.png|32px]] Metal Rods (60%) '''(Cavity Only)''', [[File:Screwdriver tool.png|32px]] Screwdriver (20%) '''(Dental Only)'''
<br><br>
'''Notable exceptions:'''


Nearly all viruses transfer by giving humanoids an infected blood sample using either a syringe, a pill or other types of food/drinks or by using the virologists agent item [[Syndicate_Items#Job_Specific_Tools | Viral Injector]]. Smoke grenades or syringe guns won't work.
* '''Debridement:''' Use a [[File:Kitchenknife.gif|32px]] Kitchen Knife or a [[File:Glassshard.gif|32px]] Glass Shard to remove a dead tissue.
Every virus or vaccine only requires 1u to infect or cure somebody.
* '''Facial Reconstruction:''' Use a [[File:Kitchenknife.gif|32px]] Kitchen Knife or a [[File:Glassshard.gif|32px]] Glass Shard to make an incision.
* '''Implant Removal:''' Use a [[File:Crowbar.png|32px]] Crowbar to extract an implant.
* '''Internal Damage Repair:''' Use a [[File:Plasmacutter.png|32px]] Plasmacutter to fix burn damage.
* '''Open/Close Hatch:''' Use a [[File:Retractor.png|32px]] Retractor or any [[File:Fork.gif|32px]] kitchen utensil to open or close the hatch.
* '''Organ Removal:''' Use a [[File:Fork.gif|32px]] Fork to extract an organ, then a [[File:Crowbar.png|32px]] Crowbar to continue.
* '''Removing a Rigsuit:''' Use a [[File:Welder.png|32px]] Welding Tool to cut a rig open.
* '''Unscrew Hatch:''' Use a [[File:Screwdriver tool.png|32px]] Screwdriver, a [[File:Kitchenknife.gif|32px]] Kitchen Knife or a [[File:Coin_silver.png|32px]] Coin to open the hatch.
</div></div>


Each virus also has their own chemical(s) that it the infected needs to ingest for him to be cured. See [[REF TO VIRUSES here]] for the cures for the known viruses.
== Infection [[File:Cautery.png|32px]]==
The virus has a chance to be cured once the infected humanoid has the chemical(s) in his body. Once the victim is cured he will be immune for that virus till he gets cloned or put in another body.
Infections can be caused by a myriad of sources, from untreated burns to uncleanly surgical tools. The following factors contribute to the likelihood of a surgical procedure causing infection: unhygienic surroundings (including blood and debris), dirty surgical tools, unwashed hands, improper/absent usage of sterile gloves, improper/absent usage of sterile masks, improper storage of transplantable limbs/organs, and multiple people in a single operating theatre.
A good idea is to get a blood sample of the person you cured to make a vaccine. See [[REF TO CURING HERE]] for more details.


==Tools==
Failure to keep an operating theatre and its tools clean, along with adequate use of protective equipment (gloves, masks) will result in infection. It is paramount that every surgeon practices adequate hygiene and safety precautions, limits the active number of patients in their theatre to one, washes their hands between every surgery, and keeps the operating theatre sterile.


The following items will be used during researching:
If a patient manages to contract - or is presently suffering from - an infection administer spaceacillin. In lieu of spaceacillin, compounds containing high levels of ethanol (preferably straight ethanol) can be used to disinfect organs during the organ manipulation surgery.


* [[File:Beaker.png]] Beaker (to mix viruses and store diseases)
== Prepping for Surgery [[File:LGloves.png|32px]]==
* [[File:Eyedropper.png]] [[Medical Items#Dropper|Dropper or Pipette]] (to carefully measure the units)
Now that you understand the basics of both surgical tools and infections it's time to prep for performing the surgery itself. Make sure you diagnose what's wrong with the patient prior to attempting surgery via the use of the Advanced Body Scanner. There are also a few caveats to surgical prep work such as:
* [[File:Pen.png|32px]] Pen (to label your beakers)
* Flu or Rhinovirus Culture Bottle (to start your virus)


==Equipment==
* If anyone is pulling on the patient, the surgery will not work properly. Make sure no one is pulling the patient.


Should a virus start spreading on the station (or should you work on something nasty and use the monkeys for it), you have to keep your workplace sterile and yourself safe. For this, you'll find these useful:
* The patient needs to be healed as much as possible prior to surgical intervention, as many surgeries won't take when performed on severely injured persons.


* [[File:Biohood virology.png]] Level-3 [[Clothes_and_Internals#Jumpsuits|Bio Hood]] (against On-Contact viruses)
* All patients require some form of anesthetic, such as the anesthetic tank, ether, or hydrdocodone. Failure to use anesthetic will increase the chance of failure on each step.
* [[File:Biosuit virology.png]] Level-3 [[Clothes_and_Internals#Jumpsuits|Bio Suit]] (against On-Contact viruses)
* [[File:Gas mask.png|32px]] [[Clothes_and_Internals#Masks|Internals]] (against Airborne viruses)
* [[File:LGloves.png]] Latex Gloves (against On-Contact viruses)
* [[File:Sterilemask.png]] Sterile mask


==[[File:Pandm.gif|64px]]PanD.E.M.I.C 2200==
* If the patient is [[Vox]] or [[Plasmaman]] do not administer tank-based anesthetic. In the case of Vox and Plasmamen, removing their internals can be fatal.
This is your best friend while you do your job. Not only can this bad boy tell you what is in a blood sample. It can also duplicate any virus in that sample for further <strike>[[traitor | use]]</strike> research.
You can do the following with the machine
* See the statistics of a virus that is put into the machine.
* Make a new virus culture for later use. (Use this when making advanced viruses)
* Make vaccines using blood from a patient that was cured from a virus prior.  


=Curing a virus=
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
So you're tasked with curing a virus that is <strike>finally purging</strike> harming the stations inhabitants? Well you're just a few steps away of being the unsung hero!
'''The following is a list of steps to prep for surgical procedures. Please ensure you diagnose your patient prior to prepping for surgical intervention.'''


==Getting the first infected==
<div class="mw-collapsible-content">
First priority is finding the crewmember who is infected and getting him to medbay into isolation as fast as possible. It is easier to cure a singular person compared to curing a whole station.
# Find a suitable [[File:OpTable.gif]] operating table. In absence of an operating table, a rollerbed or table may be used (with a higher likelihood of surgical errors).
Once you have the infected you'll want to get the cure in him as soon as possible. Once he is cured you will have to take a blood sample for the next step. Some [[civilian | patients]] might need some persuasion to help you cure them.
# Make sure you're wearing [[File:LGloves.png]] latex gloves and a [[File:Sterilemask.png]] sterile mask.
# Use a '''sink''' to wash your hands. Unclean hands can result in infections.
# Click+drag the person to the operating table to lay them down on it.
# Check to ensure whether or not your patient is able to be safely anesthetized. Species such as Plasmamen and Vox can not be anesthetized and will optionally require ether, morphine (addictive), salicylic acid, or hydrocodone.
# Pick up a [[File:BreathingMask.png]] medical mask and [[File:Anesthetics.png|32px]] anesthetic tank.
# Click+drag their body onto yours to view their inventory. Click on the link beside "Mask" to remove their mask if they have one. Do the same for the link beside "Back" to remove their backpack.
# With the medical mask in your active hand click on the "Nothing" link at the top beside "Head (Mask)". In a few seconds, you will equip them with the medical mask.
# Place the anesthetic tank in your active hand, then click the "Nothing" link in their inventory window beside "Back" to equip it on their back.
# A new link will appear beside the sleeping agent called "Set internals". Click on it to turn on the gas. It will force them asleep in about 5 seconds. You are now ready to proceed with surgery.
# Make sure you're set on the [[File:Help.png]] Help intent.
</div></div>


==Getting the vaccine==
= Basic Surgery List [[File:Scalpel.png|32px]]=
Once you have the blood of a cured subject you can start mass producing the cure. To do this you'll need the [[PanD.E.M.I.C_2200 | Pandemic]].
# Put the blood in the [[REF HERE | PANDEMIC]. A syringe can be put into the machine
# Click on the create vaccine button next to the virus you want to make the vaccine for. If the blood contains multiple antibodies to different viruses you'll have more than one option.
# Repeat till you have enough vaccine.
# Bring the bottles to chemistry so they can pill the vaccine into 1u pills. Make sure that they call it a suiting name else it might get lost in a pile of pills without people knowing what it actually cures.


A vaccine is spread just like a virus. So you can just take a sip from the bottle to cure yourself.
While there are a number of surgical procedures one can perform, the following are some of the most common procedures that every surgeon should familiarize themselves with.


==Spreading the <strike>love</strike> vaccine==
* To stop a surgery at any point in time, hold the scalpel tool in your active hand and a cautery in your off-hand. You can also switch intents prior to making the first incision.
Curing the infected will be easy once you have the vaccine. A single dose of 1u will cure anybody and will make non infected immune for the virus. Be sure to get everybody cured since otherwise [[Death_squad | bad]] things can happen.


==Infection Listings==
* Cybernetic Implant Surgery falls under Organ Manipulation Surgery.
Thankfully, humanity has managed to cure and eliminate almost all of the diseases that plagued its infancy. However, the vast reaches of space have been found to harbor new illnesses that can affect the unprepared staff on Nanotrasen research stations.
{| class="wikitable sortable" style="background-color:#EAFDE6"
|-
! scope="col" | Disease Name
! scope="col" | Vector Name
! scope="col" class="unsortable" | Description
! scope="col" | Spread
! scope="col" | Cure
! scope="col" | Event
|-
| Alien Parasite || Xenomorph || An uncommon infection, caused by [[Xenomorph|alien]] attacks. A facehugger has implanted an embryo inside of the body of the victim, which will grow until it kills and destroys the body while spawning a [[Xenomorph#Larva|larva]]. || Special || [[Surgery]] || X
|-
| Beesease || Apidae Infection || A vicious disease which causes minor toxin damage followed by the host uncontrollably vomiting bees. The created bees are incredibly ill-tempered and will attack anyone they can, including the host. || Contact || [[Guide_to_Chemistry#Active_Pure_Chemicals|Sugar]] || &#10004;
|-
| Beserker || Jagged Crystals || This virus causes the host to shout with anger and punch those around them at random. When curing this disease, it's probably best you hand the affected person the medicine and then get out of punching range. || Not Contagious || [[Guide_to_Chemistry#Haloperidol|Haloperidol]] || X
|-
| Brainrot || Cryptococcus Cosmosis || An infection that causes mental degradation and will cause the host to collapse in its later stages. || Contact || [[Guide_to_Chemistry#Mannitol|Mannitol]] || &#10004;
|-
| Cold || XY-rhinovirus || Still around since the dawn of man, this disease is relativity harmless, causing fatigue and a runny nose. Will progress to the Flu when untreated. || Airborne || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] || &#10004;
|-
| Cold9 || ICE9-rhinovirus || A rare disease that will progressively lower the victim's body temperature in addition to respiratory symptoms such as sneezing and coughing. || Contact || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] || X
|-
| Flu || H13N1 Flu Virion || A common illness which causes fatigue, high fever, and muscle aches. Rarely fatal but quickly spread and will cause minor toxin and organ damage. Having an affected patient rest can slow the progress of this virus. || Airborne || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] || &#10004;
|-
| Food Poisoning || Salmonella || This illness is most commonly contracted by eating poorly prepared food and will cause weakness, stomach aches, and vomiting. This sickness will eventually pass on its own without a cure but can be more quickly fixed with either chicken soup or bed rest. || Not Contagious || Chicken Soup or sleeping || X
|-
| Fungal Tuberculosis || Fungal Tubercle Bacillus Cosmosis || A rare highly transmittable virulent virus. Few samples exist, rumoured to be carefully grown and cultured by [[Traitor|clandestine bio-weapon specialists]]. Causes fever, vomiting, loss of breath, confusion, weight loss, and fatigue. || Airborne || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] & [[Guide_to_Chemistry#Salbutamol|Salbutamol]] || X
|-
| "GBS" || Gravitokinetic Bipotential SADS- || A virus which has evolved to mimic the deadly GBS virus. Unlike the actual gibbing virus however, this virus causes no damage and will never be fatal to the host. || Contact || [[Guide_to_Chemistry#Diphenhydramine|Diphenhydramine]] & Sulfur || &#10004;
|-
| GBS || Gravitokinetic Bipotential SADS+ || An extremely dangerous illness caused by contagious micro-singularities that will cause the human body to be torn apart from the inside. The initial phase begins in the lungs and mimics flu symptoms. || Contact || [[Guide_to_Chemistry#Diphenhydramine|Diphenhydramine]] & Sulfur  || X
|-
| Grave Fever || Grave Dust || A unique disease linked to the entities known as [[Vampire|vampires]]. This disease will causes progressively more severe amounts of toxin damage, weakness, and oxygen deprivation as it progresses. || Not Contagious || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] || X
|-
| Jungle Fever || Kongey Vibrion M-909 || One of the most feared diseases in the galaxy, this is a disease carried by primates. A single bite or scratch is enough to fully infect a human. The result is spontaneous genetic reversion, and the affected individual will also become a monkey. || Special || Bananas || X
|-
| Magnitis || Fukkos Miracos || An infection of magnetic bacteria that build up in the body. As the disease progresses any metallic items not bolted down near the infected person will be pulled toward them, even objects as large as canisters. Ingested iron will draw the bacteria to it and allow them to be excreted normally. || Airborne || [[Guide_to_Chemistry#Active_Pure_Chemicals|Iron]] || &#10004;
|-
| Non-Contagious GBS || Gibbis || A weaponized version of the GBS virus used by enemies of the corporation in assassination plots. The symptoms are identical to the more naturally occuring GBS virus. || Not Contagious || [[Guide_to_Chemistry#Cryoxadone|Cryoxadone]] || X
|-
| Pierrot's Throat || H0NI<42 Virus || A brain disease that was brought back with the original explorers of Clown Planet that damages the basal ganglia, victims will have an uncontrollable urge to HONK. || Airborne || Bananas || &#10004;
|-
| Retrovirus || Unknown || This virus causes minor paralysis and odd sensations in the host during its early stages. Once sufficiently matured, the virus scrambles the hosts genetic data which can lead to horrible mutations. Sufficient amounts of bedrest also hold the potential to cure this disease. || Contact || [[Guide_to_Chemistry#Mutadone|Mutadone]] || X
|-
| Rhumba Beat || Unknown || A truely horrifying virus which causes the host to be compelled to rhythmically Rhumba before exploding violently. This virus seems to be a derivative of the feared GBS virus but with more dancing involved. || Contact || [[Guide_to_Chemistry#Active_Pure_Chemicals|Plasma]] || X
|-
| Robotic Transformation || R2D2 Nanomachines || A rare infection caused by nanomachines in certain foods, effectively kills the infected as their body becomes metallic and their skin sloughs off before turning them into a cyborg. || Spread || Copper || X
|-
| Severe Anxiety || Excess Lepidopticides || A mysterious disease which causes confusion and jitteriness. When fully matured, this virus casues the host to cough up butterflies. || Contact || [[Guide_to_Chemistry#Active_Pure_Chemicals|Ethanol]] || &#10004;
|-
| Spanish Inquisition Flu || 1nqu1s1t10n Flu Virion || A rare and deadly form of flu that causes an incredibly high fever. Those infected will die of internal organ burns without treatment or religious absolution. || Airborne || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] || &#10004;
|-
| Space Kuru || Prions || An incredibly dangerous and often weaponized virus. Prions are found in food containing brains or in specialized bottles of poison used by enemies of Nanotrasen. The virus causes uncontrollable laughter, convulsions and will eventually kill the host. || Not Contagious || Incurable  || X
|-
| Xenomorph Transformation || Rip-LEY Alien Microbes || A rare infection caused by xeno-microbes in certain foods, changing the infected's DNA to that of a [[Xenomorph#Hunter|xenomorph hunter]]. Symptoms include severe pain and progressive insanity. || Special || [[Guide_to_Chemistry#Spaceacillin|Spaceacillin]] & [[Guide_to_Chemistry#Glycerol|Glycerol]] || X
|-
| Wizarditis || Rincewindus Vulgaris || A rare illness, causes spontaneous robe growth, randomly speaking incantations, and finally random teleportation. || Airborne || [[Guide_to_Food_and_Drinks#Drinks|The Manly Dorf]] || X
|}


=Creating a virus=
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
You'll be spending most of your time doing this part. Either for good or for [[Standard_Operating_Procedure_(Medical)#Viral_Outbreak_Procedures | worse]].
==Bone Repair Surgery ==
<small><i>The mending of broken bones and fractures</i></small>


==Advanced Diseases==
<div class="mw-collapsible-content">
An advanced virus works a bit different from a "normal" virus. The most significant differences are.
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
* You can only have one advanced virus per person
# Ensure the patient has been healed first, or the bones will break as soon as you fix them.
* You can mutate advanced viruses using chemicals
# Aim for the afflicted limb in the [[File:Damage_zone.png]] Damage Zone.
* You can combine advanced viruses together
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Bone Repair" Surgery.
* Name an advanced virus if it's not named yet
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
* Print a release form for named viruses.
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Apply [[File:Bone gel.png]] '''Bone Gel''' to the broken bone.
# Use the [[File:Bone setter.png]] '''Bone Setter''' to put the bone in place.
# Apply more [[File:Bone gel.png]] '''Bone Gel'''.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
</div></div>


An advanced virus can have up to 6 symptoms. You do this by mixing two virus samples together. By the powers of RNG you can get the desired outcome.
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
Every symptom added will influence the statistics of the virus. Every virus has the following stats as a baseline.
{| class="wikitable" border="1"; border="1"; || style="text-align: center;"
|-
! scope="col" | Stealth
! scope="col" | Resistance
! scope="col" | Stage speed
! scope="col" | Transmittable
|-
| 0 || 1 || 1 || 1
|-
|}
Having more symptoms will lower the statistic of transmittability. Thus having more symptoms is not always better in some cases.


==Engineering the perfect virus==
==Internal Bleeding Surgery==
So you think you're ready to make a virus that can <strike>finally get rid of that [[clown | abomination]]</strike> benefit the crew?
<small><i>Repairing damaged arteries and veins within the body to stop internal bleeding.</i></small>
Before you start ensure that you have thought of a set of symptoms you want the virus to have. Once you have the symptoms you can begin.
The general method to get a symptom goes as follows.
# Get a virus sample in a beaker. Use the [[Medical Items#Dropper|Dropper or pipette]] for this.
# Add 1u of the chemical you need for the symptom to the beaker. This makes the virus mutate a new random symptom.
# Put the sample in the PanD.E.M.I.C 2200 and see if you got the symptom you need. If so make a new culture. Naming your cultures accordingly will help you long term.
# Optional remove the unwanted symptom using [[Guide_to_Chemistry#Diphenhydramine|Diphenhydramine]].


Doing this for each symptom in one virus sample will lead to a virus with a maximum of 5 symptoms, and after the 4th symptom it won't be certain if the 5th will be generated or will replace an existing one. If you want to get the maximum out of your virus you can make two different virus samples with a combined symptom size of 6 and comebine those till the result has all 6 symptoms.
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the afflicted limb in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Internal Bleeding" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Use the [[File:Fixovein.png]] '''FixOVein''' to repair the damaged blood vessels.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
</div></div>


===<strike>Pesky </strike>Paperwork===
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
Once you have your new designer virus you should get it approved by the [[Chief_Medical_Officer | CMO]] as per [[Standard_Operating_Procedure_(Medical)#Virologist| SOP]]. The PanD.E.M.I.C 2200 can make a form for you once you name the virus using the machine.
A virus that spreads should be approved by the captain and vaccines should be prepared prior to releasing for crew that doesn't want the virus in them.


==Chemicals==
==Amputation==
The chemicals listed below are used when creating an advanced virus. Spending the time to make the specialised chemicals will reward you kindly.
<small><i>Removal of limbs or head.</i></small>


{| class="wikitable sortable" border="1"; style="text-align: center;" style="background-color:#EAFDE6; width: 100%;"
<div class="mw-collapsible-content">
|-
# Aim for the target limb using the [[File:Damage_zone.png]] Damage Zone.
! scope="col" | Name
# Use the [[File:Scalpel.png]] '''Scalpel''' or [[File:Saw.png]] '''Circular Saw''' to select the "Limb Attachment" Surgery.
! scope="col" | Level
# Use the [[File:Saw.png]] '''Circular Saw''' to Amputate the limb.
! scope="col" class="unsortable" | Description
|-
| Virus Rations || 1 || Mix Virus Food and Diphenhydramine.
|-
| Virus Food || 1/2 || Obtainable from the Virus Food Dispenser.
|-
| Unstable Mutagen || 2/3 || Created by [[Chemist|Chemists]].
|-
| Mutagenic Agar || 3 || Mix Virus Food and Unstable Mutagen.
|-
| Sucrose Agar || 4 || Mix Mutagenic Agar and Sugar. Alternatively, you can use Saline Glucose instead of Sugar to make it.
|-
| Weakened Virus Plasma || 5 || Mix Virus Plasma and Diphenhydramine.
|-
| Virus Plasma || 6 || Mix Virus Food and Plasma Dust.
|-
| Diphenhydramine || - || Created by [[Chemist|Chemists]]. Removes one random symptom.
|-
| Plasma Dust || 5/6 || Created by grinding Solid Plasma (retrieved from the Cargo) by the [[Chemist|Chemists]].
|-
|}


==Symptoms Table==
</div></div>
{| class="wikitable sortable" border="1"; || style="text-align: center;"
|-
! scope="col" | Symptom
! scope="col" | Stealth
! scope="col" | Resistance
! scope="col" | Stage speed
! scope="col" | Transmittable
! scope="col" | Level
! scope="col" | Required Chemical
! scope="col" class="unsortable" | Effect
|-
!Alopecia
| -1 ||- 1 || -1 || 2 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#0000ff" | Causes rapid hair loss.
|-
!Anti-Bodies Metabolism
| -1 || -1 || -1 || -4 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#00aa00"| Cures all diseases (except itself) and creates anti-bodies for them until itself dies.
|-
!Choking
| -3 || -2 || -2 || -4 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Causes spikes of oxygen deprivation. Deals damage based on stage speed and stealth.
|-
!Coughing
| -1 || 3 || 1 || 2 || 1 || [[Guide_to_Chemistry#Virus_Food|Virus Food]] || style="color:#ff0000"| Will force the affected mob to drop small items when coughing!
|-
!Confusion
|1 || -1 || -3 || 0 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Makes the affected mob be confused for short periods of time.
|-
!Deafness
| -1 || -2 || -1 || -3 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Causes intermittent loss of hearing.
|-
!Dizziness
|2 || -2 || -3 || -1 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Shakes the affected mob's screen for short periods.
|-
!Eternal Youth
|3 || 4 || 4 || -4 || 5 || Plasma Dust || style="color:#0000ff" | Makes you never physically older than young adulthood and prevents death by old age.
|-
!Facial Hypertrichosis
| -3 || -1 || -3 || -1 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#0000ff" | Makes you grow a massive beard, regardless of gender.
|-
!Fever
|0 || 3 || 3 || 2 || 2 || [[Guide_to_Chemistry#Virus_Food|Virus Food]] || style="color:#ff0000"| Heats up your body, based on transmittability and stealth.
|-
!Hallucinogen
| -2 || -3 || -3 || -1 || 5 || Plasma Dust || style="color:#ff0000"| Makes the affected mob be hallucinated for short periods of time. Available in [[Supply_Crates#Medical|Virus Crates]].
|-
!Headache
| -1 || 4 || 2 || 0 || 1 || [[Guide_to_Chemistry#Virus_Food|Virus Food]] || style="color:#0000ff" | Displays an annoying message! Should be used for buffing your disease.
|-
!Hyphema
| -1 || -4 || -4 || -3 || 5 || Plasma Dust || style="color:#ff0000"| Inflicts eye damage over time. Causes blindness if left unchecked.
|-
!Itching
|0 || 3 || 3 || 1 || 1 || [[Guide_to_Chemistry#Virus_Food|Virus Food]] || style="color:#0000ff" | Displays an annoying message! Should be used for buffing your disease.
|-
!Longevity
|3 || 4 || 4 || 4 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#0000ff" | After a certain amount of time the disease will cure itself. Will immensely buff your disease.
|-
!Necrotizing Fasciitis
| -3 || -4 || 0 || -4 || 6 || Plasma Dust || style="color:#ff0000"| Causes brute damage over time, with more brute damage the less the virus' stealth is. Fatal if left untreated.
|-
!Sensory Restoration
| -1 || -3 || -2 || -4 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#00aa00" | Body starts to create its own [[Guide_to_Chemistry#Oculine|Oculine]], healing eye damage.
|-
!Revitiligo
| -3 || -1 || -1 || -2 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#0000ff" | Makes the mob gain skin pigmentation.
|-
!Self-Respiration
| 1 || -3 || -3 || -4 || 6 || Plasma Dust || style="color:#00aa00"| Body starts to create its own [[Guide_to_Chemistry#Salbutamol|Salbutamol]], effectively making oxygen unnecessary.
|-
!Shivering
|0 || 2 || 2 || 2 || 2 || [[Guide_to_Chemistry#Virus_Food|Virus Food]] || style="color:#ff0000"| Cools down your body based on stealth and resistance.
|-
!Sneezing
| -2 || 3 || 0 || 4 || 1 || [[Guide_to_Chemistry#Virus_Food|Virus Food]] || style="color:#0000ff" | Forces a spread type of AIRBORNE with extra range!
|-
!Spontaneous Combustion
| 1 || -4 || -4 || -4 || 6 || Plasma Dust || style="color:#ff0000" | Sets your body on fire periodically, with amount of stacks based on stage speed, minus stealth.
|-
!Toxic Compensation
|1 || -4 || -4 || -2 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#0000ff"| Slowly converts brute/fire damage to toxin.
|-
!Toxic Filter
|1 || -4 || -4 || -4 || 6 || Plasma Dust || style="color:#00aa00"| Heals toxins in the affected mob's blood stream, based on stage speed. Available in [[Supply_Crates#Medical|Virus Crates]].
|-
!Vitiligo
| -3 || -1 || -1 || -2 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#0000ff"| Makes the mob lose skin pigmentation.
|-
!Voice Change
| -2 || -3 || -3 || -1 || 6 || Plasma Dust || style="color:#ff0000"| Changes the voice of the affected mob. Causing confusion in communication. Available in [[Supply_Crates#Medical|Virus Crates]].
|-
!Vomiting
| -2 || -1 || 0 || 1 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Forces the affected mob to vomit! Makes the affected mob lose nutrition and heal toxin damage.
|-
!Blood Vomiting
| -2 || -1 || -1 || 1 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Forces the affected mob to vomit blood! Makes the affected mob lose health.
|-
!Projectile Vomiting
| -2 || -1 || 0 || 1 || 4 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Forces the affected mob to vomit with a larger spread! Makes the affected mob lose nutrition and heal toxin damage.
|-
!Weakness
| -1 || -1 || -2 || -2 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Deals stamina damage to the host.
|-
!Weight Loss
| -3 || -2 || -2 || -2 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#ff0000"| Decreases the weight of the mob, forcing it to be skinny.
|-
!Viral Self-Adaptation
| 3 || 5 || -3 || 0 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#00aa00"| Massively buffs the adaptation of viruses, causing it to be stealthier, harder to cure but slower acting.
|-
!Viral Evolutionary Acceleration
| -2 || -3 || 5 || 3 || 3 || [[Guide_to_Chemistry#Unstable_Mutagen|Unstable Mutagen]] || style="color:#00aa00"| Massively buffs the evolutionary cycle of viruses, causing it to be faster acting, better at infecting, but more easily detected and cured.
|-
!Mind restoration
| -1 || -4 || -4 || -3 || 5 || Plasma Dust || style="color:#00aa00"| Restores mob's senses by fixing brain damage, purging alcohol, LSD and histamine from the body and fixing brain damage.
|-
|}


=== Understanding Stats ===
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">


After you're done mixing your disease, stats from the symptoms are added together to make disease stats. Here's what exactly they do:
==Limb Attachment Surgery==
<small><i>Re-attaching severed limbs</i></small>


* Stealth of 1 or highter will hide your disease from MedHUDs. Stealth of 2 or higher will hide your disease from Health Analyzers and Full Body Scanners. Stealth of 3 or higher will hide it from P.A.N.D.E.M.I.C. machine.
<div class="mw-collapsible-content">
* Transmission is determined as follows: (disease's transmission - amount of symptoms). 1 or less is blood, 2-4 is contact, 5 is airbone. However, sneezing will force it to be airbone.
# Aim for the patient's affected (missing) limb using the [[File:Damage_zone.png]] Damage Zone.
* Chance of advancing a stage per tick is 2% or stage speed, whichever is higher.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Limb Attachment" Surgery.
* Cure depends on resistance and amount of symptoms: resistance - (amount of symptoms / 2)
# Attach the appropriate missing limb (theirs or someone elses).
# Use the [[File:Hemostat.png]] '''Hemostat''' to reconnect the nerves and muscles and finish. This step isn't needed for IPC limbs.


{| class="wikitable" style="text-align: center;"
<small><i>You can use the severed limbs of most humanoid mobs for this procedure.</i></small>
|1 or less||2||3||4||5||6||7||8||9||10||11 or more
</div></div>
|-
|Sodium Chloride||Sugar||Orange juice||Spaceacilin||Saline-Glucose Solution||Ethanol||Teporone||Diphenhydramine||Lipolicide||Silver||Gold
|}


* Chance of it being cured every tick is 15 - resistance, but always between 10 and 20.
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
* Transmission affects how much protective gear you must have to protect yourself from it.


[[Category:Guides]]
==Internal Organ Manipulation (Non-Synthetics)==
<small><i>Mending, inserting, and removing internal organs and cybernetic implants. Also fixes bones, and is used to remove xenomorph larva or terror spider eggs.</i></small>
 
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the correct [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Organ Manipulation" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding. ''
# Use the [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Use the [[File:Saw.png]] '''Circular Saw''' to open the the ribcage/skull [CHEST/HEAD ONLY].
# Use the [[File:Retractor.png]] '''Retractor''' to pull their ribcage/skull open [CHEST/HEAD ONLY].
# Here, you can manipulate the organs, by either using the [[File:Hemostat.png]] '''Hemostat''' to remove them, [[File:AdvTrauma.png|32px]] '''Trauma Kit'''  or [[File:Nanopaste.png]] '''Nanopaste''' to heal them, [[File:Beaker.png]] '''a reagent container''' filled with an alcoholic reagent to disinfect them, or simply transferring new organs inside.
# When finished:Use the [[File:Retractor.png]] '''Retractor''' to close the ribcage/skull/skin.
# Apply [[File:Bone gel.png]] '''Bone Gel''' to help mend the ribcage/skull [CHEST/HEAD ONLY].
# Use the [[File:Bone setter.png]] '''Bone Setter''' to finish mending the ribcage/skull [CHEST/HEAD ONLY].
# Apply [[File:Bone gel.png]] '''Bone Gel''' to help mend the ribcage/skull [CHEST/HEAD ONLY].
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Plastic Surgery==
<small><i>Fixing facial Disfigurement and changing Identity.</i></small>
 
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the patient's head in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Plastic Surgery" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision.
# Use your [[File:Retractor.png]] '''Retractor''' to lift up the skin.
# Use the [[File:Scalpel.png]] '''Scalpel''' to reshape the face and vocal chords.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
 
* Performing the surgery on a Disfigured face will repair, on a Normal face will give a list of random, species-appropriate names to change identity.
* Note that this does not repair "husked" appearance as the result of excessive Burn damage.
</div></div>
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Infection Treatment==
<small><i>Removing infections.</i></small>
 
<div class="mw-collapsible-content">
# Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the affected body part location on the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "External Infection Treatment/Autopsy" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
 
* If an organ is infected you will have to administer spaceacillin or douse it in alcohol with a high ethanol content. If the organ is septic, it will require transplantation.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Debridement and Limb Revival==
<small><i>Reviving dead limbs</i></small>
 
<div class="mw-collapsible-content">
 
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the afflicted limb in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Debridement" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Use the [[File:Scalpel.png]] '''Scalpel''' to debride the necrotic tissue.
# Apply mitocholide using a container* to the organ to regenerate the removed tissue.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
 
* While bottles and buckets may be used, droppers are more effective (can not fail). The container must have mitocholide in it.
</div></div>
 
= Advanced Surgery List [[File:IMS.png|32px]]=
 
There's also a bevy of other surgeries that, whilst uncommon, can be extremely useful under certain circumstances.
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Limb Augmentation==
<small><i>Augment limb with robotic part.</i></small>
<div class="mw-collapsible-content">
# Aim for the chest or limbs in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Augment Limb" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision.
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use the [[File:Retractor.png]] '''Retractor'''to lift up the skin.
# While holding a cyborg arm, leg, or chest; Insert the item inside.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Cavity Surgery==
<small><i>Implanting a variety of objects into an artificial body cavity.</i></small>
<div class="mw-collapsible-content">
Maxiumum size of item that fits inside:
* Head - tiny (i.e. pen, paper)
* Abdomen - pocket-size (i.e. most surgical tools)
* Chest - small (i.e. bone saw, revolver)
# Aim for the chest, abdomen or head in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Cavity Implant/Removal" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# [CHEST ONLY] Use the [[File:Saw.png]] '''Circular Saw''' to open the ribcage.
# [CHEST ONLY] Use the [[File:Retractor.png]] '''Retractor''' to pull their ribcage open.
# Use the [[File:Drill.png]] '''Surgical Drill''' to prepare the cavity.
# While holding an Item:Insert the item inside. If it caused internal bleeding, use [[File:Fixovein.png]] '''FixOVein''' internal bleeding surgery to fix it.
# With an open hand: Click the patient to check for items inside the cavity.
#  When done use [[File:Cautery.png]] '''Cautery''' twice to mend cavity wall.
# [CHEST ONLY] Use the [[File:Retractor.png]] '''Retractors''' to close their ribcage.
# [CHEST ONLY] Apply [[File:Bone gel.png]] '''Bone Gel''' to mend the cut ribcage.
# [CHEST ONLY] Use the [[File:Bone setter.png]] '''Bone Setter''' to mend the ribcage.
# [CHEST ONLY] Apply [[File:Bone gel.png]] '''Bone Gel''' to mend the cut ribcage.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Dental Implant Surgery==
<small><i>Putting pills in your teeth.</i></small>
 
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the mouth [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' (or other surgery starter) to select the "Dental Implant" Surgery.
# Use the [[File:Drill.png]] '''Surgical Drill''' to prepare the tooth.
# Insert the desired pill in the tooth.
</div></div>
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Embedded Object Removal (Non-Synthetics)==
<small><i>Removing embedded objects, typically bullets, from the body.</i></small>
 
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the embeded object location on the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Removal of Embedded Objects" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use your [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Use the [[File:Saw.png]] '''Circular Saw''' to open the ribcage/skull. [CHEST/HEAD ONLY]
# Use the [[File:Retractor.png]] '''Retractor''' to pull their ribcage/skull open. [CHEST/HEAD ONLY]
# Use the [[File:Hemostat.png]] '''Hemostat''' to extract the embeded objects.
# Use the [[File:Retractor.png]] '''Retractor''' to close their ribcage/skull. [CHEST/HEAD ONLY]
# Apply [[File:Bone gel.png]] '''Bone Gel''' to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
# Use the [[File:Bone setter.png]] '''Bone Setter''' to finish mending the ribcage/skull. [CHEST/HEAD ONLY]
# Apply [[File:Bone gel.png]] '''Bone Gel''' to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
 
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Implant Removal (Non-Synthetics)==
<small><i>Removing Implants such as mindshields, death alarms, mindslaves, and other implants from the body.</i></small>
 
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the chest on the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Implant Removal" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use your [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding.
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Use your [[File:Hemostat.png]] '''Hemostat''' to extract the implant.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Shadowling Dethrall==
<small><i>Removes Shadowling influence and converts a thrall back to a regular crewmember.</i></small>
 
<div class="mw-collapsible-content">
# (Optional) Complete [[Surgery#Prepping_for_Surgery|Prepping for Surgery]].
# Aim for the head in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' to select the "Remove Shadow Tumor" Surgery.
# Use the [[File:Scalpel.png]] '''Scalpel''' again to begin the incision
# Use the [[File:Hemostat.png]] '''Hemostat''' to stop any potential bleeding. ''(Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)''
# Use your [[File:Retractor.png]] '''Retractors''' to lift up the skin.
# Use a [[file:Flashlight.png|32px]] '''Flashlight''' or nearby handheld light-source (such as a penlight) to remove the shadowling tumor. It may take several attempts to remove the tumor.
# Use the [[File:Cautery.png]] '''Cautery''' to seal the incision.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Autopsy==
<small><i>Examination of cadavers to find cause of death. See [[Guide_to_Cadavers#Autopsy_Procedures|autopsy prodedures]] for more information.</i></small>
 
<div class="mw-collapsible-content">
# Place cadaver onto the operating table.
# Scan the cadaver with a Health Analyer to find injured locations.
# Aim for the patient's affected area in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Autopsy scanner.png]] autopsy scanner to scan the area.
# Repeat scan procedure for all affected areas.
# Right click the [[File:Autopsy scanner.png]] autopsy scanner to print out autopsy data.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Organ Removal (Decapitated Head)==
<small><i>Removing the eyes and brain of a decapitated head for transplant to a full body or man-machine interface.</i></small>
 
<div class="mw-collapsible-content">
# With the head in your hand, use the [[File:Scalpel.png]] '''Scalpel''' to make an incision.
# Use your [[File:Retractor.png]] '''Retractors''' to peel the skin open.
# Use the [[File:Bone setter.png]] '''Bone Setter''' or [[File:Saw.png]] '''Circular Saw''' to crack the head open.
# Use the [[File:Hemostat.png]] '''Hemostat''' to remove the eyes/brain.
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Alien Organ Manipulation==
<small><i>Extracting or manipulating the organs of a [[Xenomorph]].</i></small>
 
<div class="mw-collapsible-content">
# Aim for the chest, head, groin, eyes, or mouth in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Scalpel.png]] '''Scalpel''' or the [[File:Saw.png]] '''Circular Saw''' to select the "Alien Organ Manipulation" Surgery.
# Use the [[File:Saw.png]] '''Circular Saw''' to saw its carapace.
# Use the [[File:Scalpel.png]] '''Scalpel''' to cut its carapace.
# Use the [[File:Retractor.png]] '''Retractor''' to retract its carapace.
# Here, you can manipulate the organs, by either using the [[File:Hemostat.png]] '''Hemostat''' to remove them, [[File:AdvTrauma.png|32px]] '''Trauma Kit''' to heal them, [[File:Beaker.png]] '''a reagent container''' filled with an alcoholic reagent to disinfect them, or simply transferring new organs inside.
</div></div>
 
=Synthetic Surgery List [[File:Blue_Toolbox.png|32px]]=
 
There are are also a number of procedures that can be performed on IPCs. IPCs don't feel pain and can't get infections, so don't worry about administering anesthetics or washing your hands.
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Internal Cybernetic Manipulation==
<small><i>Mending, removal, and insertion of posibrains, microbatteries, optical sensors, and implants.</i></small>
 
<div class="mw-collapsible-content">
# Aim for the patient's correct [[File:Damage_zone.png|px32]] Damage Zone.
# Use the [[File:Screwdriver tool.png|32px]] screwdriver to select the "Internal Cybernetic Manipulation" Surgery.
# Use a [[File:Screwdriver tool.png|32px]] screwdriver to unlock the hatch on the limb;
# Use a [[File:Crowbar.png|32px]] crowbar to open the hatch on the limb;
# [REMOVAL Option] Use a [[File:Multitool.png|32px]] '''multitool''' to Remove the organ.
# [REMOVAL] Dispose of the organ. For Borgification simply place the [[File:Positronicbrain.gif|32px]] '''Posibrain''' in an empty cyborg exoskeleton, or give the posibrain to a Roboticist.
# [TRANSPLANTATION Option] Use the organ you intend to transplant on the patient.
# [HEALING Option] Repair the affected organ with [[File:Nanopaste.png]] Nanopaste.
# Use a [[File:Crowbar.png|32px]] crowbar to close the hatch on the limb
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Shadowling Dethrall (Synthethics)==
<small><i>Turning a thralled IPC back into a normal crewmember</i></small>
 
<div class="mw-collapsible-content">
# Aim for the upper body in the [[File:Damage_zone.png]] Damage Zone.
# Use the [[File:Screwdriver tool.png|32px]] screwdriver to select the "Cleanse Contaminants" Surgery.
# Use a [[File:Screwdriver tool.png|32px]] screwdriver to unlock the hatch on the limb;
# Use a [[File:Crowbar.png|32px]] crowbar to open the hatch on the upper body;
# Use a [[file:Flashlight.png|32px]] '''flashlight''' or nearby handheld light-source to remove the shadowling tumor.
# Use a [[File:Crowbar.png|32px]] crowbar to close the hatch on the upper body
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Implant Removal (Synthethics)==
<small><i>Removing implants from the body. Also removal of things from body cavities.</i></small>
 
<div class="mw-collapsible-content">
# Aim for the implant location on the [[File:Damage_zone.png|32px]] Damage Zone.
# Use the [[File:Screwdriver tool.png|32px]] screwdriver to select the "Implant Removal" Surgery.
# Use a [[File:Screwdriver tool.png|32px]] screwdriver to unlock the hatch on the limb;
# Use a [[File:Crowbar.png|32px]] crowbar to open the hatch on the limb;
# Use your [[File:Hemostat.png|32px]] '''hemostat''' to extract the implant. This may take several goes.
# Use a [[File:Crowbar.png|32px]] crowbar to close the hatch on the limb
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Robotic Limb Repair==
<small><i>Fixing mechanical arms, legs, hands and feet. Also performs facial reconstruction if aiming for head.</i></small>
 
<div class="mw-collapsible-content">
# Use the [[File:Screwdriver tool.png|32px]] screwdriver to select the "Cybernetic Repair" Surgery.
# Use a [[File:Screwdriver tool.png|32px]] screwdriver to unlock the hatch on the limb;
# Use a [[File:Crowbar.png|32px]] crowbar to open the hatch on the limb;
# Use a [[File:Welder.png|32px]] welding tool to repair Brute damage then [[File:CableCoils.png]] cable coil to repair burn damage;
# Use a [[File:Crowbar.png|32px]] crowbar to close the hatch on the limb
</div></div>
 
<div class="toccolours mw-collapsible mw-collapsed" style="width:99%">
 
==Robotic Limb Amputation==
<small><i>Amputating or otherwise removing mechanical limbs for the purposes of replacement, or simple cruelty.</i></small>
 
<div class="mw-collapsible-content">
# Use the [[File:Screwdriver tool.png|32px]] screwdriver to select the "Robotic Limb Amputation" Surgery.
# Use a [[File:Multitool.png|32px]] '''multitool''' to remove the targeted limb.
 
</div></div>

Latest revision as of 16:00, 7 April 2021

A Guide to Surgery

A full set of surgery tools can be found in each Operating Theatre locker at the start of the round, though they are often moved into a bag near the operating table by surgeons. Once a surgery has been initiated, the nearby operating computer will give you a hint towards the next step. For Synthetic surgery, see Here.

Surgical Tools Saw.png

Every operating theatre is equipped with a full suite of surgical tools. In the event that surgical tools go missing, you can either have them manufactured at an autolathe or order them from Cargo.

The following are the standard surgical tools most doctors will need:

  • Scalpel.png Scalpel: Creates & mends incisions.
  • Hemostat.png Hemostat: Ties bleeders, and removes objects.
  • Retractor.png Retractors: Opens incisions and cavities.
  • Bone setter.png Bone Setter: Sets broken bones in place.
  • Bone gel.png Bone Gel: Mends broken bones back together.
  • Cautery.png Cautery: Cauterizes incisions and debrides.
  • Fixovein.png FixOVein: Mends ruptured arteries and veins.
  • Saw.png Circular Saw: Saws through bone and amputates limbs.
  • Drill.png Surgical Drill: Creates cavity spaces for implants.
  • File:Mmi empty.png MMI: Provides storage for brains.
  • Autopsy scanner.png Autopsy Scanner: Provides autopsy results.
  • Anesthetics.png Anesthetic Tank: Anesthetizes patients.
  • Sterilemask.png Sterile Mask: Prevents infections.
  • LGloves.png Latex Gloves: Prevents infections.
  • Scalpellaser.png Advanced Laser Scalpel: A scalpel that can also serve as a cautery and hemostat for clamping bleeders.
  • IMS.png Incision Management System: A scalpel, hemostat, retractor, and cautery all in one. Retractor function takes precedence over hemostat in certain situations.

Ghetto Surgery Hatchet.png

Surgery can also be performed with other tools if proper surgical implements are not readily available. Use of these tools dramatically decreases the likelihood of successfully completing a step and often causes collateral damage, especially when attempting to make the initial incision. Furthermore, surgical procedures can be performed on tables and rollerbeds as well, with a 66% and 33% additional chance of failure respectively.

The following is a list of non-standard surgical tools for ghetto surgery:

  • Scalpel.png Scalpel: File:Kitchenknife.gif Kitchen Knife (90%), File:Glassshard.gif Glass Shard (60%), Scissors.png Scissors (12%), Claymore.png Claymore (6%), Energyaxe.gif Energy Axe (6%), Edagger.gif Energy Dagger (6%), Chainsaw.gif Chainsaw (1%)
  • Hemostat.png Hemostat: CableCoils.png Cable Coil (90%), File:Mousetrap.gif Mouse Trap (25%)
  • Retractor.png Retractors: Crowbar.png Crowbar (90%), File:Fork.gif Fork (60%)
  • Bone gel.png Bone Gel: Screwdriver tool.png Screwdriver (90%).
  • Bone setter.png Bone Setter: Wrench.png Wrench (90%).
  • Cautery.png Cautery: Cigarette.gif Cigarette (90%), Lighter.gif Lighter (60%), Welder.png Welding Tool (30%)
  • Fixovein.png FixOVein: CableCoils.png Cable Coil (90%).
  • Saw.png Circular Saw: Hatchet.png Hatchet (90%), Armblade.gif Armblade (75%) (Amputation Only)
  • Drill.png Surgical Drill: Pen.png Pen (90%) (Cavity Only), Mecha drill.png Exosuit Drill (60%) (Dental Only), Mining drill.png Mining Drill (60%) (Dental Only), Rods.png Metal Rods (60%) (Cavity Only), Screwdriver tool.png Screwdriver (20%) (Dental Only)



Notable exceptions:

  • Debridement: Use a File:Kitchenknife.gif Kitchen Knife or a File:Glassshard.gif Glass Shard to remove a dead tissue.
  • Facial Reconstruction: Use a File:Kitchenknife.gif Kitchen Knife or a File:Glassshard.gif Glass Shard to make an incision.
  • Implant Removal: Use a Crowbar.png Crowbar to extract an implant.
  • Internal Damage Repair: Use a Plasmacutter.png Plasmacutter to fix burn damage.
  • Open/Close Hatch: Use a Retractor.png Retractor or any File:Fork.gif kitchen utensil to open or close the hatch.
  • Organ Removal: Use a File:Fork.gif Fork to extract an organ, then a Crowbar.png Crowbar to continue.
  • Removing a Rigsuit: Use a Welder.png Welding Tool to cut a rig open.
  • Unscrew Hatch: Use a Screwdriver tool.png Screwdriver, a File:Kitchenknife.gif Kitchen Knife or a Coin silver.png Coin to open the hatch.

Infection Cautery.png

Infections can be caused by a myriad of sources, from untreated burns to uncleanly surgical tools. The following factors contribute to the likelihood of a surgical procedure causing infection: unhygienic surroundings (including blood and debris), dirty surgical tools, unwashed hands, improper/absent usage of sterile gloves, improper/absent usage of sterile masks, improper storage of transplantable limbs/organs, and multiple people in a single operating theatre.

Failure to keep an operating theatre and its tools clean, along with adequate use of protective equipment (gloves, masks) will result in infection. It is paramount that every surgeon practices adequate hygiene and safety precautions, limits the active number of patients in their theatre to one, washes their hands between every surgery, and keeps the operating theatre sterile.

If a patient manages to contract - or is presently suffering from - an infection administer spaceacillin. In lieu of spaceacillin, compounds containing high levels of ethanol (preferably straight ethanol) can be used to disinfect organs during the organ manipulation surgery.

Prepping for Surgery LGloves.png

Now that you understand the basics of both surgical tools and infections it's time to prep for performing the surgery itself. Make sure you diagnose what's wrong with the patient prior to attempting surgery via the use of the Advanced Body Scanner. There are also a few caveats to surgical prep work such as:

  • If anyone is pulling on the patient, the surgery will not work properly. Make sure no one is pulling the patient.
  • The patient needs to be healed as much as possible prior to surgical intervention, as many surgeries won't take when performed on severely injured persons.
  • All patients require some form of anesthetic, such as the anesthetic tank, ether, or hydrdocodone. Failure to use anesthetic will increase the chance of failure on each step.
  • If the patient is Vox or Plasmaman do not administer tank-based anesthetic. In the case of Vox and Plasmamen, removing their internals can be fatal.

The following is a list of steps to prep for surgical procedures. Please ensure you diagnose your patient prior to prepping for surgical intervention.

  1. Find a suitable OpTable.gif operating table. In absence of an operating table, a rollerbed or table may be used (with a higher likelihood of surgical errors).
  2. Make sure you're wearing LGloves.png latex gloves and a Sterilemask.png sterile mask.
  3. Use a sink to wash your hands. Unclean hands can result in infections.
  4. Click+drag the person to the operating table to lay them down on it.
  5. Check to ensure whether or not your patient is able to be safely anesthetized. Species such as Plasmamen and Vox can not be anesthetized and will optionally require ether, morphine (addictive), salicylic acid, or hydrocodone.
  6. Pick up a BreathingMask.png medical mask and Anesthetics.png anesthetic tank.
  7. Click+drag their body onto yours to view their inventory. Click on the link beside "Mask" to remove their mask if they have one. Do the same for the link beside "Back" to remove their backpack.
  8. With the medical mask in your active hand click on the "Nothing" link at the top beside "Head (Mask)". In a few seconds, you will equip them with the medical mask.
  9. Place the anesthetic tank in your active hand, then click the "Nothing" link in their inventory window beside "Back" to equip it on their back.
  10. A new link will appear beside the sleeping agent called "Set internals". Click on it to turn on the gas. It will force them asleep in about 5 seconds. You are now ready to proceed with surgery.
  11. Make sure you're set on the Help.png Help intent.

Basic Surgery List Scalpel.png

While there are a number of surgical procedures one can perform, the following are some of the most common procedures that every surgeon should familiarize themselves with.

  • To stop a surgery at any point in time, hold the scalpel tool in your active hand and a cautery in your off-hand. You can also switch intents prior to making the first incision.
  • Cybernetic Implant Surgery falls under Organ Manipulation Surgery.

Bone Repair Surgery

The mending of broken bones and fractures

  1. (Optional) Complete Prepping for Surgery.
  2. Ensure the patient has been healed first, or the bones will break as soon as you fix them.
  3. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  4. Use the Scalpel.png Scalpel to select the "Bone Repair" Surgery.
  5. Use the Scalpel.png Scalpel again to begin the incision
  6. Use the Hemostat.png Hemostat to stop any potential bleeding.
  7. Use your Retractor.png Retractors to lift up the skin.
  8. Apply Bone gel.png Bone Gel to the broken bone.
  9. Use the Bone setter.png Bone Setter to put the bone in place.
  10. Apply more Bone gel.png Bone Gel.
  11. Use the Cautery.png Cautery to seal the incision.

Internal Bleeding Surgery

Repairing damaged arteries and veins within the body to stop internal bleeding.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Internal Bleeding" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Fixovein.png FixOVein to repair the damaged blood vessels.
  8. Use the Cautery.png Cautery to seal the incision.

Amputation

Removal of limbs or head.

  1. Aim for the target limb using the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel or Saw.png Circular Saw to select the "Limb Attachment" Surgery.
  3. Use the Saw.png Circular Saw to Amputate the limb.

Limb Attachment Surgery

Re-attaching severed limbs

  1. Aim for the patient's affected (missing) limb using the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel to select the "Limb Attachment" Surgery.
  3. Attach the appropriate missing limb (theirs or someone elses).
  4. Use the Hemostat.png Hemostat to reconnect the nerves and muscles and finish. This step isn't needed for IPC limbs.

You can use the severed limbs of most humanoid mobs for this procedure.

Internal Organ Manipulation (Non-Synthetics)

Mending, inserting, and removing internal organs and cybernetic implants. Also fixes bones, and is used to remove xenomorph larva or terror spider eggs.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the correct Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Organ Manipulation" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding.
  6. Use the Retractor.png Retractors to lift up the skin.
  7. Use the Saw.png Circular Saw to open the the ribcage/skull [CHEST/HEAD ONLY].
  8. Use the Retractor.png Retractor to pull their ribcage/skull open [CHEST/HEAD ONLY].
  9. Here, you can manipulate the organs, by either using the Hemostat.png Hemostat to remove them, AdvTrauma.png Trauma Kit or Nanopaste.png Nanopaste to heal them, Beaker.png a reagent container filled with an alcoholic reagent to disinfect them, or simply transferring new organs inside.
  10. When finished:Use the Retractor.png Retractor to close the ribcage/skull/skin.
  11. Apply Bone gel.png Bone Gel to help mend the ribcage/skull [CHEST/HEAD ONLY].
  12. Use the Bone setter.png Bone Setter to finish mending the ribcage/skull [CHEST/HEAD ONLY].
  13. Apply Bone gel.png Bone Gel to help mend the ribcage/skull [CHEST/HEAD ONLY].
  14. Use the Cautery.png Cautery to seal the incision.

Plastic Surgery

Fixing facial Disfigurement and changing Identity.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's head in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Plastic Surgery" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision.
  5. Use your Retractor.png Retractor to lift up the skin.
  6. Use the Scalpel.png Scalpel to reshape the face and vocal chords.
  7. Use the Cautery.png Cautery to seal the incision.
  • Performing the surgery on a Disfigured face will repair, on a Normal face will give a list of random, species-appropriate names to change identity.
  • Note that this does not repair "husked" appearance as the result of excessive Burn damage.

Infection Treatment

Removing infections.

  1. Complete Prepping for Surgery.
  2. Aim for the affected body part location on the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "External Infection Treatment/Autopsy" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Cautery.png Cautery to seal the incision.
  • If an organ is infected you will have to administer spaceacillin or douse it in alcohol with a high ethanol content. If the organ is septic, it will require transplantation.

Debridement and Limb Revival

Reviving dead limbs

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Debridement" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Scalpel.png Scalpel to debride the necrotic tissue.
  8. Apply mitocholide using a container* to the organ to regenerate the removed tissue.
  9. Use the Cautery.png Cautery to seal the incision.
  • While bottles and buckets may be used, droppers are more effective (can not fail). The container must have mitocholide in it.

Advanced Surgery List IMS.png

There's also a bevy of other surgeries that, whilst uncommon, can be extremely useful under certain circumstances.

Limb Augmentation

Augment limb with robotic part.

  1. Aim for the chest or limbs in the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel to select the "Augment Limb" Surgery.
  3. Use the Scalpel.png Scalpel again to begin the incision.
  4. Use the Hemostat.png Hemostat to stop any potential bleeding.
  5. Use the Retractor.png Retractorto lift up the skin.
  6. While holding a cyborg arm, leg, or chest; Insert the item inside.

Cavity Surgery

Implanting a variety of objects into an artificial body cavity.

Maxiumum size of item that fits inside:

  • Head - tiny (i.e. pen, paper)
  • Abdomen - pocket-size (i.e. most surgical tools)
  • Chest - small (i.e. bone saw, revolver)
  1. Aim for the chest, abdomen or head in the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel to select the "Cavity Implant/Removal" Surgery.
  3. Use the Scalpel.png Scalpel again to begin the incision
  4. Use the Hemostat.png Hemostat to stop any potential bleeding.
  5. Use your Retractor.png Retractors to lift up the skin.
  6. [CHEST ONLY] Use the Saw.png Circular Saw to open the ribcage.
  7. [CHEST ONLY] Use the Retractor.png Retractor to pull their ribcage open.
  8. Use the Drill.png Surgical Drill to prepare the cavity.
  9. While holding an Item:Insert the item inside. If it caused internal bleeding, use Fixovein.png FixOVein internal bleeding surgery to fix it.
  10. With an open hand: Click the patient to check for items inside the cavity.
  11. When done use Cautery.png Cautery twice to mend cavity wall.
  12. [CHEST ONLY] Use the Retractor.png Retractors to close their ribcage.
  13. [CHEST ONLY] Apply Bone gel.png Bone Gel to mend the cut ribcage.
  14. [CHEST ONLY] Use the Bone setter.png Bone Setter to mend the ribcage.
  15. [CHEST ONLY] Apply Bone gel.png Bone Gel to mend the cut ribcage.
  16. Use the Cautery.png Cautery to seal the incision.

Dental Implant Surgery

Putting pills in your teeth.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the mouth Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel (or other surgery starter) to select the "Dental Implant" Surgery.
  4. Use the Drill.png Surgical Drill to prepare the tooth.
  5. Insert the desired pill in the tooth.

Embedded Object Removal (Non-Synthetics)

Removing embedded objects, typically bullets, from the body.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the embeded object location on the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Removal of Embedded Objects" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use your Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Saw.png Circular Saw to open the ribcage/skull. [CHEST/HEAD ONLY]
  8. Use the Retractor.png Retractor to pull their ribcage/skull open. [CHEST/HEAD ONLY]
  9. Use the Hemostat.png Hemostat to extract the embeded objects.
  10. Use the Retractor.png Retractor to close their ribcage/skull. [CHEST/HEAD ONLY]
  11. Apply Bone gel.png Bone Gel to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
  12. Use the Bone setter.png Bone Setter to finish mending the ribcage/skull. [CHEST/HEAD ONLY]
  13. Apply Bone gel.png Bone Gel to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
  14. Use the Cautery.png Cautery to seal the incision.

Implant Removal (Non-Synthetics)

Removing Implants such as mindshields, death alarms, mindslaves, and other implants from the body.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the chest on the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Implant Removal" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use your Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use your Hemostat.png Hemostat to extract the implant.
  8. Use the Cautery.png Cautery to seal the incision.

Shadowling Dethrall

Removes Shadowling influence and converts a thrall back to a regular crewmember.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the head in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Remove Shadow Tumor" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use a Flashlight.png Flashlight or nearby handheld light-source (such as a penlight) to remove the shadowling tumor. It may take several attempts to remove the tumor.
  8. Use the Cautery.png Cautery to seal the incision.

Autopsy

Examination of cadavers to find cause of death. See autopsy prodedures for more information.

  1. Place cadaver onto the operating table.
  2. Scan the cadaver with a Health Analyer to find injured locations.
  3. Aim for the patient's affected area in the Damage zone.png Damage Zone.
  4. Use the Autopsy scanner.png autopsy scanner to scan the area.
  5. Repeat scan procedure for all affected areas.
  6. Right click the Autopsy scanner.png autopsy scanner to print out autopsy data.

Organ Removal (Decapitated Head)

Removing the eyes and brain of a decapitated head for transplant to a full body or man-machine interface.

  1. With the head in your hand, use the Scalpel.png Scalpel to make an incision.
  2. Use your Retractor.png Retractors to peel the skin open.
  3. Use the Bone setter.png Bone Setter or Saw.png Circular Saw to crack the head open.
  4. Use the Hemostat.png Hemostat to remove the eyes/brain.

Alien Organ Manipulation

Extracting or manipulating the organs of a Xenomorph.

  1. Aim for the chest, head, groin, eyes, or mouth in the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel or the Saw.png Circular Saw to select the "Alien Organ Manipulation" Surgery.
  3. Use the Saw.png Circular Saw to saw its carapace.
  4. Use the Scalpel.png Scalpel to cut its carapace.
  5. Use the Retractor.png Retractor to retract its carapace.
  6. Here, you can manipulate the organs, by either using the Hemostat.png Hemostat to remove them, AdvTrauma.png Trauma Kit to heal them, Beaker.png a reagent container filled with an alcoholic reagent to disinfect them, or simply transferring new organs inside.

Synthetic Surgery List Blue Toolbox.png

There are are also a number of procedures that can be performed on IPCs. IPCs don't feel pain and can't get infections, so don't worry about administering anesthetics or washing your hands.

Internal Cybernetic Manipulation

Mending, removal, and insertion of posibrains, microbatteries, optical sensors, and implants.

  1. Aim for the patient's correct px32 Damage Zone.
  2. Use the Screwdriver tool.png screwdriver to select the "Internal Cybernetic Manipulation" Surgery.
  3. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  4. Use a Crowbar.png crowbar to open the hatch on the limb;
  5. [REMOVAL Option] Use a Multitool.png multitool to Remove the organ.
  6. [REMOVAL] Dispose of the organ. For Borgification simply place the Positronicbrain.gif Posibrain in an empty cyborg exoskeleton, or give the posibrain to a Roboticist.
  7. [TRANSPLANTATION Option] Use the organ you intend to transplant on the patient.
  8. [HEALING Option] Repair the affected organ with Nanopaste.png Nanopaste.
  9. Use a Crowbar.png crowbar to close the hatch on the limb

Shadowling Dethrall (Synthethics)

Turning a thralled IPC back into a normal crewmember

  1. Aim for the upper body in the Damage zone.png Damage Zone.
  2. Use the Screwdriver tool.png screwdriver to select the "Cleanse Contaminants" Surgery.
  3. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  4. Use a Crowbar.png crowbar to open the hatch on the upper body;
  5. Use a Flashlight.png flashlight or nearby handheld light-source to remove the shadowling tumor.
  6. Use a Crowbar.png crowbar to close the hatch on the upper body

Implant Removal (Synthethics)

Removing implants from the body. Also removal of things from body cavities.

  1. Aim for the implant location on the Damage zone.png Damage Zone.
  2. Use the Screwdriver tool.png screwdriver to select the "Implant Removal" Surgery.
  3. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  4. Use a Crowbar.png crowbar to open the hatch on the limb;
  5. Use your Hemostat.png hemostat to extract the implant. This may take several goes.
  6. Use a Crowbar.png crowbar to close the hatch on the limb

Robotic Limb Repair

Fixing mechanical arms, legs, hands and feet. Also performs facial reconstruction if aiming for head.

  1. Use the Screwdriver tool.png screwdriver to select the "Cybernetic Repair" Surgery.
  2. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  3. Use a Crowbar.png crowbar to open the hatch on the limb;
  4. Use a Welder.png welding tool to repair Brute damage then CableCoils.png cable coil to repair burn damage;
  5. Use a Crowbar.png crowbar to close the hatch on the limb

Robotic Limb Amputation

Amputating or otherwise removing mechanical limbs for the purposes of replacement, or simple cruelty.

  1. Use the Screwdriver tool.png screwdriver to select the "Robotic Limb Amputation" Surgery.
  2. Use a Multitool.png multitool to remove the targeted limb.
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