Surgery

=A Guide to Surgery In General=

All surgery requires the set of medical tools in the Operating Theatre, along with an operating table. In general, only Medical Doctors and the Chief Medical Officer can (ICly) perform advanced surgery. Remember to let each step complete fully, else you risk harming yourself or your patient.

Ghetto Surgery

If you can't find an operating table, have no fear, there are other ways to fix people up. Any table will work! Click twice on a player to put them in an aggressive grab, and click on a table. However, you have a 1/3 chance per step to make a mistake and injure the patient rather than advancing the procedure. While tables are more available anywhere metal is on hand, deploying the patient on a roller bed is preferable with only a 1/4 chance to fail.

Surgical Tools

Surgical tools are very hard to get and it is best to keep them in the operating theatre. However, if the worst happens and some tools disappear, you can order more in a surgery crate from cargo, and most can be made with an autolathe.

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

• File:Mmi empty.png MMI
• surgical drill
• scalpel
• circular saw
• hemostat
• cautery
• retractors
• bone setter
• bone gel
• FixOVein
• autopsy scanner
• sleeping agent
• medical mask
• sterile mask
• latex gloves

Ghetto surgical tools:

• Cable coil (FixOVein , 75% Success Chance / Hemostat , 75% Success Chance)
• Glass shard (Scalpel , 50% Success Chance)
• Wirecutters (Hemostat, 75% Success Chance, Can only be used to remove objects from the cavity)
• Crowbar (Retractor , 75 % Success Chance)
• Welding tool (Cautery , 25% Success Chance)
• Screwdriver (Bone Gel , 75% Success Chance)
• Mousetrap (Hemostat , 20% Success Chance)
• Fork ( Retractor , 50% Success Chance)
• Cigarette (Cautery , 25% Success Chance)
• Lighter ( Cautery , 50% Success Chance)
• Metal rods (Surgical Drill , 50% Success Chance)
• Wrench (Bone Setter , 75% Success Chance)
• Kitchen knife (Scalpel , 75% Success Chance)
• Hatchet (Circular Saw , 75% Success Chance)
• Pen (Surgical Drill , 75% Success Chance)
• Bruise Pack (Advanced Bruise Pack , 20% Success Chance)

Some of the ghetto tools should be used in order to repair mechanical organs. The Success Chance is only when the patient is being operated on an Operating Table, it may also vary , albeit in rare cases , in some surgeries and some might not work at all in some steps. Otherwise it will decrease even lower depending on the surface the patient is being operated on.

Infection

Place on gloves and wash your hands before every surgery. Failure to do so will result in giving your patient an infection, which left untreated can be deadly. Apply ointment to the afflicted areas quickly if you fail to wash your hands before starting surgery.

Prepping for Surgery

Please ensure that your patients are properly diagnosed and scanned before starting the operation, and that all medications and personal needed for the procedure have been prepared.

1. Find a suitable operating table, unless you're willing to risk Ghetto Surgery.
2. Make sure you're wearing latex gloves and a sterile mask.
3. Ask the person to strip, or click+drag them onto your body and click on all of their items to remove them.
4. Grab the person and click on the operating table to lay them down on it.
5. Pick up a medical mask and sleeping agent.
6. Click+drag their body onto yours to view their inventory. With the medical mask in your right hand, click on the "Nothing" link at the top beside "Head (Mask)". In a few seconds, you will equip them with the medical mask.
7. Place the sleeping agent in your right hand, then click the "Nothing" link in their inventory window beside "Back" to equip it on their back.
8. 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.
9. Make sure you're set on the Help intent.
10. Use a sink to wash your hands. Unclean hands can result in an infected wound. This is treatable with ointment.

NOTE: If anyone is pulling on the patient, the surgery will not work properly! Make sure no one is pulling the patient!

Surgery List

There are many different types of surgeries out there to preform. Sometimes it will be necessary to have the patient hooked up to an IV or someone on standby to inject medications during the procedure.

Bone Repair Surgery

The mending of broken bones and fractures and the closing of skulls

1. (Optional) Complete Prepping for Surgery.
2. Aim for the afflicted limb in the Damage Zone.
3. Use the scalpel to cut.
4. Use the hemostat to stop any potential bleeding. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
5. Use your retractors to lift up the skin.
6. Apply bone gel to the broken bone.
7. Use the bone setter to put the bone in place.
8. Apply more bone gel.
9. Use the cautery to seal the incision.

Facial Reconstruction Surgery

The fixing of facial deformaties.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's mouth not head in the Damage Zone.
3. Cut the skin with your scalpel.
4. Use your hemostat to reshape the face and vocal chords.
5. Use your retractors to pull skin back into place.
6. Use the 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.
3. Use the scalpel to cut.
4. Use the hemostat to stop any potential bleeding. Note you do not need to do this for the head. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
5. Use your retractors to lift up the skin.
6. Use the FixOVein to repair the damaged blood vessels.
7. Use the cautery to seal the incision.

Appendectomy

Removal of an inflamed appendix.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's groin in the Damage Zone.
3. Cut the skin with your scalpel.
4. Use your hemostat to stop any potential bleeding. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
5. Use your retractors to lift up the skin.
6. Use your scalpel to cut out the appendix.
7. Use your hemostat to extract the appendix.
8. (Optional) Dispose of the newly extracted appendix.
9. Cauterize the wound with the cautery.

Head Re-attachment Surgery

Re-attaching someones decapitated head to their body.

1. Acquire the cadaver and its head.
2. Aim for the cadaver's head in the Damage Damage Zone.
3. Use a retractor to peel back the flesh.
4. Use the FixOVein to shape the esophogal and vocal region.
5. Use a hemostat to staple and suture back the flesh.
6. Use the cautery to adjust the area around the neck.
7. Use the severed head to reattach it to the body.
8. Take the body away to be cloned.

Limb Replacement Surgery

Replacing missing limbs with robotic ones.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's affected (missing) limb using the Damage Zone.
3. (Optional) If the patient's affected limb is missing its extremity you will have to amputate the rest of the limb in order to replace it. Cut the flesh with your scalpel.
4. (Optional) Saw the limb off with your saw.
5. Cut the flesh with your scalpel.
6. Use your retractors to reshape the area.
7. Use the cautery to allow a limb to be attached.
8. Attach the appropriate robotic limb from Robotics.

Robotic limbs are tougher than normal limbs, and do not count towards overall damage. However, they can only be repaired by welders (for brute damage) or wires (for burn damage), and malfunction if damaged. Robotic limbs explode when they take too much damage.

Internal Organs Surgery

Mending collasped lungs and other broken organs in torso.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the chest in the Damage Zone.
3. Use the scalpel to cut.
4. Use the hemostat to stop any potential bleeding. Note you do not need to do this for the head. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
5. Use the retractors to lift up the skin.
6. Use the saw to open the ribcage.
7. Use the retractor to pull their ribcage open.
8. Apply Advanced Trauma Kit to mend the organs.
9. Use the retractor to close their ribcage.
10. Apply bone gel to mend the cut ribcage.
11. Use the cautery to seal the incision.

Eye Surgery

Giving sight back to the blind.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's eyes in the Damage Zone.
3. Cut the skin around them with your scalpel.
4. Use your retractors to lift up the eyes.
5. Use your hemostat to stop any potential bleeding.
6. Use your cautery to seal the wound.

Cavity Surgery

Putting things inside peoples' body cavities.

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.
2. Use the scalpel to cut.
3. Use the hemostat to stop any potential bleeding. Note that you do not need to do this for the head.
4. Use your retractors to lift up the skin.
5. [CHEST ONLY] Use the saw to open the ribcage.
6. [CHEST ONLY] Use the retractor to pull their ribcage open.
7. Use the surgical drill to prepeare cavity.
8. Insert the item inside. If it caused internal bleeding, use FixOVein to fix it.
9. If you decided not to put item inside, use cautery to mend cavity wall.
10. [CHEST ONLY] Use the retractor to close their ribcage.
11. [CHEST ONLY] Apply bone gel to mend the cut ribcage.
12. Use the cautery to seal the incision.

Implant Removal/Bullet Removal

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

1. (Optional) Complete Prepping for Surgery.
2. Aim for the implant location on the Damage Zone.
3. Cut the skin with your scalpel.
4. Use your hemostat to stop any potential bleeding.
5. Use your retractors to lift up the skin.
6. Use your hemostat to stop bleeding. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
7. Use the saw to open the ribcage. [CHEST ONLY]
8. Use the retractor to pull their ribcage open. [CHEST ONLY]
9. Use your hemostat to extract the implant. This may take several goes.
10. Use the retractor to close their ribcage. [CHEST ONLY]
11. Apply bone gel to mend the cut ribcage. [CHEST ONLY]
12. Cauterize the wound with the cautery.

Infection Treatment

Removing Infections. Pretty simple really.

1. Complete Prepping for Surgery.
2. Aim for the affected body part location on the Damage Zone.
3. Cut the skin with your scalpel.
4. Apply ointment to disinfect the wound.
5. Cauterize the wound with the cautery.

Alien Embryo Surgery

Removing hazardous parasites from the body. Also works for ingested monkey/farwa/stok cubes.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the chest in the Damage Zone.
3. Use the scalpel to cut.
4. Use the hemostat to stop any potential bleeding. Note you do not need to do this for the head. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
5. Use your retractors to lift up the skin.
6. Use the saw to open the ribcage.
7. Use the retractor to pull their ribcage open.
8. Use the hemostat to remove the alien embryo.
9. Use the retractor to close their ribcage.
10. Apply bone gel to mend the cut ribcage.
11. Use the cautery to seal the incision.

Brain Surgery

Removal of the brain so that it can be used for other purposes

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's head in the Damage Zone.
3. Use a scalpel to cut back the flesh.
4. Circular saw the skull open.
5. Cut the connective tissue with your scalpel.
6. Cut the spine with your Circular saw.
7. The File:Brain.png brain will pop out. At this point, depending on what's going on, you have a few options:
   • Place it in an File:Mmi empty.png MMI and give it to a Roboticist for Borgification.
   • Store it in a nearby freezer crate.
8. Assuming you've done the above steps again on another patient to swap brains:
   • Place the new brain into the patient.
   • Take the patient to Genetics for cloning.

Brain Damage Surgery

Fixing subdural hematoma.

1. Complete Prepping for Surgery.
2. (Optional) Get a UI injector with the patient's DNA to give the patient his hair back afterwards.
3. Aim for the patient's head in the Damage Zone.
4. Use a scalpel to cut back the flesh.
5. Circular saw the skull open.
6. Use a hemostat to take out bone chips.
7. Use the FixOVein to repair the damaged blood vessels.
8. Use the cautery to seal the incision.
9. Use bone repair surgery on the head to close the skull back up.

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.
4. Cut the skin with your scalpel (the chest may require two cuts).
5. Use the autopsy scanner to scan the area.
6. Repeat scalpel and scan procedure for all affected areas.
7. Right click the autopsy scanner to print out autopsy data.