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
• sterile mask
• latex gloves

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.

If an organ gets infected you will have to use spaceacilin... and a lot of it (max 50 u).

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!

NOTE 2: Make sure the patient is not a Vox nor a Plasmaman before you administer anesthetics!*

NOTE 3: Make sure the patient has been healed prior to bone repair surgery, or it won't work!*

NOTE 4: IPCs do not require anesthetics, as they do not breathe. Make sure you have a mechanical toolbox fully kitted out on hand.

Basic Surgery List

There are numerous types of surgeries that you can perform. Here are some of the most common that every surgeon should familiarize themselves with. A list of surgery can be accessed via using a sharp object on the patient.

Note, not all sharp objects can be uses as scalpals! Note 2: To stop a surgery at anytime, hold the scalpel tool in your active hand and a catuery in your off, or try swapping intents if its before the first cut!

Bone Repair Surgery

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

1. (Optional) Complete Prepping for Surgery.
2. Ensure the patient has been healed first, or this surgery won't work.
3. Aim for the afflicted limb in the Damage Zone.
4. Use the scalpel to cut.
5. Use the hemostat to stop any potential bleeding.
6. Use your retractors to lift up the skin.
7. Apply bone gel to the broken bone.
8. Use the bone setter to put the bone in place.
9. Apply more bone gel.
10. 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.
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.

Robotic Limb Replacement Surgery

Replacing missing limbs with robotic ones.

1. Aim for the patient's affected (missing) limb using the Damage Zone.
2. Attach the appropriate robotic limb from Robotics.

Robotic limbs are tougher than normal limbs, but 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. Note: with surgery 2.0 you can attach robotic limbs directly OR by using the surgery list. Also note, for IPCs and Company manufactured (chargen) limbs you need to use limbattachment surgery.

Organic Limb Replacement Surgery

Replacing missing limbs with that monkeys arm you "found"....

1. Aim for the patient's affected (missing) limb using the Damage Zone.
2. Attach the appropriate missing limb (theirs or someone elses).
3. Use the hemostat to reconnect the nerves and muscles and finish.

You can use the severed limbs of most mobs for this, EXPERIMENT!.

Internal Organs Surgery (Non-Synthetics)

Mending collapsed lungs, damaged eyes, organs, and the brain, extracting organs and inserting them.. surgery 2.0 uses the Mainpulate Organs surgery for most of these now, and you can do more then one in the surgery.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the correct Damage Zone (NOTE: For eyes, target the head).
3. Use the scalpel to cut.
4. Use the hemostat to stop any potential bleeding.
5. Use the retractors to lift up the skin.
6. Use the saw to open the the ribcage/skull [CHEST/HEAD ONLY].
7. Use the retractor to pull their ribcage/skull open [CHEST/HEAD ONLY].
8. Mainpulate Organs Step Option:Apply Advanced Trauma Kit to mend the organs. If the patient has robotic organs, use Nanopaste.
9. When finished:Use the retractor to close the ribcage/skull/skin.
10. Apply bone gel to mend the ribcage/skull [CHEST/HEAD ONLY].
11. 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 retractor to pull skin back into place.
6. Use the cautery to seal the incision.

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. Cauterize the wound with the cautery in your off hand..

NOTE: If an organ is infected you will have to administer a lot of spaceacillin (maximum of 50 u. Surgery won't be necessary in that case, as long as the other body parts are not infected, the substance might also remove other infections.

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 the severed head to reattach it to the body.
4. Reconnect the Muscles with a hemostat .
5. Try to defib or Take the body away to be cloned. If they are an IPC, reattach their limbs and repair them.

Advanced Surgery List

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

Cavity Surgery

Putting things inside and removing things from 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.
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 prepare the cavity.
8. While holding an Item:Insert the item inside. If it caused internal bleeding, use FixOVein internal bleeding surgery to fix it.
9. With an open hand: Click the patient to check for items inside the cavity.
10. When done use cautery twice to mend cavity wall.
11. [CHEST ONLY] Use the retractor to close their ribcage.
12. [CHEST ONLY] Apply bone gel to mend the cut ribcage.
13. Use the cautery to seal the incision.

Embedded Object Removal (Non-Synthetics)

Removing embedded objects from the body. Also for the removal of embedded parasitic entity.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the embeded object 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 the saw to open the ribcage/skull. [CHEST/HEAD ONLY]
7. Use the retractor to pull their ribcage/skull open. [CHEST/HEAD ONLY]
8. Use an open hand to extract the embeded objects.
9. Use the retractor to close their ribcage/skull. [CHEST/HEAD ONLY]
10. Apply bone gel to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
11. Cauterize the wound with the cautery.

Note:Do not be alarmed if at times you find a cortical borer when removing things from the head...

Implant Removal (Non-Synthetics)

Removing Implants from the body.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the chest 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 the saw to open the ribcage.
7. Use the retractor to force their ribcage open.
8. Use your hemostat to extract the implant.
9. Use the retractor to close their ribcage.
10. Apply bone gel to mend the cut ribcage.
11. Cauterize the wound with the cautery.

Have a empty implant case on hand to perserve the implant.

Shadowling Dethrall

Removes the evil influence of shadowlings from a thrall. Converts a thrall back to a regular crewmember

1. (Optional) Complete Prepping for Surgery.
2. Aim for the head 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. Use the saw to cut through the skull.
7. Use the retractor to pry the skull open.
8. Use a flashlight to remove the shadowling tumor.
9. Use the retractor to close their skull.
10. Apply bone gel to mend the cut skull.
11. Use the cautery to seal the incision.

Organ mainpulation (non-synthetics)

not only can you use organ mainpulation surgery to heal internal organs you can, extract and implant organs, Including cybernetic implants. Watch out for alien embryos you might find!

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.
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. Option 1:heal organs with trauma kits or nanopaste.
8. Option 2:Remove an organ, or xeno larva, with a hemostat
9. Option 3:Implant a organic or cybernetic organ/implant.
10. when you have done all you neeed to do Use the retractor to close their ribcage/skull. [CHEST/HEAD ONLY]
11. Apply bone gel to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
12. Cauterize the wound with the cautery.

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.

Organ Removal (Decapitated Head)

Removing the eyes and brain of a decapitated head for transplant to a full body.

1. Place head onto the operating table.
2. Aim for the head in the Damage Zone.
3. Use the scalpel to cut.
4. Use your retractors to open up the head.
5. Use the hemostat to remove the eyes from the head.
6. Use the hemostat to remove the brain from the head.
7. From, here, you should proceed to Organ Removal and Transplantation (Non-Synthethics).

Synthetic Surgery List

There are are also a number of procedures that can be performed on synthetics.

IPC Resuscitation

Reviving Machine People that have fallen apart.

1. Place IPC's torso on the operating table.
2. Reattach all arms and legs using Limb Replacement Surgery. (Robotics can produce new prosthetic limbs for this if needed)
3. Reattach head using Head Re-attachment Surgery.
4. Once all limbs are attached, analyze damage with a health scanner.
5. Repair any burn damage with cable coils and brute damage with a welding tool. (If you can't find these, ask a friendly Engineer or Roboticist for them)

Organ Removal and Transplantation (Synthethics)

Removal and transplantation of an organ such as a posibrain or sensors.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's correct Damage Zone.
3. Use a screwdriver to unlock the hatch on the limb;
4. Use a crowbar to open the hatch on the limb;
5. [REMOVAL] Use a multitool to detach the organ.
6. [REMOVAL] Use a hemostat to remove the organ.
7. [REMOVAL] Dispose of the organ. For Borgification give the File:Posibrain.png Posibrain to a Roboticist.
8. [TRANSPLANTATION] Use the organ you intend to transplant on the patient.
9. Use a 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.
2. Use a screwdriver to unlock the hatch on the upper body;
3. Use a crowbar to open the hatch on the upper body;
4. Use a hemostat to remove the tumor.
5. Use a crowbar to close the hatch on the upper body

Implant Removal/Bullet Removal (Synthethics)

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

1. (Optional) Complete Prepping for Surgery.
2. Aim for the implant location on the Damage Zone.
3. Use a screwdriver to unlock the hatch on the limb;
4. Use a crowbar to open the hatch on the limb;
5. Use your hemostat to extract the implant/shrapnel. This may take several goes.
6. Use a crowbar to close the hatch on the limb

Internal Organs Surgery (Synthetics)

Mending posibrains, damaged sensors, etc.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the correct Damage Zone.
3. Use a screwdriver to unlock the hatch on the limb.
4. Use a crowbar to open the hatch on the limb.
5. Repair the affected organ with Nanopaste.
6. Use a crowbar to close the hatch on the limb.

Robotic Limb Repair

Fixing mechanical arms, legs, hands and feet

1. Use a screwdriver to unlock the hatch on the limb;
2. Use a crowbar to open the hatch on the limb;
3. Use a welding tool to repair Brute damage and/or cable coil to repair burn damage;
4. Use a crowbar to close the hatch on the limb