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.

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.

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.

Internal Organs Surgery (Non-Synthetics)

Mending collapsed lungs, damaged eyes, organs, and the brain.

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. Apply Advanced Trauma Kit to mend the organs. If the patient has robotic organs, use Nanopaste.
9. Use the retractor to close the ribcage/skull [CHEST/HEAD ONLY].
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.

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. If you cannot re-attach it, use a circular saw to amputate the "limb stump" on the neck, then re-try with the head
5. 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 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 prepare the 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.

Embedded Object Removal (Non-Synthetics)

Removing embedded objects from the body. Also removal of things from body cavities.

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 your hemostat to extract the embeded object.
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.

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.

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 the hemostat 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.

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.

Organ Removal and Transplantation (Non-Synthethics)

Removal and transplantation of an organ such as a brain or liver to another patient.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's correct Damage Zone.
3. Use a scalpel to cut back the flesh.
4. Use a hemostat to clamp bleeders.
5. Use a retractor to peel back the flesh.
6. [CHEST/HEAD ONLY] Use a saw to saw open the skull/ribcage.
7. [CHEST/HEAD ONLY] Use a retractor to pry open the skull/ribcage.
8. [REMOVAL] Use a scalpel to detach the organ.
9. [REMOVAL] Use a hemostat to remove the organ.
10. [REMOVAL] Dispose of the organ or store it in a freezer. For Borgification, place the brain in an MMI and give it to a Roboticist.
11. [TRANSPLANTATION] Use the organ you intend to transplant on the patient.
12. [TRANSPLANTATION] Use the FixOVein to reconnect the organ to the body.
13. [TRANSPLANTATION] Administer a advanced trauma kit or use the nanopaste if required, to repair any damage received during transport/transplantation.
14. [TRANSPLANTATION] [CHEST/HEAD ONLY] Use the retractor to push the bones back together.
15. [TRANSPLANTATION] [CHEST/HEAD ONLY] Apply bone gel to repair the bones.
16. Close the incision with a cautery and monitor the patient's health closely for signs of an infection.
    • If you just finished transplanting a brain, take the patient to Genetics for cloning.

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, place the brain in an MMI and give it 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

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