Surgery

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Synthetic Department

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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

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 Standard Surgical Equipment
Scalpel


Creates incisions and debrides.

Hemostat


Ties bleeders, and removes objects.

Retractors


Opens incisions and cavities.

Bone Setter


Sets broken bones in place.

Bone Gel


Mends broken bones back together.

Cautery


Cauterizes incisions.

FixOVein


Mends ruptured arteries and veins.

Circular Saw


Saws through bone and amputates limbs.

Surgical Drill


Creates cavity spaces for implants.

Anesthetic Tank


Anesthetizes patients.

Additional Optional Equipment
Man-Machine Interface


Provides storage for brains.

Sterile Mask


Helps prevent infections.

Latex Gloves


Helps prevent infections.

Advanced Laser Scalpel


A scalpel, hemostat, and cautery all in one.

Incision Management System


An ALS with retractor functionality. Retractor fuctionality takes precedence over hemostat.

Surgical Drapes


An alternative to starting surgery. Lowers chances of infection and prevents blood spilling.

Improvised Surgery

Surgery can also be performed with other tools if proper surgical implements are not readily available. Use of these tools can dramatically decrease the likelihood of successfully completing a step, often causing collateral damage, especially when attempting to make the initial incision. Furthermore, surgical procedures can be performed on surfaces similar to an operating table, at the cost of additional chance of failure. Tool and surface success chance modifiers combine multiplicatively.

  • Note: Due to the nature of improvised surgery, using sharp objects on tabled subjects will begin surgery. If you're in a different scenerio, don't use help intent.
Improvised Surgical Equipment
Regular Equipment Substitutes (Hover over the items sprite to see the success rate and any specific information)
Scalpel
Knives
90% success rate
(PLASTIC SURGERY ONLY)
50% success rate
Shivs
70% success rate
Glass Shard
60% success rate
Wirecutters
(CANT PERFORM DEBRIDEMENT)
35% success rate
Scissors
(CANT PERFORM DEBRIDEMENT)
12% success rate
Claymore
(CANT PERFORM DEBRIDEMENT)
6% success rate
Energy Blades
(CANT PERFORM DEBRIDEMENT)
6% success rate
Edagger
(CANT PERFORM DEBRIDEMENT)
6% success rate
Chainsaw
(CANT PERFORM DEBRIDEMENT)
1% success rate
Hemostat
Cable Coil
(CANT REMOVE INTERNAL ORGANS)
90% success rate.
Wirecutters
(INTERNAL ORGAN REMOVAL ONLY)
90% success rate.
(TENDING OF WOUNDS ONLY)
65% success rate.
Watcher Sinew
90% success rate
Fork
(INTERNAL ORGAN REMOVAL ONLY)
70% success rate
Crowbar
(BIO-CHIP REMOVAL ONLY)
65% success rate
Pens
(TENDING OF WOUNDS ONLY)
55% success rate
Mouse Trap
25% success rate
Retractors
Crowbar
90% success rate
Fork
60% success rate
Bone Gel
Screwdriver
90% success rate
Bone Setter
Wrench
90% success rate
Cautery
Cigarette
90% success rate
Lighter
60% success rate
Welding Tool
30% success rate
Flamethrowers
1% success rate
FixOVein
Cable Coil
90% success rate
Watcher Sinew
90% success rate
Circular Saw
Chainsaw
(AMPUTATION SURGERY ONLY)
100% success rate
(BONESAWING STEP ONLY)
90% success rate
Hatchet
90% success rate
Armblade
(AMPUTATION SURGERY ONLY)
75% success rate
Energy Blades
(AMPUTATION SURGERY ONLY)
75% success rate
Wirecutters
(BONESAWING STEP ONLY)
35% success rate
Surgical Drill
Hand Drill
(CAVITY SURGERY ONLY)
90% success rate
(DENTAL SURGERY ONLY)
80% success rate
Pen
(CAVITY SURGERY ONLY)
90% success rate
Exosuit Drill
(DENTAL SURGERY ONLY)
90% success rate
Metal Rods
(CAVITY SURGERY ONLY)
60% success rate
Mining Drill
(DENTAL SURGERY ONLY)
60% success rate
Screwdriver
20% success rate
Dropper
100% success rate
Syringe
100% success rate
Glass Bottle
90% success rate
Drinking Glass
85% success rate
Drinking Bottle
80% success rate
Beaker
75% success rate
Spray Bottle
60% success rate
Bucket
50% success rate
Surgical Drapes
90% chance for infection prevention
Improvised Drapes
67% chance for infection prevention
Bedsheet
45% chance for infection prevention
Jumpsuits
10% chance for infection prevention
Nothing
0% chance for infection prevention
Operating Table
Holo Stretchers
90% success rate
Roller Beds
80% success rate
Tables
80% success rate
Beds
70% success rate
Improvised Anesthetics
Anesthetics
100% success rate
Augmented
100% success rate
Corpse
100% success rate
Hydrocodone
99% success rate
Morphine
99% success rate
Drunk
95% success rate
Salicylic Acid
85% success rate
Tipsy
85% success rate
Happiness
81% success rate
Nothing
80% success rate
Improvised Robotics
Screwdriver
Coin
50% success rate
Kitchen Knifes
50% success rate
Crowbar
Retractor
100% success rate
Spoons
50% success rate
Forks
50% success rate
Sporks
50% success rate
Welding tool
Laser Scalpels
(ROBOTIC CAVITY IMPLANT/REMOVAL ONLY)
60% success rate
Plasma Cutter
(CYBERNETIC REPAIR SURGERY ONLY)
50% success rate
Cautery
(ROBOTIC CAVITY IMPLANT/REMOVAL ONLY)50% success rate
Lighter
(ROBOTIC CAVITY IMPLANT/REMOVAL ONLY)
40% success rate
Nanopaste
Screwdriver
70% success rate
Bone Gel
30% success rate
Failing with this surgical instrument will give the patent toxin damage, if organic.
Wirecutters
Hemostat
60% success rate

Preventing Infection

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 and sterile masks.
  • Improper storage of transplantable limbs/organs.
  • Multiple people in a single operating theatre.

Failure to keep an operating theatre and its equipment clean 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. You can also use surgical drapes on a patient before you start a surgery, lowering the chances of infection and blood spilling.

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

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:

  • The patient should 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 a 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 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 latex gloves and a 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 medical mask and 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 the anesthetics 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 intent.

Basic Surgeries

While there are a number of surgical procedures one can perform, the following are some of the most common procedures that are simple and require only basic tools.

NOTE: All the tables can be expanded into list format, if a surgical window isnt open, Here

Basic Surgeries
[Expand]
Amputation
Removal of limbs or head.
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Bio-chip Removal
Removing bio-chips such as mindshields, death alarms, mindslaves, and other bio-chips from the body.
[Expand]
External Infection Treatment
Removing infections on limbs.
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Limb Attachment Surgery
Re-attaching severed limbs.
[Expand]
Plastic Surgery

Fixing facial Disfigurement and changing Identity.

Intermediate Surgeries

These surgeries use more equipment compared to the Basic Surgeries and take a bit longer.

Intermediate Surgeries
[Expand]
Bone Repair Surgery
The mending of broken bones and fractures.
[Expand]
Debridement and Limb Revival
Reviving dead limbs. Can also mend critical burns, but Severe Burns Surgery is easier.
[Expand]
Internal Bleeding Surgery
Repairing damaged arteries and veins within the body to stop internal bleeding.
[Expand]
Internal Organ Manipulation
Mending, inserting, and removing internal organs and cybernetic implants.
[Expand]
Limb Augmentation
Augment limb with robotic part.
[Expand]
Severe Burns Surgery
The mending of critical burns.
[Expand]
Tending of Wounds
Tend wounds with a hemostat or burn kits!

Advanced Surgeries

There's also a bevy of other surgeries that can be performed even if niche in purpose.

Advanced Surgeries
[Expand]
Alien Organ Manipulation
Extracting or manipulating the organs of a Xenomorph.
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Autopsy
Examination of cadavers to find cause of death. See autopsy prodedures for more information.
[Expand]
Brain Removal
Removing the eyes and brain of a decapitated head for transplant to a full body or man-machine interface.
[Expand]
Cavity Surgery
Hiding a variety of objects into an artificial body cavity. Not for implants or bio-chips.
[Expand]
Dental Implant Surgery
Putting pills in your teeth.
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Embedded Object Removal
Removing embedded objects, typically bullets, from the body.

Robotics Surgeries

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.

Mechanical Surgeries
[Expand]
Bio-chip Removal (Synthethics)
Removing bio-chips from the body.
[Expand]
Cybernetic Appearance Customization
For when the Unbranded style doesn't look good after all.
[Expand]
Cybernetic Repair
Fixing mechanical arms, legs, hands and feet.
[Expand]
Identity Configuration
Renaming and Re-Gendering.
[Expand]
Internal Component Manipulation
Mending, removal, and insertion of posibrains, microbatteries, optical sensors, and implants.
[Expand]
Robotic Cavity Implant/Removal
Removal of items from robotic body cavities.Not for implants or bio-chips.
[Expand]
Robotic Limb Amputation
The removal of Mechanical limbs.
[Expand]
Robotic Limb Attachment
Application of Mechanical limbs.