Surgery

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A Guide to Surgery In General

All surgery requires the set of medical tools in the Operating Theatre, along with an operating table. Ideally, only Surgeons and the Chief Medical Officer can perform advanced surgery. Remember to let each step complete fully, else you risk harming yourself or your patient like playing dangerously and want to ace that surgery.

Field Surgery

Generally this should only be put into play if you are unable to reach medbay or the operating rooms (e.g. singularity eats medbay) and surgery needs to be done immediately. Any table will work, though an operating table has the least chance of failures. Putting the patient in an aggressive grab and clicking the table will lay them on the table, from there you should probably instruct them to rest or else they'll just get back up. Roller beds, however, have a better chance of success than regular tables. The tools you use will also determine the success of each surgery, with a scalpel having the highest chance of success, a sharp knife being suitable, while some sharp object like a glass shard will spur issues.

Surgical Tools

Surgery tools aren't common and are pretty much only found in the operating rooms. The ghetto tools can be found just about everywhere.

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

Standard Tools:

  • Scalpel.png Scalpel
  • Hemostat.png Hemostat
  • Retractor.png Retractors
  • Saw.png Circular saw
  • Cautery.png Cautery
  • Bone gel.png Bone gel
  • Bone setter.png Bone setter
  • Drill.png Surgical drill
  • BreathingMask.png Medical mask
  • Anesthetics.png Anesthetic tank
  • Autopsy scanner.png Autopsy scanner
  • Sterilemask.png Sterile mask
  • LGloves.png Latex gloves
  • Traumakit.png Advanced trauma kit
  • Nanopaste.png Nanopaste

Advanced Tools:

The following are tools that can be used in place of their surgically refined counterparts.

Ghetto tools:

  • CableCoils.png Cable Coil
  • GlassShard.png Glass Shard
  • Wirecutters.png Wirecutters
  • Crowbar.png Crowbar
  • Welderon.gif Welding Tool
  • Screwdriver tool.png Screwdriver
  • Mousetrap.png Mousetrap
  • Fork.png Fork
  • Cigarette.gif Cigarette
  • Lighter.png Lighter
  • Rods.png Metal Rods
  • Wrench.png Wrench
  • Knife.png Kitchen Knife

Infection

Wear gloves and wash your hands before every surgery. Failure to do so will result in giving your patient an infection which, if left untreated, can be deadly. Apply ointment to the afflicted areas quickly if you fail to wash your hands before starting surgery. Make sure to clean your tools after every surgery as well with a spray bottle of either space cleaner or sterilizine If you use a syringe on a patient, dispose of it. Never re-use a syringe, else you risk giving the patient an infection. You don’t want to spread infection. 

Prepping for Surgery

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

  1. Find a suitable OpTable.gif operating table.
  2. Make sure you're wearing LGloves.png latex gloves and a Sterilemask.png sterile mask.
  3. Ask the person to strip, or clickdrag them onto your body and click on all of their items to remove them.
  4. Grab.png Grab the person and click on the operating table to lay them down on it.
  5. Check the Crewmonitor.gif Operating Computer to ensure the patient is positioned properly; if the monitor does not show the patient's vitals, the surgery will not work.
  6. Clickdrag from the Entwenty.png anesthetic pump onto the patient to place the mask over their face and automatically enable their internals.
    1. Alternatively, pick up a BreathingMask.png medical mask and Anesthetics.png sleeping agent.
    2. Clickdrag their body onto yours to view their inventory. Place the medical mask on their mask slot and the tank of nitrous on their back.
    3. Clickdrag their body onto yours once again to refresh the window. A new option called Set Internals will appear towards to bottom. Clicking it will turn on the anesthetics after a short while.
  7. Examine the patient until it reports that they are unconscious, alternatively view the Crewmonitor.gif Operating Computer until their status reads 'Non-Responsive'.
  8. Make sure you're set on the Help.png Help intent.
  9. Use a sink to wash your hands. Unclean hands can result in an infected wound. This is treatable with ointment.

Surgery List

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

Opening a Surgical Site

The first steps of most surgeries.

  • NOTE: Steps 3-5 can be replaced with one use of an Scalpmanager.png IMS if one is available to you. Steps 3 and 4 can be replaced with one use of a Laserscalp.png Laser Scalpel.
  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the location in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png scalpel to create an incision.
  4. Use the Hemostat.png hemostat to stop any potential bleeding.
  5. Use your Retractor.png retractors to lift up the skin.


For internal work in chest and skull only:

  1. Use the Saw.png bone saw to cut through the bone.
  2. Use your Retractor.png retractors to move the bone aside.

GHETTO:

  • Scalpel.png Scalpel - Knife 50%, glass shard 20%
  • Laserscalp.png Laser Scalpel - Level 1 75%, Level 2 85%, Level 3 95%, energy sword 5%
  • Hemostat.png Hemostat - Cable coil 75%, mousetrap 20%
  • Retractor.png Retractor - Crowbar 75%, fork 50%
  • Saw.png Surgical Saw - Hatchet 75%

Closing a Surgical Site

The final steps of most surgeries.

  1. Aim for the location in the Damage zone.png Damage Zone.

If you had to use the Saw.png bone saw earlier (chest/head):

  1. Use your Retractor.png retractors to put the bones back into place.
  2. Apply Bone gel.png bone gel to mend their ribcage/skull unless the bone was fractured during the sawing phase, in which case, conduct bone repair before continuing.

Then after the above (or if it was not required):

  1. Use the Cautery.png cautery to seal the incision.

GHETTO:

  • Retractor.png Retractor - Crowbar 75%
  • Bone gel.png Bone Gel - Screwdriver 75%
  • Cautery.png Cautery - Cigarette 75%, lighter 50%, welder 25%

Bone Repair

The mending of broken bones and fractures.

  • NOTE: Steps 3-5 can be replaced with one use of a Boneclamp.png Boneclamp if one is available to you.
  1. (Optional) Complete Prepping for Surgery.
  2. Perform Opening a Surgical Site.
  3. Ensure the target limb doesn't have any damage, otherwise the bone will break again.
  4. Apply Bone gel.png bone gel to the broken bone.
  5. Use the Bone setter.png bone setter to put the bone in place.
  6. Apply more Bone gel.png bone gel.
  7. Perform Closing a Surgical Site.

GHETTO:

  • Bone gel.png Bone Gel - Screwdriver 75%
  • Bone setter.png Bone Setter - Wrench 75%

Facial Reconstruction

The fixing of facial and vocal deformaties.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's mouth - not head - in the Damage zone.png Damage Zone.
  3. Cut the skin with your Scalpel.png scalpel.
  4. Use your Hemostat.png hemostat to mend their vocal cords.
  5. Use your Retractor.png retractors to put the skin back in place.
  6. Cauterize the wound with the Cautery.png cautery.

GHETTO:

  • Scalpel.png Scalpel - Knife 75%, glass shard 50%
  • Hemostat.png Hemostat - Cable coil 75%, mousetrap 10%
  • Retractor.png Retractor - Fork 75%, crowbar 55%
  • Cautery.png Cautery - Cigarette 75%, lighter 50%, welder 25%

Internal Bleeding

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

  1. (Optional) Complete Prepping for Surgery.
  2. Perform the steps in Opening a Surgical Site.
  3. Use the Fixovein.png FixOVein to repair the damaged blood vessels.
  4. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Fixovein.png Fix'O'Vein - Cable coil 75%

Limb Replacement

Replacing missing limbs with new ones. Yes, even the head.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's affected (missing) limb using the Damage zone.png Damage Zone.
  3. If patient has Limb Stump, use Saw.png Circular Saw to cut it off, otherwise skip this step.
  4. Attach the appropriate limb, either mechanical or organic.
  5. Use Hemostat.pngHemostat to reconnect the nerves.
  6. Use a Traumakit.png trauma kit if the patient requires one (may need to be applied to either the new limb, or the 'parent' body part it was attached to).
  7. Ensure the patient is able to manipulate their new limb before releasing them.

Internal Organs Repair

Mending damaged organs such as lungs, liver, and brain.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the chest, groin, or head in the Damage zone.png Damage Zone.
  3. Perform the steps in Opening a Surgical Site.
  4. Use the appropriate mechanism to mend the organ:
    • Traumakit.png Advanced trauma kit for organic organs
    • Nanopaste.png Nanopaste for synthetic organs
  5. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Traumakit.png ATK - Gauze 20%

Cavity Surgery

Putting things inside peoples' body cavities, such as NIFs.

Maxiumum size of item that fits inside:

  • Head - tiny
  • Abdomen - small
  • Chest - normal
  1. Aim for the chest, abdomen or head in the Damage zone.png Damage Zone.
    • If you are implanting a NIF, you must target the head.
  2. Perform the steps in Opening a Surgical Site.
  3. Use the Drill.png surgical drill to prepare cavity.
  4. Insert the item inside. If it caused internal bleeding, use FixOVein to fix it.
  5. If you decided not to put item inside, use Cautery.png cautery to mend cavity wall.
  6. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Drill.png Drill - Pen 75%, metal rods 50%
  • Cautery.png Cautery - Cigarette 75%, lighter 50%, welder 25%

Implant/Shrapnel Removal

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.png Damage Zone.
  3. Perform the steps in Opening a Surgical Site.
  4. Use your Hemostat.png hemostat to extract the implant. This may take several tries.
    • Note that there is a brief period where nothing happens after you click on the patient with the hemostat. Use this time to click on the patient multiple times to queue up multiple attempts at removing implants
  5. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Hemostat.png Hemostat - Wirecutters 75%, fork 20%

Alien Embryo Removal

Removing hazardous parasites from the body.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the chest in the Damage zone.png Damage Zone.
  3. Perform the steps in Opening a Surgical Site.
  4. Use the Hemostat.png hemostat to remove the alien embryo.
  5. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Hemostat.png Hemostat - Wirecutters 75%, fork 20%

Organ Removal/Transplantation

Removal and re-insertion of the brain or other organs

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the organ's location in the Damage zone.png Damage Zone. (Head for brain/eyes, chest for heart/liver/lungs, groin for appendix/kidney)
  3. Perform the steps in Opening a Surgical Site.

Removing an organ:

  1. Use the Scalpel.png scalpel. This will open up a window asking you which organ you'd like to cut loose.
  2. Use the Hemostat.png 'hemostat. This will open up a window asking you which loose organ you'd like to remove.
  3. Dispose of the organ or store it in a freezer. For Borgification, place the brain in an MMI empty.png MMI and give it to a Roboticist.

Inserting an organ:

  1. Use the organ you intend to transplant on the patient.
  2. Use the Fixovein.png FixOVein to reconnect the organ to the body.
  3. Administer a Traumakit.png advanced trauma kit or use the Nanopaste.png nanopaste if required, to repair any damage received during transport/transplantation.
  4. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Scalpel.png Scalpel - Kitchen knife 75%, glass shard 50%
  • Hemostat.png Hemostat - Wirecutters 75%, fork 20%
  • Fixovein.png Fix'O'Vein - Cable coil 75%

Organs may become infected after transplantation. Do not transplant organic organs that are from a different species or blood type as the patient, otherwise they will be rejected and the patient will soon die.

Necrotic Limb Repair

Fixing limb necrosis caused by septic infections. Not organs.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the necrotic organ in the Damage zone.png Damage Zone.
  3. Perform the steps in Opening a Surgical Site.
  4. Use the Scalpel.png scalpel to cut away the dead flesh.
  5. Use a Eyedropper.png dropper filled with Peridaxon to revive the necrotic organ.
  6. Perform the steps in Closing a Surgical Site.

GHETTO:

  • Scalpel.png Scalpel - Kitchen knife 75%, glass shard 50%
  • Eyedropper.png Dropper - Bottle/beaker 75%, spray bottle/bucket 50%

Autopsy

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

  1. Place cadaver onto the operating table.
  2. Aim anywhere in the Damage zone.png Damage Zone.
  3. Cut the skin with your Scalpel.png scalpel (the chest may require two cuts).
  4. Use the Autopsy scanner.png autopsy scanner to scan the area.
  5. Repeat scalpel and scan procedure for all affected areas.
  6. Right click the Autopsy scanner.png autopsy scanner to print out autopsy data.

Hardsuit Removal

Cutting the seals on a sealed hardsuit so that it can be removed from the person wearing it.

  1. Place the patient or cadaver onto the operating table. Cleanliness is not required.
  2. Aim for the chest in the Damage zone.png Damage Zone.
  3. Use a plasma cutter, Welderon.gif welding tool, or Saw.png circular saw to slice the hardsuit seals open. This may take several attempts.
  4. Pull the hardsuit control module off their back.

Synthetic Patients

Roboticist Guide to robo-surgery.

Many of the same steps as listed above should be practiced on synthetic crew. While they may not bleed or have the risk of infection. Proper protocol should be followed. Also remember that "Screwdrivers Screwdriver tool.png having a 30% chance to fail." It is best to operate with nano-paste Nanopaste.png when available. As screw driver fails can cause further damage.

The Procedures

Opening and Closing
What You're Doing Where To Aim Steps To Take
Opening a hatch The prosthetic to be operated on Screwdriver tool.png -> Crowbar.png
Closing a hatch The body part to be closed up Crowbar.png
Treating Problems
What You're Doing Where To Aim Steps To Take
Fixing Brute Damage Where the damage is Wear your WeldingHelmet.png -> Welderon.gif
Fixing Burn Damage Where the damage is Open -> CableCoils.png (Repeat until fixed) -> Close
Repairing Internal Organs Head, upper, or lower body Open -> Screwdriver tool.png(70% Success) / Nanopaste.png(100% Success) -> Close
Removing Limbs The extremity or stump to remove Saw.png -> Target Higher (the arm for a hand, the body for an arm, the leg for a foot, the groin for a leg)
Replacing Limbs & Heads The extremity or stump to replace Saw.png -> Target Higher (the arm for a hand, the body for an arm, the leg for a foot, the groin for a leg) -> Close
Extracting Objects Where the embedded object is Open -> Hemostat.png until successful -> Close
Implanting Objects Where you want to embed the object Open ->Drill.png -> Object to implant -> File:FixoVein.png if a vein is torn -> Close
Damaged Faces Head Fix any brute + burn damage
Removing Internal Organs Head, upper, or lower body Open -> Multitool.png -> Hemostat.png-> pick organ -> Close
Transplanting/Inserting Internal Organs Head, upper, or lower body Open -> Replacement Organ -> Screwdriver tool.png -> Close
Transplanting MMI Head Open -> Replacement MMI -> Close
Guide Table IconTips.png
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