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 chance per step to make a mistake and injure the patient depending on the tools you're using and just how 'ghetto' they are, rather than advancing the procedure. A scalpel is the best, but a very sharp, well-made knife is passable, and a random table-knife is going to have some issues.

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:

• surgical drill
• scalpel
• circular saw
• hemostat
• cautery
• retractors
• bone setter
• bone gel
• autopsy scanner
• sleeping agent
• medical mask
• sterile mask
• latex gloves
• advanced trauma kit
• nanopaste

Ghetto surgical tools:

• Cable coil
• Glass shard
• wirecutter
• crowbar
• welding tool
• screwdriver
• mousetrap
• fork
• cigarette
• lighter
• metal rods
• wrench
• kitchen knife

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. Make sure to clean your tools after every surgery as well!

Prepping for Surgery

Please ensure that your patients are properly diagnosed and scanned before starting the operation, and that all medications and personnel 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. Check the 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. Pick up a medical mask and sleeping agent.
7. 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.
8. 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.
9. 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.
10. Make sure you're set on the Help intent.
11. 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 perform. 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.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the location in the Damage Zone.
3. Use the scalpel to create an incision.
4. Use the hemostat to stop any potential bleeding.
5. Use your retractors to lift up the skin.

For internal work in chest and skull only:

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

Closing a Surgical Site

The final steps of most surgeries.

1. Aim for the location in the Damage Zone.

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

1. Use your retractors to put the bones back into place.
2. Apply bone gel to begin mending their ribcage/skull. You might need to use it more than once.
3. Use the bone setter to set the bones..
4. Apply more bone gel to finish mending the bones.

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

1. Use the cautery to seal the incision.

Bone Repair Surgery

The mending of broken bones and fractures.

1. (Optional) Complete Prepping for Surgery.
2. Perform Opening a Surgical Site.
3. Apply bone gel to the broken bone.
4. Use the bone setter to put the bone in place.
5. Apply more bone gel.
6. Perform Closing a Surgical Site.

Facial Reconstruction Surgery

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.
3. Cut the skin with your scalpel.
4. Use your hemostat to mend their vocal cords.
5. Use your retractors to put the skin back in place.
6. Cauterize the wound with the cautery.

Internal Bleeding Surgery

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 to repair the damaged blood vessels.
4. Perform the steps in Closing a Surgical Site.

Appendectomy

Removal of an inflamed appendix.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's groin in the Damage Zone.
3. Perform the steps in Opening a Surgical Site.
4. Use your scalpel to cut out the appendix.
5. Use your hemostat to extract the appendix.
6. (Optional) Dispose of the newly extracted appendix.
7. Perform the steps in Closing a Surgical Site.

Limb Replacement Surgery

Replacing missing limbs with new ones.

1. (Optional) Complete Prepping for Surgery (no need for anasthetics).
2. Aim for the patient's affected (missing) limb using the Damage Zone.
3. Attach the appropriate limb, either mechanical or organic.
4. Use the hemostat if the limb is organic to reattach tendons and muscles.
5. Use a 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).
6. Ensure the patient is able to manipulate their new limb before releasing them.

Cyborg limbs can be applied to humanoids, but have a tendency to malfunction in explosive ways when suffering damage. They are easier to acquire than a modern robotic prosthesis, however, and can do in a pinch.

Internal Organs Surgery

Mending collasped lungs and other broken organs in torso and head.

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

Eye Surgery

Giving sight back to the blind.

See Internal Organs Surgery, as eyes are considered an internal organ in the head.

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. Perform the steps in Opening a Surgical Site.
3. Use the surgical drill to prepeare 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 to mend cavity wall.
6. Perform the steps in Closing a Surgical Site.

NIF Implant Surgery

Functionally the same as the cavity surgery, as it is just putting an object (the NIF) in the head.

1. Aim for the head in the Damage Zone.
2. Perform the steps in Opening a Surgical Site.
3. Use the surgical drill to prepeare cavity.
4. Insert the NIF inside. If it caused internal bleeding, use FixOVein to fix it.
5. If you decided not to put the NIF inside, use cautery to mend cavity wall.
6. Perform the steps in Closing a Surgical Site.

Implant 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. Perform the steps in Opening a Surgical Site.
4. Use your hemostat to extract the implant. This may take several goes.
5. Perform the steps in Closing a Surgical Site.

Alien Embryo Surgery

Removing hazardous parasites from the body.

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

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. (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. This will open up a window asking you which organ you'd like to cut loose.
2. Use the '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 and give it to a Roboticist.

Inserting an organ:

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

Organs may become infected or rejected after transplantation. Monitor the patient closely after surgery to ensure rejection syndrome does not set in, or they may die.

Brain Damage Surgery

Fixing subdural hematoma.

1. Complete Prepping for Surgery.
2. Aim for the patient's head in the Damage Zone.
3. Perform the steps in Opening a Surgical Site.
4. Use a hemostat to take out bone chips.
5. Use the FixOVein to repair the damaged blood vessels, if necessary.
6. Perform the steps in Closing a Surgical Site.

Head Reattachment Surgery

Reattaching a severed head for simpler cloning.

1. Acquire the cadaver and its head.
2. Aim for the cadaver's head in the 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.

Necrotic Limb & Organ Repair

Fixing limb and organ necrosis caused (mostly) by septic infections.

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

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.

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.
3. Use a plasma cutter, welding tool, or circular saw to slice the hardsuit seals open. This may take several attempts.
4. Pull the hardsuit control module off, as when unsealed.

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