Surgery

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A Guide to Surgery

All surgery requires the set of medical tools in the Operating Theatre, along with an operating table. Once a surgery has been initiated, the nearby operating computer will give you a hint towards the next step.

Surgical Tools Saw.png

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 following are the standard surgical tools most doctors will need:

  • Scalpel.png Scalpel: Creates & mends incisions.
  • Hemostat.png Hemostat: Ties bleeders, and removes objects.
  • Retractor.png Retractors: Opens incisions and cavities.
  • Bone setter.png Bone Setter: Sets broken bones in place.
  • Bone gel.png Bone Gel: Mends broken bones back together.
  • Cautery.png Cautery: Cauterizes incisions and debrides.
  • Fixovein.png FixOVein: Mends ruptured arteries and veins.
  • Saw.png Circular Saw: Saws through bone and amputates limbs.
  • Drill.png Surgical Drill: Creates cavity spaces for implants.
  • Mmi empty.png MMI: Provides storage for brains.
  • Autopsy scanner.png Autopsy Scanner: Provides autopsy results.
  • Anesthetics.png Anesthetic Tank: Anesthetizes patients.
  • Sterilemask.png Sterile Mask: Prevents infections.
  • LGloves.png Latex Gloves: Prevents infections.
  • Scalpellaser.png Advanced Laser Scalpel: A scalpel that can also serve as a cautery.
  • IMS.png Incision Management System: A scalpel, hemostat, retractor, and cautery all in one. Retractor function takes precedence over hemostat in certain situations.

Ghetto Surgery Hatchet.png

Surgery can also be performed with other tools if proper surgical implements are not readily available. Use of these tools dramatically decreases the likelihood of successfully completing a step and often causes collateral damage, especially when attempting to make the initial incision. Furthermore, surgical procedures can be performed on tables and rollerbeds as well, with a 66% and 33% additional chance of failure respectively.

The following is a list of non-standard surgical tools for ghetto surgery:

  • Scalpel.png Scalpel: Kitchenknife.gif Kitchen Knife (90%), Glassshard.gif Glass Shard (60%), Scissors.png Scissors (12%), Claymore.png Claymore (6%), Energyaxe.gif Energy Axe (6%), Edagger.gif Energy Dagger (6%), Chainsaw.gif Chainsaw (1%)
  • Hemostat.png Hemostat: Cablecoil.gif Cable Coil (90%), Mousetrap.gif Mouse Trap (25%)
  • Retractor.png Retractors: Crowbar.png Crowbar (90%), Fork.gif Fork (60%)
  • Bone gel.png Bone Gel: Screwdriver2.gif Screwdriver (90%).
  • Bone setter.png Bone Setter: Wrench.png Wrench (90%).
  • Cautery.png Cautery: Cigarette.gif Cigarette (90%), Lighter.gif Lighter (60%), Welder.png Welding Tool (30%)
  • Fixovein.png FixOVein: Cablecoil.gif Cable Coil (90%).
  • Saw.png Circular Saw: Hatchet.png Hatchet (90%), Armblade.gif Armblade (75%) (Amputation Only)
  • Drill.png Surgical Drill: Pen.png Pen (90%) (Cavity Only), Mecha drill.png Exosuit Drill (60%) (Dental Only), Mining drill.png Mining Drill (60%) (Dental Only), Rods.png Metal Rods (60%) (Cavity Only), Screwdriver2.gif Screwdriver (20%) (Dental Only)



Notable exceptions:

  • Debridement: Use a Kitchenknife.gif Kitchen Knife or a Glassshard.gif Glass Shard to remove a dead tissue.
  • Facial Reconstruction: Use a Kitchenknife.gif Kitchen Knife or a Glassshard.gif Glass Shard to make an incision.
  • Implant Removal: Use a Crowbar.png Crowbar to extract an implant.
  • Internal Damage Repair: Use a Plasmacutter.gif Plasmacutter to fix burn damage.
  • Open/Close Hatch: Use a Retractor.png Retractor or any Fork.gif kitchen utensil to open or close the hatch.
  • Organ Removal: Use a Fork.gif Fork to extract an organ, then a Crowbar.png Crowbar to continue.
  • Removing a Rigsuit: Use a Welder.png Welding Tool to cut a rig open.
  • Unscrew Hatch: Use a Screwdriver2.gif Screwdriver, a Kitchenknife.gif Kitchen Knife or a 32px Coin to open the hatch.

Infection Cautery.png

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, improper/absent usage of sterile masks, improper storage of transplantable limbs/organs, and multiple people in a single operating theatre.

Failure to keep an operating theatre and its tools clean, along with adequate use of protective equipment (gloves, masks) 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.

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 LGloves.png

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:

  • If anyone is pulling on the patient, the surgery will not work properly. Make sure no one is pulling the patient.
  • The patient needs to 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 Vox, Plasmaman or Slime Person 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 OpTable.gif 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 LGloves.png latex gloves and a Sterilemask.png 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, Vox, and Slime People can not be anesthetized and will optionally require ether, morphine (addictive), salicylic acid, or hydrocodone.
  6. Pick up a BreathingMask.png medical mask and Anesthetics.png 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 it 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.png Help intent.

Basic Surgery List Scalpel.png

While there are a number of surgical procedures one can perform, the following are some of the most common procedures that every surgeon should familiarize themselves with.

  • To stop a surgery at any point in time, hold the scalpel tool in your active hand and a cautery in your off-hand. You can also switch intents prior to making the first incision.
  • Cybernetic Implant Surgery falls under Organ Manipulation Surgery.

Bone Repair Surgery

The mending of broken bones and fractures

  1. (Optional) Complete Prepping for Surgery.
  2. Ensure the patient has been healed first, or the bones will break as soon as you fix them.
  3. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  4. Use the Scalpel.png Scalpel to select the "Bone Repair" Surgery.
  5. Use the Scalpel.png Scalpel again to begin the incision
  6. Use the Hemostat.png Hemostat to stop any potential bleeding.
  7. Use your Retractor.png Retractors to lift up the skin.
  8. Apply Bone gel.png Bone Gel to the broken bone.
  9. Use the Bone setter.png Bone Setter to put the bone in place.
  10. Apply more Bone gel.png Bone Gel.
  11. Use the Cautery.png 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.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Internal Bleeding" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Fixovein.png FixOVein to repair the damaged blood vessels.
  8. Use the Cautery.png Cautery to seal the incision.

Limb Attachment Surgery

Re-attaching severed limbs

  1. Aim for the patient's affected (missing) limb using the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel to select the "Limb Attachment" Surgery.
  3. Attach the appropriate missing limb (theirs or someone elses).
  4. Use the Hemostat.png Hemostat to reconnect the nerves and muscles and finish. This step isn't needed for IPC limbs.

You can use the severed limbs of most humanoid mobs for this procedure.

Internal Organ Manipulation (Non-Synthetics)

Mending, inserting, and removing internal organs and cybernetic implants. Also fixes bones, and is used to remove xenomorph larva.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the correct Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Organ Manipulation" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding.
  6. Use the Retractor.png Retractors to lift up the skin.
  7. Use the Saw.png Circular Saw to open the the ribcage/skull [CHEST/HEAD ONLY].
  8. Use the Retractor.png Retractor to pull their ribcage/skull open [CHEST/HEAD ONLY].
  9. Here, you can manipulate the organs, by either using the Hemostat.png Hemostat to remove them, AdvTrauma.png Trauma Kit or Nanopaste.png Nanopaste to heal them, Beaker.png a reagent container filled with an alcoholic reagent to disinfect them, or simply transferring new organs inside.
  10. When finished:Use the Retractor.png Retractor to close the ribcage/skull/skin.
  11. Apply Bone gel.png Bone Gel to help mend the ribcage/skull [CHEST/HEAD ONLY].
  12. Use the Bone setter.png Bone Setter to finish mending the ribcage/skull [CHEST/HEAD ONLY].
  13. Apply Bone gel.png Bone Gel to help mend the ribcage/skull [CHEST/HEAD ONLY].
  14. Use the Cautery.png Cautery to seal the incision.

Plastic Surgery

Fixing facial Disfigurement and changing Identity.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's head in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Plastic Surgery" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision.
  5. Use your Retractor.png Retractor to lift up the skin.
  6. Use the Scalpel.png Scalpel to reshape the face and vocal chords.
  7. Use your Retractor.png Retractor to pull skin back into place.
  8. Use the Cautery.png Cautery to seal the incision.
  • Performing the surgery on a Disfigured face will repair, on a Normal face will give a list of random, species-appropriate names to change identity.
  • Note that this does not repair "husked" appearance as the result of excessive Burn damage.

Infection Treatment

Removing infections.

  1. Complete Prepping for Surgery.
  2. Aim for the affected body part location on the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "External Infection Treatment/Autopsy" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Cautery.png Cautery to seal the incision.
  • If an organ is infected you will have to administer spaceacillin or douse it in alcohol with a high ethanol content. If the organ is septic, it will require transplantation.

Debridement and Limb Revival

Reviving dead limbs

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Debridement" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Scalpel.png Scalpel to debride the necrotic tissue.
  8. Apply mitocholide using a container* to the organ to regenerate the removed tissue.
  9. Use the Cautery.png Cautery to seal the incision.
  • While bottles and buckets may be used, droppers are more effective (can not fail). The container must have mitocholide in it.

Advanced Surgery List IMS.png

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

Limb Augmentation

Augment limb with robotic part.

  1. Aim for the chest or limbs in the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel to select the "Augment Limb" Surgery.
  3. Use the Scalpel.png Scalpel again to begin the incision.
  4. Use the Hemostat.png Hemostat to stop any potential bleeding.
  5. Use the Retractor.png Retractorto lift up the skin.
  6. While holding a cyborg arm, leg, or chest; Insert the item inside.

Cavity Surgery

Implanting a variety of objects into an artificial body cavity.

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.png Damage Zone.
  2. Use the Scalpel.png Scalpel to select the "Cavity Implant/Removal" Surgery.
  3. Use the Scalpel.png Scalpel again to begin the incision
  4. Use the Hemostat.png Hemostat to stop any potential bleeding.
  5. Use your Retractor.png Retractors to lift up the skin.
  6. [CHEST ONLY] Use the Saw.png Circular Saw to open the ribcage.
  7. [CHEST ONLY] Use the Retractor.png Retractor to pull their ribcage open.
  8. Use the Drill.png Surgical Drill to prepare the cavity.
  9. While holding an Item:Insert the item inside. If it caused internal bleeding, use Fixovein.png FixOVein internal bleeding surgery to fix it.
  10. With an open hand: Click the patient to check for items inside the cavity.
  11. When done use Cautery.png Cautery twice to mend cavity wall.
  12. [CHEST ONLY] Use the Retractor.png Retractors to close their ribcage.
  13. [CHEST ONLY] Apply Bone gel.png Bone Gel to mend the cut ribcage.
  14. [CHEST ONLY] Use the Bone setter.png Bone Setter to mend the ribcage.
  15. [CHEST ONLY] Apply Bone gel.png Bone Gel to mend the cut ribcage.
  16. Use the Cautery.png Cautery to seal the incision.

Dental Implant Surgery

Putting pills in your teeth.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the mouth Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel (or other surgery starter) to select the "Dental Implant" Surgery.
  4. Use the Drill.png Surgical Drill to prepare the tooth.
  5. Insert the desired pill in the tooth.

Embedded Object Removal (Non-Synthetics)

Removing embedded objects, typically bullets, from the body.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the embeded object location on the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Removal of Embedded Objects" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use your Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Saw.png Circular Saw to open the ribcage/skull. [CHEST/HEAD ONLY]
  8. Use the Retractor.png Retractor to pull their ribcage/skull open. [CHEST/HEAD ONLY]
  9. Use the Hemostat.png Hemostat to extract the embeded objects.
  10. Use the Retractor.png Retractor to close their ribcage/skull. [CHEST/HEAD ONLY]
  11. Apply Bone gel.png Bone Gel to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
  12. Use the Bone setter.png Bone Setter to finish mending the ribcage/skull. [CHEST/HEAD ONLY]
  13. Apply Bone gel.png Bone Gel to mend the cut ribcage/skull. [CHEST/HEAD ONLY]
  14. Use the Cautery.png Cautery to seal the incision.

Implant Removal (Non-Synthetics)

Removing Implants such as mindshields, death alarms, mindslaves, and other implants from the body.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the chest on the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Implant Removal" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use your Hemostat.png Hemostat to stop any potential bleeding.
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Saw.png Circular Saw to open the ribcage.
  8. Use the Retractor.png Retractor to force their ribcage open.
  9. Use your Hemostat.png Hemostat to extract the implant.
  10. Use the Retractor.png Retractor to close their ribcage.
  11. Apply Bone gel.png Bone Gel to mend the cut ribcage.
  12. Use the Bone setter.png Bone Setter to finish mending the ribcage.
  13. Apply Bone gel.png Bone Gel to mend the cut ribcage.
  14. Use the Cautery.png Cautery to seal the incision.

Shadowling Dethrall

Removes Shadowling influence and converts a thrall back to a regular crewmember.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the head in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png Scalpel to select the "Cleanse Contaminations" Surgery.
  4. Use the Scalpel.png Scalpel again to begin the incision
  5. Use the Hemostat.png Hemostat to stop any potential bleeding. (Hemostat will pinch the patient if the bleeders have already been clamped, in that case skip this step)
  6. Use your Retractor.png Retractors to lift up the skin.
  7. Use the Saw.png Circular Saw to cut through the skull.
  8. Use the Retractor.png Retractor to pry the skull open.
  9. Use a Flashlight.png Flashlight or nearby handheld light-source to remove the shadowling tumor.
  10. Use the Retractor.png Retractor to close their skull.
  11. Apply Bone gel.png Bone Gel to mend the cut skull.
  12. Use the Bone setter.png Bone Setter to mend the skull.
  13. Apply Bone gel.png Bone Gel to mend the cut skull.
  14. Use the Cautery.png Cautery to seal the incision.

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.png Damage Zone.
  4. Use the Autopsy scanner.png autopsy scanner to scan the area.
  5. Repeat scan procedure for all affected areas.
  6. Right click the Autopsy scanner.png 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 or man-machine interface.

  1. With the head in your hand, use the Scalpel.png Scalpel to make an incision.
  2. Use your Retractor.png Retractors to peel the skin open.
  3. Use the Bone setter.png Bone Setter or Saw.png Circular Saw to crack the head open.
  4. Use the Hemostat.png Hemostat to remove the eyes/brain.

Alien Organ Manipulation

Extracting or manipulating the organs of a Xenomorph.

  1. Aim for the chest, head, groin, eyes, or mouth in the Damage zone.png Damage Zone.
  2. Use the Scalpel.png Scalpel or the Saw.png Circular Saw to select the "Alien Organ Manipulation" Surgery.
  3. Use the Saw.png Circular Saw to saw its carapace.
  4. Use the Scalpel.png Scalpel to cut its carapace.
  5. Use the Retractor.png Retractor to retract its carapace.
  6. Here, you can manipulate the organs, by either using the Hemostat.png Hemostat to remove them, AdvTrauma.png Trauma Kit to heal them, Beaker.png a reagent container filled with an alcoholic reagent to disinfect them, or simply transferring new organs inside.

Synthetic Surgery List Blue Toolbox.png

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.

Internal Cybernetic Manipulation

Mending, removal, and insertion of posibrains, microbatteries, optical sensors, and implants.

  1. Aim for the patient's correct Damage zone.png Damage Zone.
  2. Use the Screwdriver tool.png screwdriver to select the "Internal Cybernetic Manipulation" Surgery.
  3. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  4. Use a Crowbar.png crowbar to open the hatch on the limb;
  5. [REMOVAL Option] Use a Multitool.png multitool to Remove the organ.
  6. [REMOVAL] Dispose of the organ. For Borgification simply place the Posibrain.png Posibrain in an empty cyborg exoskeleton, or give the posibrain to a Roboticist.
  7. [TRANSPLANTATION Option] Use the organ you intend to transplant on the patient.
  8. [HEALING Option] Repair the affected organ with Nanopaste.png Nanopaste.
  9. Use a Crowbar.png 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.png Damage Zone.
  2. Use the Screwdriver tool.png screwdriver to select the "Cleanse Contaminants" Surgery.
  3. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  4. Use a Crowbar.png crowbar to open the hatch on the upper body;
  5. Use a Flashlight.png flashlight or nearby handheld light-source to remove the shadowling tumor.
  6. Use a Crowbar.png crowbar to close the hatch on the upper body

Implant Removal (Synthethics)

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

  1. Aim for the implant location on the Damage zone.png Damage Zone.
  2. Use the Screwdriver tool.png screwdriver to select the "Implant Removal" Surgery.
  3. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  4. Use a Crowbar.png crowbar to open the hatch on the limb;
  5. Use your Hemostat.png hemostat to extract the implant. This may take several goes.
  6. Use a Crowbar.png crowbar to close the hatch on the limb

Robotic Limb Repair

Fixing mechanical arms, legs, hands and feet. Also performs facial reconstruction if aiming for head.

  1. Use the Screwdriver tool.png screwdriver to select the "Cybernetic Repair" Surgery.
  2. Use a Screwdriver tool.png screwdriver to unlock the hatch on the limb;
  3. Use a Crowbar.png crowbar to open the hatch on the limb;
  4. Use a Welder.png welding tool to repair Brute damage then CableCoils.png cable coil to repair burn damage;
  5. Use a Crowbar.png crowbar to close the hatch on the limb

Robotic Limb Amputation

Amputating or otherwise removing mechanical limbs for the purposes of replacement, or simple cruelty.

  1. Use the Screwdriver tool.png screwdriver to select the "Robotic Limb Amputation" Surgery.
  2. Use a Multitool.png multitool to remove the targeted limb.