Surgery

The preparation process

Are you sure you've got your scanner printout handy, all medications administered, all other conditions dealt with, and all necessary personnel ready to go?

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 manually remove their clothing.
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. Anesthetize the patient.
7. Be sure that the patient is asleep.
8. Make sure you're set on the Help intent.
9. Use a sink to wash your hands.

Anesthesia

Operating on people who are awake is kind of difficult. They tend to scream and squirm around a lot. It's technically possible to complete surgery on someone who's awake, but you're best off restraining them if that's the case, and the patient is likely to have their heart stop from the sheer agony of it unless they're high as a kite on painkillers.

Ideally, you want the patient to be asleep and unresponsive before shoving your hands into their rib cage. As such, you'll need to apply anesthesia. There are two main types of anesthesia available on board the SEV Torch: suppressors and injected. Using inhaled anesthesia is not recommended. The main source of anesthesia is via breathink Mask

The other option is injected anesthesia. The NanoMed Plus vendor in the Medbays contains bottles of Soporific. Fill up a syringe and pump your patient full. It'll take a while to fully knock them out (so be sure to keep looking at them with Shift + Click so that you know when they finally do conk off), but it'll last a while. There's no quick way to bring them out of this coma, unless you want to pump them full of Dylovene to counteract the soporific.

Soporific relies on your patient having a functioning organ, in this case, the heart. A small amount of chemicals will still be absorbed even if the heart is not pumping, but not a meaningful amount. Either way, if the heart is not pumping, soporific is not circulating. Then again, neither is anything else, so your patient is unlikely to be awake anyway. If for some reason they are, and their lungs also aren't working, then they're shit outta luck. Pump 'em full' of painkillers and pray they don't fight back, 'cause if both the lungs and heart are out, you haven't got time to waste.

Infection

If you fail to properly prep for surgery (don't wash your hands, don't wear sterile gloves, and so on) you run the risk of giving your patient an infection. This can be very dangerous if allowed to progress and should be treated promptly by applying Ointment to the affected area. If the infection is particularly advanced, consider dosing the patient with Spaceacillin.

If you're not sure whether or not you prepped properly, better safe than sorry. Slap some ointment down on that healing incision once you've finished with the operation.

A few final notes

Be sure that your patient doesn't have Bicaridine or Tricordrazine in their system before beginning surgery. These medications will close any incisions you make, rendering surgery impossible. In the same way, do not apply gauze to a patient while surgery is in progress, or you will close the incision and force yourself to start over. Advanced trauma kits will do the same thing, but there are a few surgeries that require you to use them. Doing that at the right time in the surgery won't close the incision. Just make sure you're following the instructions correctly.

You may also want to read the How to help section for a few notes on keeping patients alive on the table.

When performing multiple surgeries on different body parts, it can be useful for speed to use the body-part selection hotkeys on your numpad by pressing the numbers corresponding in position to the body-part you wish to operate on. Double-press for secondary parts of that body-part, such as the hands or eyes.

As a final note, if for whatever reason, you are operating on a patient with no limbs, you will not be able to use the circular saw to open the rib cage or skull. It will assume that you are trying to amputate. This renders most surgery on limbless patients impossible; either stabilize them and attach new limbs, or just saw off the head and transfer them to a cyborg body.

List of operations

Performing a surgery itself is simple. Target the appropriate limb or part of the body, make sure you're on Help intent and click on the patient with the appropriate surgical tool in your hand. You'll then have to wait for a short period while the action completes. During this time, you can't do anything but talk, or your hand will slip and you'll hurt the patient. Once the action is completed, click on them again with the next appropriate tool in hand. Rinse and repeat until the surgery is complete.

If you're not actually performing the surgery, but are just assisting the surgeon with things like medicating the patient and keeping the IV going, see the section on How to help. Template:Note

Standard steps

Most surgeries follow a very basic pattern:

1. Make an incision.
2. [CHEST OR HEAD] Open the skull or rib cage.
3. Perform the operation.
4. [CHEST OR HEAD] Repair the skull or rib cage.
5. Close the incision.

Learning this basic pattern will make most surgery extremely simple, but be warned that not every surgery follows this pattern. Be sure to read the full instructions in order to avoid hurting a patient!

Making an Incision

The first step of most surgeries.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the area which you want to operate on in the Damage Zone.
3. Use the scalpel to make a cut. Can use existing cut wound if it's big enough.
4. Use the hemostat to stop any potential bleeding.
5. Use your retractors to spread the incision.

Closing an Incision

The last step of most surgeries.

1. After you are finished with main procedure, use the cautery to seal the incision. If it was clean surgical one, this will mitigate most of damage.
2. (Optional) Apply Gauze and Ointment to the area to prevent infection and promote rapid healing.

Opening the Skull or Rib Cage

For operating on internal organs in the chest or head.

1. Use the circular saw to open the ribs or skull.
2. Once the rest of the operation is complete, remember to perform steps two through four of Opening the Skull or Rib Cage|Bone Repair Surgery to close the ribs or skull before Closing the Incision.

Bone Repair Surgery

The mending of broken bones and fractures, or closing of opened ribs and skulls.

1. Make an incision.
2. Apply bone gel to the broken bone.
3. Use the bone setter to put the bone in place.
4. Apply more bone gel.
5. Close the incision.

Facial Reconstruction Surgery

The fixing of facial and vocal deformaties.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's head in the Damage Zone.
3. Cut the skin with your scalpel.
4. Use your hemostat to prevent bleeding.
5. Use your retractors to widen the incision.
6. Use your hemostat to mend their vocal cords.
7. Close the incision.

Arterial Bleeding & Torn Tendon Surgery

Repairing damaged arteries within the body to stop internal bleeding or fixing torn and cut tendons.

1. Make an incision.
2. Use the FixOVein to repair the damaged blood vessels/damaged tendons.
3. Close the incision.

Amputation

Removing a limb or a limb stump.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's limb using the Damage Zone.
3. Use a circular saw to amputate the limb.

Limb Replacement Surgery

Replacing missing limbs or severed heads.

1. Ampuate the stump, if one is present.
2. Attach the limb you recovered (hopefully), or a prosthesis if one is available.
3. Use the hhemostatatto connect the tendons and such.

((Note|Keep dylovene and spaceacillin handy. If meat limb was left outside of freezers for long, it might be infected. If it comes from someone of different species, be ready for rejection.

Organ Repair

Mending brain hematomas, damaged eyes, collasped lungs and other broken organs.

1. Make an incision.
2. [CHEST OR HEAD ONLY] Open the skull or rib cage.
3. Use the advanced trauma kit to mend the organs, or nanopaste on an robotic organ.
4. [CHEST OR HEAD ONLY]Close the skull or rib cage.
5. Close the incision.

((Warning|Repairing badly damaged organs (severe damage or worse) this way can cause permanent scarring, lowering its maximum health.

It will also happen if the brain is repaired at insufficient oxygenation (below 30%), so if you can, try to restore oxygenation first.))

Shrapnel and Implant Removal

Removing implants, bullets, shrapnel, or other objects that have become stuck in the patient's body.

1. Make an incision.
2. [CHEST OR HEAD ONLY] Open the skull or rib cage.
3. Use the hemostat to extract the object. This may take several attempts.
4. [CHEST OR HEAD ONLY] Close the skull or rib cage.
5. Close the incision.

Organ Removal or Transplantation

Removal and re-insertion of the brain, heart, lungs, inflammed appendixess, etc.

The Head contains the brain and eyes. The Chest contains the heart and lungs. The Groin contains the liver, kidneys, and appendix.))

1. Make an incision.
2. [CHEST OR HEAD ONLY] Open the skull or rib cage.

1. [REMOVAL] Use the scalpel. This will open up a window asking you which organ you'd like to cut loose.
2. [REMOVAL] Use the hemostat. This will open up a window asking you which loose organ you'd like to remove.
3. [REMOVAL] Dispose of the organ or store it in a freezer. For Cyborg creating, place the brain in an MMI and give it to a Scientist / ONI.

1. [TRANSPLANTATION] Use the organ you intend to transplant on the patient.
2. [TRANSPLANTATION] Use the FixOVein to reconnect the organ to the body.
3. [TRANSPLANTATION] Administer a advanced trauma kit or use the nanopaste if required, to repair any damage received during transport/transplantation.

1. [CHEST OR HEAD ONLY] Close the skull or rib cage.
2. Close the incision.
3. (Optional) Watch the patient closely for signs of organ rejection.

Decaying Organ Repair

Repairing decaying or otherwise severely damaged organs. Necrotic organs cannot be repaired.

1. Make an incision.
2. [CHEST OR HEAD ONLY] Open the skull or rib cage.
3. Use a dropper filled with Peridaxon to revive the decaying organ.
4. [CHEST OR HEAD ONLY] Close the skull or rib cage.
5. Close the incision.

Autopsy

Examination of cadavers to find cause of death.

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, orcircular saw to slice the hardsuit seals open. This may take several attempts.
4. Pull the hardsuit control module off, as when unsealed.

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. Make an incision
2. [CHEST OR HEAD ONLY] Open the skull or rib cage.
3. Use the surgical drill to prepare the cavity.
4. Insert the item by clicking on the patient with the item in hand.
5. If insertion has caused internal bleeding, use FixOVein to fix it.
6. If you decided against inserting the item, use the cautery to mend cavity wall.
7. [CHEST OR HEAD ONLY] Close the skull or rib cage.
8. Close the incision.

Extracting organs from detached body parts

Removing internal organs from parts of the body, such as heads, which are no longer attached to the rest.

1. Place the body part on any surface, or hold it in hand.
2. Use the scalpel to cut the body part open.
3. Use the retractor to crack the body part open.
4. Use the hemostat to extract an organ. Repeated applications will yield further organs, until all organs present in the body part have been removed.