Guide to Surgery

Surgery is on of the most important parts of medicine as it's vital to keeping everyone healthy and happy. Mechanics wise it consists of placing the patient on an Operating Table, then clicking on them while holding a specific surgical tool targeting the appropriate body part while on Help intent. Each time this is done, there will be a short delay before the action completes. After it does, move on to the next step with the next tool. Complete each step in order to successfully complete the surgery. Don't click on anything else or change hands while this is happening, though, or your hand will slip and the patient will be harmed.

Prepping for surgery

Diagnosis

Make sure that your patient has been passed through the Body Scanner and that you have a printed copy of its readings before beginning your operation. Double-check that you're targeting the right limbs and that you haven't missed any organ damage or other important facts before you start, or you may end up really hurting your patient.

More importantly, make sure that all non-surgical issues that can be cured before operating have been cured before operating. Trying to repair a patient's organs while they're still pumped full of shrapnel is liable to result in a dead patient. Get your victims as stable as possible before strapping them to the slab.

Also make sure that you have given your patient all the necessary medications to keep them stable during the operation. You don't want to have to run out of the OR in the middle of an operation in search of emergency Biofoam or Dexalin Plus. If you need assistance during the surgery - someone to administer further medication, perform CPR, or apply a defibrillator, for example - make sure that they're also ready to go and know whats going down.

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.
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. Anesthetize the patient.
6. Be sure that the patient is asleep.
7. Make sure you're set on the Help intent.
8. 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 the patient is likely to have their heart stop from the sheer agony of it unless they have near overdose levels of painkillers in them.

Ideally, you want the patient to be asleep and unresponsive before shoving your hands into their innocent body. As such, you'll need to apply anesthesia.

The main source of anesthesia is the aesthetics closet in the OR. After placing your patient on the table, open the closet and take the mask and gas tank then place it on the patient after that simply toggle their internals and they'll be out cold.

Infection

If you fail to properly prep for surgery (don't wash your hands, don't wear sterile gloves, etc) 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.

List of operations

Basic 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 injuring 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 Damaged Area.
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.

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 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. Aim for the patient's mouth not head in the Damaged Area.
2. Cut the skin with your scalpel.
3. Use your hemostat to mend their vocal cords.
4. Use your retractors to put the skin back in place.
5. 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. Aim for the patient's Damaged Area.
2. 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 printed limb if one is available.
3. Use hemostat to connect the tendons and such.

Keep dylovene and spaceacillin handy. If meat limb was left outside of freezers for long, it might be infected. If it comes from a different person, 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
4. [CHEST OR HEAD ONLY] Close the skull or rib cage.
5. Close the incision.

WARNING: Repairing badly damaged organs (severe damage of worse) this way can cause permanent scarring, lowering its maximum health.

It will also happen if brain is repaired at insufficient oxygention (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 appenxies, 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.

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 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.

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.
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.
3. Use a 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.

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.