Guide to Surgery

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This guide will primarily be useful for doctors and roboticists but may come in handy to any player and especially traitors.

There are several types of surgery - for biological subjects, for mechanical subjects, and miscellaneous procedures that use surgery mechanics for a non-surgical purpose.

The Basics

Tools of the Trade

If you're going to practice the noble art of healing, you'll need the right equipment to hand. Here's the full set of things you'll need to have to hand (although not all at once). There are also upgraded versions that Research can produce, and make-do alternatives you can use in a pinch - but those might not work quite as well.

Scalpel Hemostat Retractor Bone Saw Cautery Bone Gel Bone Setter Fix-o-Vein Surgical Drill Peridaxon
Scalpel.png Hemostat.png Retractor.png BoneSaw.png Cautery.png BoneGel.png BoneSetter.png FixoVein.png SurgicalDrill.png Peridaxon.png
Trauma Kit Nanopaste MMI Anesthetic Gas Medical Mask Sterile Mask Latex Gloves Dropper Biopsy Scanner Blood Bag
TraumaKit.png Nanopaste.png MMI.png AnestheticTank.png MedicalMask.png SterileMask.png LatexGloves.png Dropper.png BiopsyScanner.png BloodBag.png

Note: The more advanced scalpels from RnD let you skip steps when opening surgical cuts. The Laser Scalpels all skip the hemostat step, while the Incision Management System skips both the hemostat step and the retractor step, greatly speeding up the process. Other than that, they function as scalpels in all regards.

Appropriate surroundings

There's more to surgery than just the tools - you should make sure you're ready before starting. To make a procedure is done quickly, easily, and without complications, you should:

You can't do surgery just anywhere. The best place to have your patient while operating is on a surgery table. If that's impossible you can keep them strapped into a medical roller bed or even just have them lie on a table, although these make it easy to slip and injure your patient by accident. You should also make sure you're not going to be interrupted in the middle of a procedure - you have to finish your work if you want your patient to survive.

Biological Patients

So You're a Surgeon

Congratulations! If you're reading this, you're either a capable medical professional or something has gone horribly wrong. As a surgeon, your role in medical is to make sure that the bones, organs, and blood stay inside your patient and aren't leaking more than expected. In a proper operating theater with a full set of appropriate tools, this is an easy task! For a step by step primer to every task you're likely to encounter, read on.

Before Operating

Make sure your patient is prepared

Surgery is a traumatic experience. Most patients will prefer to be sedated or anesthetized before you start working on them (and the ones that refuse both are just plain silly). Your best option is anesthetic gas tanks - putting someone on gas will keep them pain free and asleep, preventing them from moving mid-procedure and injuring themselves and be easily removed afterward. You can also use injected or ingested soporific for a similar effect, although this is less convenient as you'll need to remove any remaining soporific after the surgery to wake the patient up. Painkillers such as oxycodone and tramadol are also effective for pain management during surgery if the patient is unwilling or unable to be sedated.

Make sure your hands are clean

Infections are lethal in the long term. The easiest way to make sure your patient stays complication-free is to take precautions against causing them by ensuring that your hands aren't teeming with germs. Washing your hands is an effective preventative measure, and you can also use sterilizine on yourself and your tools to be absolutely sure of their cleanliness. Wherever possible, you should also wear proper dress for the occasion - surgical scrubs, a surgical cap, latex gloves, and a breath or surgical mask all help protect your patient from you. If you can't do most of these things or you're just cautious, make sure to give your patient a shot of spaceacillin before or after the procedure.

The Procedures

Opening and Closing
What You're Doing Where To Aim Steps To Take
Opening an incision The body part to be operated on Scalpel.png -> Hemostat.png -> Retractor.png
Closing an incision The body part to be closed up Cautery.png
Opening the head or body The head or upper body Scalpel.png -> Hemostat.png -> Retractor.png -> BoneSaw.png -> Retractor.png
Closing the head or body The head or upper body Retractor.png -> BoneGel.png -> Cautery.png


Treating Problems
What You're Doing Where To Aim Steps To Take
Fixing Broken Bones Where the broken bone is Open an incision -> BoneGel.png -> BoneSetter.png -> BoneGel.png -> Close incision
Fixing Brute or Burn Which limb is damaged. Open an incision - > BiopsyScanner.png -> Brute: TraumaKit.png / Cautery.png Burn: Burnkit.png / FixoVein.png - > Repeat previous step until damage is removed. - > Close incision.
Repairing Internal Organs Head, upper, or lower body Open -> TraumaKit.png / Nanopaste.png -> Close
Reattaching a Brainstem Head Open -> Insert Brain -> FixoVein.png -> SurgicalDrill.png -> Hemostat.png -> FixoVein.png -> BoneGel.png -> Hemostat.png -> Close
Stopping Internal Bleeding Where the internal bleeding is Open -> FixoVein.png -> Close
Removing Limbs and Preparation for Prosthesis The extremity or stump to remove BoneSaw.png -> Target Higher (the arm for a hand, the body for an arm, the leg for a foot, the groin for a leg) -> TraumaKit.png (To bandage)
Replacing Limbs & Heads The extremity or stump to replace Click with replacement limb -> Hemostat.png
Extracting Objects Where the embedded object is Open -> Hemostat.png until successful -> Close
Implanting Objects Where you want to embed the object Open -> SurgicalDrill.png -> Object to implant -> FixoVein.png if a vein is torn -> Close
Damaged Faces Mouth Open incision -> Close
Removing Internal Organs Head, upper, or lower body Open -> Scalpel.png -> Hemostat.png -> Close
Transplanting Internal Organs Head, upper, or lower body Open -> Scalpel.png -> Replacement Organ -> FixoVein.png -> Close
Removing Necrosis The necrotic area Open -> Scalpel.png -> Dropper.png with Peridaxon -> Close
Autopsies & Biopsies The damaged area Open -> BiopsyScanner.png -> Close

Synthetic Patients

So you're a Roboticist

Congratulations! As a roboticist you don't have to worry about unpleasantries like patients bleeding to death, but your Synthetic crewmates can be every bit as clumsy as the more traditional meat-people. Thankfully, your lab is equipped with fully featured surgical facilities for both assembly and repairs prosthetic limbs and bodies. Here, we'll be covering repairs in detail.

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.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 WeldingMask.png -> WelderOn.gif
Fixing Burn Damage Where the damage is Open -> CableCoil.png (Repeat until fixed) -> Close
Repairing Internal Organs Head, upper, or lower body Open -> Screwdriver.png / Nanopaste.png -> Close
Removing Limbs The extremity or stump to remove BoneSaw.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 BoneSaw.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 -> SurgicalDrill.png -> Object to implant -> 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 -> Close
Transplanting/Inserting Internal Organs Head, upper, or lower body Open -> Replacement Organ -> Screwdriver.png -> Close
Transplanting MMI Head Open -> Replacement MMI -> Close