Surgery

A Guide to Surgery In General

All surgery requires the set of medical tools in the Operating Theatre, along with an operating table: . Ideally, only Soteria Doctors and the Chief Biolab Overseer can perform advanced surgery. Remember to let each step complete fully, lest you like playing dangerously and want to any% that surgery risk harming yourself or your patient.

Field Surgery

Generally, this should only be put into play if you are unable to reach Medbay or the operating rooms (e.g. Medbay is full of spiders, exploded or both otherwise) and surgery needs to be done immediately. Since you likely won't have a proper operating table at hand, a more serviceable option than the floor would be a Roller bed , with the greatest chance of success outside properly suited surfaces. However, if even that convenience isn't an option, any table will work. Putting the patient in an aggressive grab and clicking the table will lay them on the table, from there you should probably instruct them to rest or else they'll just get back up. If possible, remove any existing air tank from their outfit (check pockets too), put a tank of anesthetic on their back with a mask on their face , turn it on, and get to it (All done by click-dragging your patient's sprite to yours and having the appropriate items in your hand). Or just fill them up with Tramadol. Patients generally do not like watching their insides get manipulated.

The tools you use will also determine the success of each surgery, with a scalpel having the highest chance of success, a sharp knife being passable, while some vaguely sharp object like a glass shard will have issues.

Surgical Tools

Surgery tools aren't common and are pretty much only found in the operating rooms or printed from an autolathe with the correct disk. The "ghetto" tools can be found just about everywhere.

Approved Surgical Tools:

• Scalpel
• Hemostat
• Retractors
• Circular saw
• Cautery
• Bone setter
• Surgical drill
• Medical mask
• Anesthetic tank
• Autopsy scanner
• Sterile mask
• Latex gloves
• Advanced trauma kit
• Nanopaste

"Alternative" Tools:

• Cable Coil
• Glass Shard
• Wirecutters
• Crowbar
• Welding Tool
• Screwdriver
• Mousetrap
• Pliers
• Fork
• Cigarette
• Lighter
• Metal Rods
• Wrench
• Kitchen Knife
• Shiv

Infection

Wear gloves and wash your hands before every surgery. Failure to do so will result in giving your patient an infection which, if 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 with a spray bottle of either space cleaner or sterilizine If you use a syringe on a patient, dispose of it. Never re-use a syringe, else you risk giving the patient an infection. You don’t want to spread infection. 

Prepping for Surgery

Please ensure that your patients are properly diagnosed and scanned in a body scanner before starting the operation, and that all medications and personnel needed for the procedure have been prepared.

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 clickdrag 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. Place an anesthetic tank on the medical stand and wrench it into place.
6. 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.
7. Clickdrag from the medical stand onto the patient to place the mask over their face and then click on the medical stand to open the valve.
   1. Alternatively, pick up a medical mask and sleeping agent.
   2. Clickdrag their body onto yours to view their inventory. Place the medical mask on their mask slot and the tank of nitrous on their back.
   3. Clickdrag their body onto yours once again to refresh the window. A new option called Set Internals will appear towards to bottom. Clicking it will turn on the anesthetics after a short while.
8. Examine the patient until it reports that they are unconscious, alternatively view the Operating Computer until their status reads 'Non-Responsive'.
9. Make sure you're set on the Help intent.
10. Use a sink to wash your hands. Unclean hands can result in an infected wound. This is treatable with ointment.

Surgery List

There are many different types of surgeries that can be performed. 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 your retractors to lift up the skin.
5. Use the hemostat to stop any potential bleeding.

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.

GHETTO:

• Scalpel - Knife 50%, glass shard 20%
• Laser Scalpel - Level 1 75%, Level 2 85%, Level 3 95%, energy sword 5%
• Hemostat - Cable coil 75%, mousetrap 20%
• Retractor - Crowbar 75%, fork 50%
• Surgical Saw - Hatchet 75%

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 setter to mend their ribcage/skull unless the bone was fractured during the sawing phase, in which case, conduct bone repair before continuing.

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

1. Use the cautery to seal the incision.

GHETTO:

• Retractor - Crowbar 75%
• Bone setter - Screwdriver 75%
• Cautery - Cigarette 75%, lighter 50%, welder 25%

Bone Repair

The mending of broken bones and fractures.

1. (Optional) Complete Prepping for Surgery.
2. Perform Opening a Surgical Site.
3. Ensure the target limb doesn't have any damage, otherwise the bone will break again.
4. Use your retractors to remove any bone shards.
5. Apply bone setter to set the bone in place.
6. Use the bone setter to finish mending the bone.
7. Perform Closing a Surgical Site.

GHETTO:

• Bone setter - Screwdriver 75%
• Bone Setter - Wrench 75%

Injury Treatment

Healing massive injuries which might not otherwise be viable to handle with bandages and medicine, such as treating a massively critical patient, or recoving a body for revival.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the most injured location on the Damage Zone.
3. Perform the steps in Opening a Surgical Site.
4. You may need to open the skull or ribs to access damaged organs with a saw and retractors.
5. Use a Hemostat to mend any internal bleeding or remove foriegn objects.
6. Begin treating the damage to the whole body by using an Advanced Trauma Kit', Advanced Burn Kit, or Nanopaste to heal Brute, Burn, or Toxins respectively.
7. Perform the steps in Closing a Surgical Site.
8. Perform the steps in Bone Repair if you had to access the chest cavity or brain.

Internal Organs Repair

Mending damaged organs such as lungs, liver, and brain.

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.

GHETTO:

• ATK - Gauze 20%

Limb Replacement

Replacing missing limbs with new ones. Yes, even the head.

1. (Optional) Complete Prepping for Surgery.
2. Aim for the patient's affected (missing) limb using the Damage Zone.
3. If patient has Limb Stump, use Circular Saw to cut it off, otherwise skip this step.
4. Attach the appropriate limb, either mechanical or organic.
5. Use Hemostat to reconnect the nerves.
6. 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).
7. Ensure the patient is able to manipulate their new limb before releasing them.

Implant/Shrapnel Removal

Removing implants from the body. Also removal 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 tries.
5. Perform the steps in Closing a Surgical Site.

GHETTO:

• Hemostat - Wirecutters 75%, fork 20%, pliers

Cavity Surgery

Putting things inside peoples' body cavities. Not that thing, not those cavities.

Maxiumum size of item that fits inside:

• Head - tiny
• Abdomen - small
• Chest - normal

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 prepare cavity.
4. Insert the item inside. If it caused internal bleeding, use Hemostat 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.

GHETTO:

• Drill - Pen 75%, metal rods 50%
• Cautery - Cigarette 75%, lighter 50%, welder 25%

Facial Reconstruction

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.

GHETTO:

• Scalpel - Knife 75%, glass shard 50%
• Hemostat - Cable coil 75%, mousetrap 10%
• Retractor - Fork 75%, crowbar 55%
• Cautery - Cigarette 75%, lighter 50%, welder 25%

Alien Embryo Removal

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.

GHETTO:

• Hemostat - Wirecutters 75%, fork 20%, pliers

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 Soteria_Roboticist.

Inserting an organ:

1. Use the organ you intend to transplant on the patient.
2. Use the Hemostat 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.

GHETTO:

• Scalpel - Kitchen knife 75%, glass shard 50%
• Hemostat - Wirecutters 75%, fork 20%
• Retractor - Pliers

Organs may become infected after transplantation. Do not transplant organic organs that are from a different species or blood type as the patient, otherwise they will be rejected and the patient will soon die.

Neural Degradation/Toxins removal

Fixing limb necrosis caused by septic infections. Not organs.

1. (Optional) Complete Prepping for Surgery.
2. Perform the steps in Opening a Surgical Site.
3. Use nanopaste to remove any toxins and neural degradation.
4. 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. Aim anywhere in the Damage Zone.
3. Cut the skin with your scalpel (the chest may require two cuts).
4. Use the autopsy scanner to scan the area.
5. Repeat scalpel and scan procedure for all affected areas.
6. 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 to burn the hardsuit seals open. This may take several attempts.
4. Pull the hardsuit control module off their back.

Synthetic Patients

Soteria_Roboticist Guide to robo-surgery.

Many of the same steps as listed above should be practiced on synthetic crew. While they may not bleed or have the risk of infection. Proper protocol should be followed. Also remember that "Screwdrivers having a 30% chance to fail." It is best to operate with nano-paste when available. As screw driver fails can cause further damage.

The Procedures

Opening and Closing
What You're Doing	Where To Aim	Steps To Take
Opening a hatch	The prosthetic to be operated on	->
Closing a hatch	The body part to be closed up

Treating Problems
What You're Doing	Where To Aim	Steps To Take
Fixing Brute Damage	Where the damage is	Wear your ->
Fixing Burn Damage	Where the damage is	Open -> (Repeat until fixed) -> Close
Repairing Internal Organs	Head, upper, or lower body	Open -> (70% Success) / (100% Success) -> Close
Removing Limbs	The extremity or stump to remove	-> 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	-> 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 -> until successful -> Close
Implanting Objects	Where you want to embed the object	Open -> -> Object to implant -> if a vein is torn -> Close
Damaged Faces	Head	Fix any brute + burn damage
Removing Internal Organs	Head, upper, or lower body	Open -> -> -> pick organ -> Close
Transplanting/Inserting Internal Organs	Head, upper, or lower body	Open -> Replacement Organ -> -> Close
Transplanting MMI	Head	Open -> Replacement MMI -> Close

Guide Table
Starter	Medical	Engineering	Science	Security	Random
Starter Guide General Help The Rules Keyboard Shortcuts Character Creation Job Selection and Assignment A Crash Course in Roleplaying Stats and Skills Insight and Development Perk System	Guide to Medicine Guide to Chemistry Guide to Virology Guide to Surgery Guide to Cadavers	Guide to the Supermatter Engine Guide to Construction Guide to Machine Construction Guide to Atmospherics Guide to Hacking Guide to Telecommunications Guide to the Solars Guide to Power SMES Manual	Guide to Research and Development Guide to Robotics Guide to Xenobiology Guide to Toxins	Colony Laws Standard Operating Procedure Guide to Security	Guide to AI Player Species Reference Critters (NPCs) Guide to EVA Hardsuit Operation Voidsuits Guide to Food and Drink Guide to Hydroponics Guide to Paperwork Random Events List of Supply Crates Guide to Absolutism