Guide to Surgery

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
Trauma Kit	Nanopaste	MMI	Anesthetic Gas	Medical Mask	Sterile Mask	Latex Gloves	Dropper	Biopsy Scanner	Blood Bag

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. Additionally, if the patient is not breathing for any reason, such as a popped lung or significant brain damage, regular gas anesthetics will not work.

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	-> ->
Closing an incision	The body part to be closed up
Opening the head or body	The head or upper body	-> -> -> ->
Closing the head or body	The head or upper body	-> ->

Treating Problems
What You're Doing	Where To Aim	Steps To Take
Fixing Broken Bones	Where the broken bone is	Open an incision -> -> -> -> Close incision
Fixing Brute or Burn	Which limb is damaged.	Open an incision - > -> Brute: / Burn: / - > Repeat previous step until damage is removed. - > Close incision.
Repairing Internal Organs	Head, upper, or lower body	Open -> / -> Close
Reattaching a Brainstem	Head	Open -> Insert Brain -> -> -> -> -> -> -> -> Close
Recovering from Brain Death	Head	Open -> -> -> -> -> -> -> -> Close
Stopping Internal Bleeding	Where the internal bleeding is	Open -> -> Close
Removing Limbs and Preparation for Prosthesis	The extremity or stump to remove	-> Target extremity or stump. -> (To bandage)
Replacing Limbs & Heads	The extremity or stump to replace	Click with replacement limb ->
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	Mouth	Open incision -> Close
Removing Internal Organs	Head, upper, or lower body	Open -> -> -> Close
Transplanting Internal Organs	Head, upper, or lower body	Open -> -> Replacement Organ -> -> Close
Removing Necrosis	The necrotic area	Open -> -> with Peridaxon -> Close
Autopsies & Biopsies	The damaged area	Open -> -> 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	->
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 -> / -> Close
Removing Limbs	The extremity or stump to remove	-> Target extremity or stump to remove.
Replacing Limbs & Heads	The extremity or stump to replace	-> Target extremity or stump to remove. -> 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 -> -> -> Close
Transplanting/Inserting Internal Organs	Head, upper, or lower body	Open -> Replacement Organ -> -> Close
Transplanting MMI	Head	Open -> Replacement MMI -> Close