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Surgery

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A Guide to Surgery In General

All surgery requires the set of medical tools in the Operating Theatre, along with an operating table. Remember to let each step complete fully, else you risk harming yourself or your patient. With the current nature of surgery methods that were previously unviable or dangerous to attempt are now free to use. Namely, if you don't know what step to do next, you can poke and prod in most cases and get away with it. This becomes important when you are playing around with organs, so you should try to apply an Advanced Trauma Kit, Advanced Burn Kit, FixOVein or whatever else a patient might need inbetween steps.

Ghetto Surgery

If you can't find an operating table, have no fear, there are other ways to fix people up. Any table will work! Click twice on a player to put them in an aggressive grab, and click on a table. However, you have a 1/3 chance per step to make a mistake and injure the patient than actually fix them. A roller bed will also work, and mistakes are lowered to happening 1/4th of the time..

Surgical Tools

Surgical tools are very hard to get and it is best to keep them in the operating theatre. However, if the worst happens and some tools disappear, you can order more in a surgery crate from cargo, and most can be made with an autolathe. FixOveins and Bone Gels can be made in vials via chemical reactions as well. While you can use other objects as ghetto surgery, it'll make mistakes on each step much more likely.

The following are the standard surgical tools most doctors will need:

  • Scalpel.png Scalpel
  • Hemostat.png Hemostat
  • Retractor.png Retractors
  • Saw.png Circular saw
  • Bone gel.png Bone gel
  • Bone setter.png Bone setter
  • Drill.png Surgical drill
  • Cautery.png Cautery
  • Autopsy scanner.png Autopsy scanner
  • Anesthetics.png Sleeping agent
  • MMI empty.png MMI
Ghetto surgical tools:
  • Glass shard - Scalpel
  • Kitchen knife - Scalpel
  • Cable coil - Hemostat for clamping bleeders - FixoVein
  • Wirecutter - Hemostat for fishing shit out like bone chips in brain damage surgery
  • Mousetrap - Hemostat (Pretty bad)
  • Crowbar - Retractor
  • Fork - Retractor (Pretty bad)
  • Screwdriver - Bone gel
  • Metal rods - Surgical drill
  • Wrench - Bonesetter
  • Cigarette - Cautery
  • Lighter - Cautery
  • Welding tool - Cautery (Pretty bad)

Advanced Surgery Tools

On a good day, Research and Development might bring you advanced surgical instruments. Being faster than your regular tools, and sometimes accomplishing several surgical steps at once, these can speed up surgery a great deal.

Laser-Scalpel.pngHigh-Precision-Laser-Scalpel.pngLaser Scalpels

These beauties have a laser cutting edge that can work as either a scalpel or a cautery, depending on which mode the scalpel is set to, and they work at an increased speed. Use them in your hand to toggle mode. The cautery can be removed from the scalpel by using a screwdriver on the scalpel while it's in cautery mode. You can put them back together buy using the cautery on the laser scalpel. You'll notice most surgeries start similarly: Scalpel for incision -> Hemostat for clamping bleeders -> Retractor. Laser scalpels automatically cauterize the bleeders as they cut, meaning you can skip the Hemostat step and immediately move on to the Retractor (only for the initial incision! Laser scalpels don't replace your hemostat!)

Surgical-Incision-Manager.pngSurgical Incision Manager

This advanced tool is capable of creating an incision in one simple step. When a surgery requires you to start by making an incision, this tool will accomplish the steps of a Scalpel, Hemostat and Retractor all at once. However, beyond the initial incision, it will only work as a Retractor, albeit at an increased speed.

Bone mender.PNGBone Mender

The bone mender is similar to the surgical incision manager in how it performs. When a bone is damaged in any way, broken or manually cut like a rib cage or skull, this tool will fix the whole bone in one step. In conjunction with a manager you can fix a broken bone in two steps not counting cauterizing the incision making these two a powerful combo to have. It's a bone setter in nature so it's faster than a normal one; however, it will usually override that step to do it's complete mending of that bone. This is technically a substitute for bone gel since it will do most of its functions.

Plasma saw.gifPlasma saw

A surgical saw made of phoron plasma hence it's distinct transparent orange color just like all other plasma related things. Nothing fancy about it other than being a faster and sharper saw. It's good to have around for cutting off the heads and limbs of shitters who break into medical monkey men for transplants.

Surgeons-Switchtool.pngSurgeon's Switchtool

This little toy can switch between most surgical tools, minimizing the amount of time you spend fumbling with your inventory. While it doesn't have bone gel or FixOVein available to it, it's an ideal tool for surgery on the field where you may not have access to all your tools. You can remove the modules by using a screwdriver on it while a tool is deployed. You can insert tools back into the switchtool if a module is empty and even replace tools that are similar in type like replacing the scalpel for a laser scalpel.

Prepping for Surgery

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


  1. Make sure you actually know what you need to do. Use a Bscanner.gifBscanner console.gifBody scanner and print a report.
  2. Find an OpTable.gif operating table, unless you're willing to risk Ghetto Surgery.
  3. Drag your patient's sprite on the table to lay them down.
  4. Ask them to go to sleep. If they are too stupid or unable for other reasons;
    • Pick up a BreathingMask.png medical mask and Anesthetics.png sleeping agent.
    • Click+drag their body onto yours to view their inventory.
      • Check what they have on their 'Mask' slot. If it is an internals-compatible mask (Breathing mask, gas mask, lit cigar, etc), skip this step.
      • If they are wearing a non-compatible mask, click the slot to remove the mask, then click it again to place your medical mask on them.
      • If they are wearing nothing, simply click on the mask slot once to put the BreathingMask.png medical mask on them.
    • Place the sleeping agent in your active hand, then click on what is on their 'Back' slot. If they are wearing a backpack or something similar you may have to do this twice -- once to take off the pack, once to put on the tank.
    • A new link will appear under the 'Back' slot, called "Set internals". Click on it to turn on the gas. It will force them asleep in about 5 seconds. You are now ready to proceed with surgery.
  5. Make sure you're set on the Help.png Help intent.
  6. Make sure the patient isn't wearing a space- or hardsuit, UNLESS they are a plasman.

Surgery List

There are many different types of surgeries out there to preform. Sometimes it will be necessary to have the patient hooked up to an IV or someone on standby to inject medications during the procedure.
Reminder that skeletons have no skin or organs, because of that the only way to repair their bones is to simply use bone gel and retractors.

Bone Repair Surgery

The mending of broken bones and fractures

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png scalpel to cut.
  4. Use the Hemostat.png hemostat to stop any potential bleeding.
  5. Use your Retractor.png retractors to lift up the skin.
  6. Apply Bone gel.png bone gel to the broken bone.
  7. Depending on how severe the fracture is, use Bone gel.png bone gel again, or
  8. Use the Bone setter.png bone setter to put the bone in place and
  9. Apply more Bone gel.png bone gel.
  10. Use the Cautery.png cautery to seal the incision.

Facial Reconstruction Surgery

The fixing of facial deformaties.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's mouth not head in the Damage zone.png Damage Zone.
  3. Cut the skin with your Scalpel.png scalpel.
  4. Use your Hemostat.png hemostat to reshape the face and vocal chords.
  5. Use your Retractor.png retractors to pull skin back into place.
  6. Cauterize the wound with the Cautery.png cautery.

Internal Bleeding Surgery

Repairing damaged arteries and veins within the body to stop internal bleeding.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the afflicted limb in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png scalpel to cut.
  4. Use the Hemostat.png hemostat to stop any potential bleeding.
  5. Use your Retractor.png retractors to lift up the skin.
  6. Use the Fixovein.png FixOVein to repair the damaged blood vessels.
  7. Use the Cautery.png cautery to seal the incision.

Removing and Replacing Organs

Get rid of those pesky lungs and pop in a prosthetic.

  1. Print and immediately place an organ in the freezer or print a prosthetic.
  2. (Optional) Complete Prepping for Surgery.
  3. Aim for the target region in the Damage zone.png Damage Zone.
  4. Cut the skin with your Scalpel.png scalpel.
  5. Use your Hemostat.png hemostat to stop any potential bleeding.
  6. Use your Retractor.png retractors to lift up the skin or bend the ribcage apart.
  7. [CHEST AND HEAD ONLY] Use the Saw.png saw to open the ribcage OR skull.
  8. [CHEST ONLY] Use the Retractor.png retractor to pull their ribcage open. Note that this has a small chance to fracture the ribcage even when performed correctly.
  9. Use your Scalpel.png scalpel to select and sever organs from the body.
  10. Use your Hemostat.png hemostat to select and extract the organ.
  11. Place the new organ or prosthetic in.
  12. Use your Fixovein.pngFixOVein to attach the organ to the body. Still required with Prosthetic organ.
  13. Apply an AdvancedTraumaKit.pngAdvanced Trauma Kit (or bruisepack) to the organ. Not required with Prosthetic organ.
  14. [CHEST ONLY] Use the Retractor.png retractor to close their ribcage.
  15. [CHEST ONLY] Apply Bone gel.png bone gel to mend the cut ribcage.
  16. [CHEST ONLY] Apply Bone gel.png bone gel again to repair broken bones in the chest.
  17. Cauterize the wound with the Cautery.png cautery.

Appendectomy

Removal of an inflamed appendix.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's groin in the Damage zone.png Damage Zone.
  3. Cut the skin with your Scalpel.png scalpel.
  4. Use your Hemostat.png hemostat to stop any potential bleeding.
  5. Use your Retractor.png retractors to lift up the skin.
  6. Use your Scalpel.png scalpel to cut out the appendix.
  7. Use your Hemostat.png hemostat to extract the appendix.
  8. (Optional) Dispose of the newly extracted appendix.
  9. Cauterize the wound with the Cautery.png cautery.

Limb Replacement Surgery

Replacing missing limbs with robotic ones.

(Optional) Complete Prepping for Surgery. (Optional) Remove the limb

   * Aim for the patient's desired limb using the Damage zone.png Damage Zone.
   * Cut the flesh with your Scalpel.png scalpel.
   * Use your Hemostat.png hemostat to clamp the bleeders.
   * Use your Retractor.png rectractors to open the incision.
   * Use your Saw.png circular saw remove the limb.
  1. Aim for the patient's affected (missing) limb using the Damage zone.png Damage Zone.
  2. Cut the flesh with your Scalpel.png scalpel.
  3. Use your Retractor.png retractors to reshape the area.
  4. Use the Cautery.png cautery to allow a limb to be attached.
  5. Attach the appropriate robotic limb from Robotics or construct a peg limb using two wood planks. You can harvest wood from Hydroponics plants.

Robotic limbs are tougher than normal limbs, and do not count towards overall damage. However, they can only be repaired by welders (for brute damage) or wires (for burn damage), and malfunction if damaged. Robotic limbs explode when they take too much damage. Peg limbs are cheap and easy to make, but result in slower walking speed. They also cannot be repaired.

Mending Internal Organs

Mending collapsed lungs and other broken organs in torso.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the chest in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png scalpel to cut.
  4. Use the Hemostat.png hemostat to stop any potential bleeding. Note you do not need to do this for the head.
  5. Use your Retractor.png retractors to lift up the skin or bend apart rib cage in chest.
  6. [CHEST & SKULL] Use the Saw.png saw to open the ribcage or skull.
  7. [CHEST & SKULL] Use the Retractor.png retractor to pull their ribcage or skull open. Note that this has a small chance to fracture the ribcage even when performed correctly.
  8. Use an AdvancedTraumaKit.png Advanced Trauma Kit to mend the organs. If an Advanced Trauma Kit is unavailable, you can use regular gauze, though it has a chance to fail the step and cause minor damage instead.
  9. [CHEST & SKULL] Use the Retractor.png retractor to close their ribcage.
  10. [CHEST & SKULL] Apply Bone gel.png bone gel to mend the cut ribcage or skull.
  11. [CHEST & SKULL] Apply Bone gel.png bone gel again to repair broken bones in the chest or skull.
  12. Use the Cautery.png cautery to seal the incision.

Eye Surgery

Giving sight back to the blind.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the patient's eyes in the Damage zone.png Damage Zone.
  3. Cut the skin around them with your Scalpel.png scalpel.
  4. Use your Retractor.png retractors to lift up the eyes.
  5. Use your Hemostat.png hemostat to stop any potential bleeding.
  6. Use your Cautery.png cautery to seal the wound.

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. Aim for the chest, abdomen or head in the Damage zone.png Damage Zone.
  2. Use the Scalpel.png scalpel to cut.
  3. Use the Hemostat.png hemostat to stop any potential bleeding. Note that you do not need

to do this for the head.

  1. Use your Retractor.png retractors to lift up the skin.
  2. [CHEST AND HEAD ONLY] Use the Saw.png saw to open the ribcage.
  3. [CHEST AND HEAD ONLY] Use the Retractor.png retractor to pull their ribcage open. Note that this has a small chance to fracture the ribcage even when performed correctly.
  4. Use the Drill.png surgical drill to prepeare cavity.
  5. Insert the item inside. If it caused internal bleeding, use FixOVein to fix it.
  6. If you decided not to put item inside, use Cautery.png cautery to mend cavity wall.
  7. [CHEST ONLY] Use the Retractor.png retractor to close their ribcage.
  8. [CHEST ONLY] Apply Bone gel.png bone gel to mend the cut ribcage.
  9. Use the Cautery.png cautery to seal the incision.

Implant Removal

Removing implants from the body. Also removeal of things from body cavities.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the implant location on the Damage zone.png Damage Zone.
  3. Cut the skin with your Scalpel.png scalpel.
  4. Use your Hemostat.png hemostat to stop any potential bleeding.
  5. Use your Retractor.png retractors to lift up the skin.
  6. Use your Hemostat.png hemostat to stop bleeding. (May not be needed)
  7. Use the Saw.png saw to open the ribcage. [CHEST ONLY]
  8. Use the Retractor.png retractor to pull their ribcage open. [CHEST ONLY] Note that this has a small chance to fracture the ribcage even when performed correctly.
  9. Use your Hemostat.png hemostat to extract the implant. This may take several goes.
  10. Use the Retractor.png retractor to close their ribcage. [CHEST ONLY]
  11. Apply Bone gel.png bone gel to mend the cut ribcage. [CHEST ONLY]
  12. Cauterize the wound with the Cautery.png cautery.

Alien Embryo Surgery

Removing hazardous parasites from the body.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the chest in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png scalpel to cut.
  4. Use the Hemostat.png hemostat to stop any potential bleeding. Note you do not need to do

this for the head.

  1. Use your Retractor.png retractors to lift up the skin.
  2. Use the Saw.png saw to open the ribcage.
  3. Use the Retractor.png retractor to pull their ribcage open. Note that this has a small chance to fracture the ribcage even when performed correctly.
  4. Use the Hemostat.png hemostat to remove the alien embryo.
  5. Use the Retractor.png retractor to close their ribcage.
  6. Apply Bone gel.png bone gel to mend the cut ribcage.
  7. Use the Cautery.png cautery to seal the incision.

Brain Removal Surgery

Removal of the brain so that it can be used for other purposes

For attached heads.

  1. Aim for the patient's head in the Damage zone.png Damage Zone.
  2. Use a Scalpel.png scalpel to start an incision.
  3. Use a Hemostat.png hemostat to prevent blood from spilling everywhere.
  4. Use the Retractor.png retractor to keep the incision open.
  5. Saw.png Circular saw the skull open.
  6. Use the Retractor.png retractor again to keep the skull open.
  7. Cut the connective tissue with your Scalpel.png scalpel.
  8. Remove the actual brain with your Hemostat.png hemostat.
  9. If you want to close up the patient's head afterwards, use your Cautery.png cautery.
  10. The Brain.png brain will be on the floor under your feet. At this point, depending on what's going on, you have a few

options:

    • Place it in an MMI empty.png MMI and give it to a Roboticist for Borgification.
    • Store it in a nearby freezer crate.
    • If the brain is completely unresponsive, give it to the Chef.
  1. Assuming you've done the above steps again on another patient to swap brains:
    • Place the new brain into the patient, see This for specifics.
    • Use a defibrillator to revive the patient if they are in a revivable state or
    • Take the patient to Genetics for cloning.

For separated heads.

  1. Place the patient's head on a surgical table or other type of table.
  2. Aim for the patient's head in the Damage zone.png Damage Zone.
  3. Use a Scalpel.png scalpel to cut your patient up.
  4. Use your Saw.png Circular saw to cut your patient up more.
  5. Use a Scalpel.png scalpel to rip the head open completely.
  6. Use your Saw.png Circular saw to get the brain out.

Brain Damage Surgery

Fixing subdural hematoma.

  1. Complete Prepping for Surgery.
  2. Aim for the patient's head in the Damage zone.png Damage Zone.
  3. Use a Scalpel.png scalpel to cut back the flesh.
  4. Use a Hemostat.png hemostat to clamp the bleeders.
  5. Use the Retractor.png retractors to pull back the scalp.
  6. Saw.png Circular saw the skull open.
  7. Use the Retractor.png retractors to force open the skull.
  8. Use a Hemostat.png hemostat to take out bone chips.
  9. Use the Fixovein.png FixOVein to repair the damaged blood vessels.
  10. Use the Retractor.png retractors to close the skull back.
  11. Use the Bone gel.png bone gel to fuse the skull closed.
  12. Use the Cautery.png cautery to seal 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.png Damage Zone.
  4. Cut the skin with your Scalpel.png scalpel (the chest may require two cuts).
  5. Use the Autopsy scanner.png autopsy scanner to scan the area.
  6. Repeat scalpel and scan procedure for all affected areas.
  7. Right click the Autopsy scanner.png autopsy scanner to print out autopsy data.

Reattaching Heads

Putting people back together after you someone takes them apart.

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for where the patient's head would be in a normal operation in the Damage zone.png Damage Zone.
  3. Use Retractor.png retractors to peel back the tattered flesh.
  4. Use a Fixovein.png FixOVein to repair and reshape.
  5. Use a Hemostat.png Hemostat to suture the neck stump.
  6. Use a Cautery.png Cautery to adjust the spine and nerve endings..
  7. Finally reattach the Head.
  8. Drag the body to Genetics to be cloned.

Butt Removal

Removal of the buttocks for...questionable purposes.

  1. Complete Prepping for Surgery.
  2. Aim for the groin in the Damage zone.png Damage Zone.
  3. Cut the buttcheeks with your Saw.png bone saw.
  4. Shorten the anus with your Scalpel.png scalpel.
  5. Use the Saw.png bone saw to shorten the hip.
  6. Use the Cautery.png cautery on the wound.
  7. The ass may now be used for nefarious deeds.

Butt Replacement

Replacement of the buttocks.

  1. Complete Prepping for Surgery.
  2. Aim for the groin in the Damage zone.png Damage Zone.
  3. Use Retractor.png retractors to re-arrange the skin.
  4. Use the Bone gel.png bone gel to repair the tail bone.
  5. Use a Fixovein.png FixOVein to repair.
  6. Attach the butt to the groin
  7. Use the Cautery.png cautery on the wound.
  8. You can now sit in those comfy chairs once again

Tooth Removal

For removing your rotten teeth.

  1. Complete Prepping for Surgery.
  2. Aim for the mouth in the Damage zone.png Damage Zone.
  3. Use the Bone setter.png bone setter to get a grip on the tooth.
  4. Use the Hemostat.png hemostat to stop any potential bleeding.
  5. Use the Bone setter.png bone setter to pull the tooth out.

Tooth Replacement

For getting shiny new teeth.

  1. Complete Prepping for Surgery.
  2. Aim for the mouth in the Damage zone.png Damage Zone.
  3. Cut into the gums with your Scalpel.png scalpel.
  4. Use a Fixovein.png FixOVein to repair.
  5. Place a tooth into the mouth.
  6. Use the Cautery.png cautery on the wound.

Gender re-assignment surgery

Turning men into women and vice versa

  1. (Optional) Complete Prepping for Surgery.
  2. Aim for the groin in the Damage zone.png Damage Zone.
  3. Use the Scalpel.png scalpel to start the incision.
  4. Use the Hemostat.png hemostat to stop any potential bleeding.
  5. Use your Retractor.png retractors to open up the incision.
  6. Use your Retractor.png retractors to move the genitals into position.
  7. Use the Scalpel.png scalpel to start the procedure
  8. You have made a woman out of Greyshirt McShit!
  9. Use the Cautery.png cautery to seal the incision.


Guides of /vg/station 13
New Player Guides
General Help - The Basics - Rules - A Crash Course In Roleplaying - Guide to Construction - Guide to Combat - Terminology - Shortcuts - Troubleshooting
Service Guides
Guide to Cargo Orders - Guide to Food and Drinks - Guide to Hydroponics - Guide to Beekeeping - Guide to Xenobotany - Guide to Vox Hydroponics - Guide to Cash Registers
Medical Guides
Guide to Medicine - Guide to Surgery/Autopsy - Guide to Chemistry - Guide to Virology - Guide to Genetics - Guide to Cloning
Scientific Research Guides
Guide to Research and Development - Guide to Robotics - Guide to Toxins - Guide to Telescience - Guide to Mechanic - Guide to Xenobiology - Guide To Xenoarchaeology
Engineer Guides
Guide to Engineering - Guide to Wiring - Guide to Construction - Guide to Advanced Construction - Guide to Singularity Engine - Guide to Atmospherics - Guide to Solars - Guide to Antimatter Engine (AME) - Guide to Thermoelectric Generator (TEG) - Guide to Supermatter Engine (SME) - Guide to R-UST - Guide to Space Pods - Guide to Telecommunications - Guide to Hacking - Guide to Assemblies
Security and Command Guides
Space Law - Standard Operating Procedure - Guide to Security - Guide to Forensics - Guide to Command - Chain of Command - Guide to Silicon Laws
Antagonist Guides
Guide to Traitor - Guide to Nuclear Operations - Guide to Revolution - Guide to Xenomorph - Guide to Cult of Nar-Sie - Guide to AI Malfunction - Illicit Access - Random Events
Misc Guides
Guide to Hypothermia - Makeshift weapons - Guide to Ghetto Chemistry - Races - Creatures - Guide to Paperwork - List of Pastebins specific to /vg/station - Reading Material - NTSL (Nanotrasen Scripting Language)
Admin and Coder Guides
Guide to Admin Tools - Understanding SS13 Code - Guide to Git CLI - SS13 for Experienced Programmers - Guide to Spriting - Guide to Mapping - Guide to GitHub/Merging Upstream Changes - Getting Your Pull Accepted - DM/BYOND: Undocumented Stuff