Guide to Surgery

Tools of the Trade

Image	Name	Function
	Scalpel	Used for cutting through flesh.
	Hemostat	Used to stop bleeding during an operation.
	Bone Setter	Used for setting bones back into place.
	Bone-Gel	Used for repairing broken/shattered bones.
	Retractor	Used for re-arranging organs, and moving cut ribcages & skulls.
	Cautery	Used for sealing incisions in a patients skin. Burns skin together.
File:1Vixovein.png	Fixovein	Used for repairing veins and arteries.
	Circular saw	Used for cutting through bones.

Operations

Surgery Type:	Description: (What it fixes)	How to:	Target Zone:
Bone Repair Surgery	This surgery is used for mending broken bones and fractures.	->->->->->->	Everywhere besides the Eyes and Mouth.
Internal Bleeding Surgery	This surgery mends the torn/ripped arteries and veins within the body to stop internal bleeding	->->->caption->	Everywhere
Facial Reconstruction Surgery	This surgery fixes the facial deformities gained from combat.i.e Unknown as Squad marine	->->->	Mouth
Amputation	Removal of a limb or a limb stump.		Limbs - Legs,Arms,Hands,Feet
Limb Replacement Surgery	The replacement of missing limbs with robotic ones. You can also reattach a robotic limb to just a hand or foot stump.	->->-> Now attach a robotic limb.	Limbs - Legs,Arms,Hands,Feet
Internal Organs Surgery	Mending collapsed lungs and other broken organs. If the patient has robotic organs replace the Trauma Kit step with Nanopaste (Steps in parenthesis are only necessary for chest and skull surgeries.)	->->->(->)->caption->(->->)->	Chest
Eye Surgery	Mending the eyes. i.e Blindness	->->->	Eyes
Foreign Object Removal	Removal of unknown objects from the body such as implants and shrapnel from bullets. (Steps in parentheses are only needed for chest and skull surgeries).	->->->(->)->->(->->->)	Everywhere besides the Mouth,Eyes
Alien Embryo Surgery	The removal of an alien embryo.	->->->->->->->->->	Chest
Brain Damage Surgery	Fixing up the brain.	->->->->->->caption->->->->	Head
Head Reattachment Surgery	Reattaching a severed head to a body again.	->caption->caption->	Head
Infection Treatment	Fixing limb infections.If an organ is infected administer spaceacillin.	->	Everywhere

Combining Surgeries

Very often people will come in with multiple problems at once. For instance, you might have a patient who has a fractured skull, brain damage, and shrapnel in their head. Performing three separate surgeries is very time consuming when other marines may be waiting. It is possible to condense the surgery down to one in such a manner:

Broken skull, brain damage, and head shrapnel removal surgery

Cut an incision while aiming with 'Help' intent at the head
Stop bleeders in the head
Open up the incision for further surgery
Cut through the skull
Open up the skull
Here it gets a bit tricky, use a hemostat repeatedly to pull out bone chips and shrapnel until you get a message that nothing more can be found in the brain. Both types of removal can take several rounds or attempts.
caption caption Use the FixOVein and Trauma Kit to repair hematomas and damage to the brain and eyes if necessary
Use the Health Analyzer to check that the patient does not have brain damage! If the patient still has brain damage go back and use the hemostat and FixOVein more until the Analyzer shows no brain damage.
Close the skull back up
Use bone gel on the skull
Use bone gel on the damaged bones in the skull
Piece together the broken or fractured skull
Add bone gel once more
Seal up the incision
Use the Health Analyzer again to see if the patient needs antibiotics or anti-toxins and administer them as needed

What about an infected marine with a broken chest, internal bleeding, and a ruptured lung? Here you'll want to use medication from the vendors in medbay in order to tackle the problems at hand.

Alien embryo removal, ruptured lung, and broken chest surgery (with a side of internal bleeding)

First use one Quick-clot and one Dexalin Plus injectors to stop internal bleeding and to halt suffocation damage from the ruptured lung. While you can stop internal bleeding surgically, in the vast majority of cases a quick jab with Quick-clot is preferable. Keep a couple of Dex+ injector on hand to keep the patient from dying from the ruptured lung.
Make an incision quickly
Ignore bleeders and rearrange organs. Removing the larva ASAP is the top priority right now
Cut open the rib cage
Separate the rib cage
Begin pulling out the alien embryo
caption Repair the ruptured lungs and any other damaged organs, note that a mechanical heart requires to fix
Now stem the bleeders with the hemostat
Close up the rib cage
One application of bone gel for the cut rib cage. Cut rib cages and skulls require one application of bone gel after they've been pushed back together.
Another application for the broken ribs themselves
Set the broken bones in the chest
An application for the set bones. In general remember that fixing a broken bone requires one application of bone gel before the setting and one after.
Cauterize the incision, your patient should be recovering nicely now
Again, use the Health Analyzer to double-check your work and to dispense spaceacillin or dylovene as needed

====General Tips===='

Wash your hands to help reduce infection chance
Anesthesia is important to successful surgery, make sure to put a mask on the patient's face, an anesthesia tank on their back, and turn their internals on
Triage cases properly, alien embryo cases and lung ruptures take priority over brain damage cases which in turn take priority over simple bone fractures in limbs
Internal organ damage can oftentimes be fixed with peridaxon turning some surgeries into simpler, faster bone repair surgeries
Use the Health Analyzer to check for brain damage during brain surgery to confirm that you've fixed everything
Use the Health Analyzer to confirm that a patient's bone fractures are all gone after performing all required bone repair surgeries
Use the Health Analyzer to check for post-op infection that should be treated with spaceacillin
If no other options are available, roller beds and tables can be used to perform surgery

Thank you Vrai, Arachnidnexus, and Rahl for the information and help.-TopHat