Для любой хирургии необходимы хирургические инструменты, которые обычно можно найти в операционном театре, вместе с операционным столом.
Хирургические инструменты
Информацию о большинстве инструментов, используемых в хирургии, можно найти здесь.
Скорость и неудачи в хирургии
Для каждого инструмента здесь есть гетто аналоги.Указанные рядом с ними проценты показывают, насколько они эффективны в плане скорости по сравнению с базовыми инструментами. Например, если написано «50%», то на выполнение шага потребуется в два раза больше времени. Эти проценты складываются с процентным бонусом или минусом от использования различных таблиц или химикатов. (смотрите начало любой операции).
Однако замедление ограничено в 2 раза по сравнению с первоначальным временем, которое занял бы шаг. Например, шаг, занимающий 10 секунд, будет ограничен 20 секундами. Каждая секунда после этого предела добавляет 1 процентный пункт к шансам на неудачу. Неудача может нанести дополнительный урон или вызвать другие эффекты.
Для примера:
- Скажем, операция по умолчанию занимает 10 секунд, но вы используете ручку (25 %) вместо гемостата и делаете это на полу (50 %), а не на операционном столе.
- Теперь операция замедляется до 40 секунд, но так как она ограничена 20 секундами, она занимает 20 секунд.
- Те 20 дополнительных секунд, которые были убраны, когда мы ограничили их до 20 секунд, это значит что вы можете провалить шаг.
- Результат: Шаг занимает 20 секунд и имеет 20% вероятность провала
Начало любой операции
Шаг 1: Разденьте ту часть пациента, которая нуждается в операции. Для этого перетащите спрайт пациента на себя, а затем во всплывающем окне нажмите на одежду, которую хотите с них снять.
- Важно: Форма, в которую одет пациент, обычно закрывает обе ноги, руки, пах и туловище. Шлемы, очки и маски всегда закрывают глаза, поэтому при работе с глазами обязательно снимите их.
Шаг 2: Разместите пациента на операционном столе. Используйте граб Удерживайте Ctrl и нажмите левый клик по человеку пустой рукой. Неважно включен Боевой режим Включается при помощи клавиши 4, выключается при помощи клавиши 1 или может быть переключен при помощи клавиши F при стандартной раскладке. Нажатие левой кнопки на людей пустой рукой с включённым боевым режимом приведёт к удару или приведёт к помощи если он отключен. Также позволяет вам не меняться местами с человеком или толкнуть вас если вы столкнулись. или нет. Повторите действие после небольшой задержки чтобы усилить хватку до агрессивной (уровень 2), шеи (уровень 3) и удушающей (уровень 4). на пациенте. Затем щелкните левой кнопкой мыши на операционном столе, чтобы поместить на него пациента. Вы можете также Простой правый клик. Не имеет значения включен или выключен Боевой режим Включается при помощи клавиши 4, выключается при помощи клавиши 1 или может быть переключен при помощи клавиши F при стандартной раскладке. Нажатие левой кнопки на людей пустой рукой с включённым боевым режимом приведёт к удару или приведёт к помощи если он отключен. Также позволяет вам не меняться местами с человеком или толкнуть вас если вы столкнулись.. толкнуть пациента на операционный стол и сказать ему лечь, хотя он может этого не оценить.
- Если нет операционного стола, то вы можете использовать: стазис кровать (-10%), любой стол (-20%), любая кровать (-30%), попросить пациента лечь на пол (-50%). Скорость заверения каждого шага будет уменьшена.
Шаг 2.1: (Дополнительно) Выплесните, нанесите спрей или наложите патч с Miner's Salve (+10%), Стерелизин (+20%), спиртные напитки (до +46%), или мёд (+60%) чтобы увеличить скорость операции.
- Чем крепче алкоголь, тем эффективнее! Формула такая: 0.1*(количество спирта/65). Для примера: Этанол дает +10% скорости операции, Manly Dorf +15%, Bacchus' Blessing +46%.
Шаг 2.2: (Дополнительно) Используйте баллон с анестезией и дыхательную маску чтобы ваш пациент уснул. Таким образом, пациент не будет испытывать мучительную боль, что уменьшит его настроение.
Step 3: Накройте часть тела хирургической тряпкой(drapes) или одеялом(bedsheet) на месте, на котором хотите провести операцию.
- Если вы неправильно выполнили шаг 1, он сообщит вам, что сначала нужно снять одежду. Если вы продолжите, не сняв одежду, вы зарежете пациента вместо того, чтобы делать операцию.
Шаг 4: Отключите Боевой режим Включается при помощи клавиши 4, выключается при помощи клавиши 1 или может быть переключен при помощи клавиши F при стандартной раскладке. Нажатие левой кнопки на людей пустой рукой с включённым боевым режимом приведёт к удару или приведёт к помощи если он отключен. Также позволяет вам не меняться местами с человеком или толкнуть вас если вы столкнулись.. Совет профессионала: Простой правый клик. Не имеет значения включен или выключен Боевой режим Включается при помощи клавиши 4, выключается при помощи клавиши 1 или может быть переключен при помощи клавиши F при стандартной раскладке. Нажатие левой кнопки на людей пустой рукой с включённым боевым режимом приведёт к удару или приведёт к помощи если он отключен. Также позволяет вам не меняться местами с человеком или толкнуть вас если вы столкнулись.. ПКМ - специально заставит вас провалить каждый шаг операции..
Шаг 5: Наведитесь на соответствующую часть тела (важно!).
Шаг 6: Отключите Боевой режим Включается при помощи клавиши 4, выключается при помощи клавиши 1 или может быть переключен при помощи клавиши F при стандартной раскладке. Нажатие левой кнопки на людей пустой рукой с включённым боевым режимом приведёт к удару или приведёт к помощи если он отключен. Также позволяет вам не меняться местами с человеком или толкнуть вас если вы столкнулись. и после кликните левой кнопкой мыши. Проведите операцию (см. шаги ниже!). После этого поздравьте пациента и выгоните его. Неудачные шаги будут повторяться в авторежиме.
Чтобы прервать операцию, возьмите в одну руку каутер, а в другую - хирургическую ткань, и используйте ткань на пациенте.
Процедуры, не требующие проведения исследований или использования компьютера
Манипуляция с органами
Сюда входят операции по удалению/вставке органов (мозга, сердца, аппендикса), кибернетических имплантатов и чужеродных эмбрионов.
Выбор части тела зависит от того, какую процедуру вы хотите провести.
Подробнее о каждой процедуре см. ниже.
Обычные органы, требующие манипуляций с органами
Эти органы есть у каждого нормального человека, они могут быть извлечены или заменены при помощи манипуляции с органами.
Мозг
Источник сознания и место, где на самом деле находится игрок. Удаление мозга из тела сделает пациента нежизнеспособным. Мозг также может быть вставлен MMI, который позволит ему говорить, с помощью ММИ Cyborg or an AI. Or it can be transferred into another body, which can then be revived.
Changelings' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.
Note: Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.
Heart
Required for basic survival, removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new, beating, heart is inserted, or death. This can be delayed with epinephrine, if you need more time. This will not keep someone conscious, but will make them suffocate slower.
On their own, hearts only beat for a short time when removed from a living body. To get a heart beating again, click on it while it's in your hand.
Heart attacks can also be induced by Initropidril, and a heart attack may continue if you insert a still heart in a patient. In either case, to restore the heart to normal functionality, the patient needs to either be defibrillated or receive an electric shock.
Eyes
They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.
Ears
Required for hearing. Removing them will make the patient deaf.
Liver
Required for processing reagents. Removing the liver will cause the patient to take heavy toxin damage. Some starting jobs give you a liver with special benefits.
Lungs
Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some species have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.
Stomach
Required for eating and drinking.
Tongue
Affects speech. Lacking a tongue will make speech very hard to comprehend, while mutant tongues such as lizards' or flypeoples' will give the patient the race's speech quirks. Abductors' tongues carry over their telepathy, but they prevent normal speech.
Appendix
Removing it cures appendicitis and prevents it in the future too, it is not required for survival so don't go worrying about that.
Other organs that require Organ Manipulation
There are also non-natural organs which can be added to give bonuses or to harm the patient in a few cases.
Cybernetic Implants
These offer benefits to the patient at the cost of being very vulnerable to EMPs, with malfunctions ranging from eye-flashing to heart attacks. Cybernetic implants always require the Organ Manipulation type surgery, even for arms. Cybernetic implants can be printed by Robotics or the medbay techfab after research.
Cybernetic Organs
Cybernetic organs replace organs entirely. You need to remove the corresponding organ first to make room for the cybernetic organ. They are vulnerable to EMPs, do not decay, and do not heal over time. Cybernetic organs can be printed by Robotics or the medbay techfab after research.
Xenomorph Embryo
An alien larva growing inside the patient. If not removed quickly enough, it will gib the patient and try to escape, growing into a dangerous Xenomorph.
Romerol Tumor
A latent infection in the patient's head, caused by Romerol. If the patient dies while affected by Romerol, he will eventually rise as an aggressive Zombie. This will repeat as long as the infection lasts; removing it surgically, cutting the head off, or gibbing the corpse will prevent resurrection.
Romerol is infective, and anyone hit by a zombie while unprotected will also acquire a Romerol Tumor.
Feature Manipulation
This surgery covers operations to remove/insert external organs. External organs include lizard horns, frills, tails, snouts, moth antennae and wings, podperson hair and more. If you want to haunt someones dreams, this is the surgery for you.
Functions and mechanics associated with an external organ will be transferred aswell. Give your patient moth wings and they will be able to fly like a moth.
The body part to target depends on which external organs you want to add/remove. Tails are in the groin, while spines and wings are in the chest.
Target: Head, chest, groin, arms
Prosthesis Organ Manipulation
Augmented limbs have special surgery steps for Organ Manipulation that are completed with mechanical tools. Unlike all other procedures, this can be performed on yourself with self-surgery.
Target: Head, chest, groin, arms
Alien Organ Manipulation
Used to remove or add organs from Xenos.
Lobectomy
This surgery is an extended organ manipulation, cutting open the chest cavity and removing a disfunctional lobe within the lungs. This restores health to the lungs, and makes them operable, if they weren't before. Be warned, however, that this surgery can only be done once per set of lungs. Can only be performed if the patient's lungs are above 60 damage, which is a tad past severe damage thresholds. Do NOT confuse this surgery with lobotomy!
Coronary Bypass
This surgery is an extended organ manipulation, cutting open the chest cavity and grafting a bypass onto the patient's heart. This restores health to the heart, and makes it operable, if it was not before. Be warned, however, that this surgery can only be done once per heart, and that incising the heart and attaching the graft are not guaranteed successes. Keep bandages on hand in the event of failing the step, which will result in massive amounts of bleeding. Can only be performed if the heart has more than 60 damage (tad past severe damage threshold).
Hepatectomy
Removes damaged parts of the liver so that the liver may regenerate properly. A liver healing surgery, similar to Coronary Bypass and Lobectomy. This liver surgery only shows up as an option when liver damage is above 50 and the liver itself is not failing.
Failing the last scalpel step will deal damage to the liver.
Gastrectomy
Removes a piece of your duodenum, attaching your stomach back to your lower intestines. A stomach healing surgery, similar to Coronary Bypass, Lobectomy and Hepatectomy. This surgery will appear only if your stomach has at least 50 damage, and will help you be able to digest food again without disgust.
Failing the second scalpel step will damage the stomach further.
Amputation
Sever a limb from the torso. Tails are handled under Feature Manipulation (groin).
Prosthetic Replacement
Replace a severed limb with either a normal or a robotic limb.
Augmentation
Replace a limb with a robot part. The head, torso, arms, and legs can all be augmented. Augmenting torso makes you immune to appendicitis and xeno larva.
Robot limbs are tougher. They need welding to "heal" brute damage and wires for burn damage, and cannot be otherwise healed. EMP pulses will hurt augmented humans.
We can rebuild him. We have the technology.
Target: Head, chest, legs or arms
Cavity Implant
Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done. You can only have one cavity implant at a time.
Implant Removal
Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case in your other hand, the implant will be ruined on extraction!
Dental Implant
This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it. This works for both stimulants and suicide pills.
Procedure | Ghetto Analogues |
Step 1: Surgical Drill: Drill a hole in a tooth. | (60%) (60%) (20%) |
Step 2: Pill/Patch: Insert a pill/patch. |
Brain Surgery
This procedure cures all severe and basic traumas and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage.
Eye Surgery
This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.
Plastic Surgery
If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.
Lipoplasty
Removes excess fat from the patient. Can only be selected if the patient is fat.
Revival
The target is resurrected by this surgery. It works on any non-husked corpse with a head, even if it doesn't have a heart. If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying synthflesh or performing Tend Wounds beforehand.
Slime Core Removal
Remove core from slime. Step 2 must be repeated for every core if slime has several. Mostly obsolete with existence of slime grinder, but still possible.
Procedure | Ghetto Analogues |
Step 1: Scalpel: make an incision. | (65%) (45%) (75%) Any other sharp item (30%) |
Step 2: Hemostat: extract core. | (100%) |
Filter Blood
Removes reagents from the patient's bloodstream. Doesn't work if the patient is a husk.
Stomach Pump
Induces vomiting in a patient, which removes a large portion of ingested reagents from the stomach. Requirements:
- Patient must not be a husk.
- Patient must have reagents in the stomach from eating food.
Repair Bone Fracture
Repairs hairline fractures.
Target: Head, chest, legs, or arms
Procedure | Ghetto Analogues |
Step 1: Scalpel: make an incision. | (65%) (45%) (75%) Any other sharp item (30%) |
Step 2: Bonesetter/bone gel/surgical tape: repair hairline fracture. | (30%) |
Repair Compound Fracture
Repairs the most critical type of bone fracture, compound fractures.
Target: Head, chest, legs, or arms
Debride Infected Flesh
Repairs burn wounds.
Target: Head, chest, legs, or arms
Procedure | Ghetto Analogues |
Step 1: Hemostat: excise infection. | (85%) (60%) (40%) |
Step 2: Medical gauze/surgical tape: bandage burns. |
Repair Puncture
Repairs pierce wounds. Repeat step 2 and 3 (cycle between them) until healed.
Target: Head, chest, legs, or arms
Upgradable Surgery
These surgeries are available roundstart but can be upgraded to better or different versions by researching certain nodes and then syncing a connected operating computer.
Tend Wounds
The tend wounds surgeries all share the same steps. They can be upgraded by researching certain nodes, and then syncing the operating computer with research database. There are "bruises", "burn" and "Mixture" versions. By default only "bruises" and "burn" are available. The basic versions of this surgery can be performed anywhere, but the upgraded versions require an operating table with an adjacent and synced operating computer.
The target is healed by this surgery, without any chemicals being involved. Useful for healing dead bodies for revival. This works on patients with clothes on, but it's only 55% as effective.
- Step 2 will heal at least 5 damage each time it's repeated, with an added bonus the more damaged the patient is. This the bonus healing becomes higher with higher tiers of research, ranging from (patient's damage / 75) to (patient's damage / 12.5). The bonus is much lower on dead patients.
- Without any research the heal is 5 damage plus a bonus from damage. ("bruises" and "burn" versions only).
- With Improved Wound-Tending Surgery researched and synced, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
- With Advanced Surgery researched and synced, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
- With Advanced Surgery researched and synced, you'll be able to do the "mixture" version (tend physical wounds), which heals 3 brute and burn plus a bonus from damage, but the step takes much shorter time than the other two versions.
- With Experimental Surgery researched and synced, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
- With Alien Surgery researched and synced, "tend physical wounds" will heal 1 brute and burn plus a very high bonus from damage.
- Failing the hemostat step will deal some of the damage it would have healed.
- You can hold a Health Analyzer in your other hand to see your patient's remaining wounds while treating them.
If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.
Advanced Surgery
These surgeries require the Advanced Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Advanced surgeries can only be performed on an operating table with a connected operating computer.
Lobotomy
Used to cure deep-rooted brain traumas. This can cause a random, permanent trauma, or if lucky, a random special trauma which gives you rare powers. Note that this can cause traumas regardless of the success of stages. Requires the "Advanced Surgery" technology.
Wing Reconstruction
A surgical procedure that reconstructs the damaged wings of moth people. The patient must be dosed with any amount of Synthflesh for the last step to work. Requires the "Advanced Surgery" technology.
Experimental Surgery
These surgeries require the Experimental Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Experimental surgeries can only be performed on an operating table with a connected operating computer, or everywhere by medical cyborgs with the surgery computer upgrade if they downloaded the surgery procedure. Borgs should be able to perform the 'Free hand' surgery steps with any tool—if not disabled modules.
Dissection
Dissection is a surgery used for completing the Experiments needed for Biological and Advanced Biological Technology techs, requiring an operating computer and a dead subject (You can steal monkey from geneticist lab or virology). Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with #Autopsy.
Autopsy
Autopsy is a surgery which gives a full paper report on a dead corpse to give the fine details on their death and the state of the body at the time of the autopsy. Additionally, gives a 20% surgery speed boost to the corpse. This is mutually exclusive with #Dissection.
Pacification
The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.
Requires the "Experimental Surgery" technology.
Vein Threading
The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology. Mutually exclusive with Muscled Veins.
Vein Muscle Membrane
Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology. Mutually exclusive with Vein Muscle Membrane.
Nerve Splicing
Nerves are connected to each other multiple times, greatly reducing stun times (halving them). Requires the "Experimental Surgery" technology. Mutually exclusive with Nerve Grounding.
Nerve Grounding
Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the "Experimental Surgery" technology. Mutually exclusive with Nerve Splicing.
Ligament Hook
Reshapes the connections between torso and limbs, making it so limbs can manually be attached if severed. However this weakens the connection, making limbs easier to detach as well. Requires the "Experimental Surgery" technology. Mutually exclusive with Ligament Reinforcement.
Ligament Reinforcement
Adds a protective tissue and bone cage around the connections between the torso and limbs, preventing dismemberment. However, the nerve connections as a result are more easily interrupted, making it easier to disable limbs with damage. Requires the "Experimental Surgery" technology. Mutually exclusive with Ligament Hook.
Cortex Imprint
Performing this surgery makes the brain more resilient from basic brain traumas obtained through damage to the brain. You can only choose to either do this OR Cortex Folding, never both.
Cortex Folding
Performing this surgery gives a higher chance of getting a Special brain trauma through Lobotomy. You can only perform either this one OR Cortex Imprint, never both.
Viral Bonding
The target is forced into a symbiotic relationship with a virus. It makes the virus stay at stage 1 where it's usually harmless, but still infective to others .
Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of Virus Food, Formaldehyde, and Spaceacillin for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.
Requires the "Experimental Surgery" technology.
Alien Surgery
These surgeries require the Alien Surgery research node, which requires the Alien Technology node, which can only be revealed from deconstructing certain abductor items. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Alien surgeries can only be performed on an operating table with a connected operating computer.
Brainwashing
The target of this surgery, when successful, is bound to a primary goal you assign to him/her. He/she must follow these objectives, regardless of allegiance. This can be cured through brain surgery or with a mindshield implant. Requires either the brainwashing disk, acquired through the Syndicate Uplink, or researching the "Alien Surgery" technology.
Necrotic Revival
Revives a corpse into an infectious zombie which will probably munch your face off. Useful for forcing a shuttle call. Note: The target must be dosed with at least 5 units of Zombie Powder or Rezadone for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.