From Colonial Marines Wiki

Tools of the Trade

Image Name Function
1Scalpel.png Scalpel Used for cutting through flesh.
Laser scalpel basic.png Laser Scalpel Used for cutting through flesh, skips bleeder clamping. Can fail due to experimental nature.
1Incision manager.png Incision Management System Used for cutting through flesh, skips bleeder clamping and organ rearranging. Failure proof but needs advanced Research or help from Cargo.
1Hemostat.png Hemostat Used to stop bleeding during an operation.
1Bone Setter.png Bone Setter Used for setting bones back into place. If used on a bone that is not broken then you will break it.
1Bone-Gel.png Bone-Gel Used for repairing broken/shattered bones.
1Retractor.png Retractor Used for re-arranging organs, and moving cut ribcages & skulls.
1Cautery.png Cautery Used for sealing incisions in a patients skin. Burns skin together.
1Vixovein.png Fix-o-Vein Used for repairing veins and arteries.
1Saw.png Circular Saw Used for cutting through bones.
1Traumakit.png Advanced Trauma Kit Used to patch all organs except for the brain and eyes.


Surgery Type: Description: (What it fixes) How to: Target Zone:
Bone Repair Surgery This surgery is used for mending broken bones and fractures. The retractor must be held in your off hand for the last 3 steps. caption->caption->caption->caption->caption->caption->caption 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->caption->caption->caption->caption Everywhere
Facial Reconstruction Surgery This surgery fixes the facial deformities gained from combat.i.e Unknown as Squad marine caption->caption->caption->caption Mouth
Amputation Removal of a limb or a limb stump. caption 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. caption->caption->caption-> 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 caption (Steps in parenthesis are only necessary for chest and skull surgeries.)
caption->caption->caption->(caption->caption)->caption->(caption->caption->caption)->caption Chest
Eye Surgery Mending the eyes. i.e Blindness caption->caption->caption->caption 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). caption->caption->caption->(caption->caption)->caption->(caption->caption->caption->)caption Everywhere besides the Mouth,Eyes
Alien Embryo Surgery The removal of an alien embryo. caption->caption->caption->caption->caption->caption->caption->caption->caption->caption Chest
Brain Damage Surgery Fixing up the brain. The use of fix-o-vein depends if only there is severe brain damage. Otherwise getting rid of the bone chips with the hemostat should fix it. caption->caption->caption->caption->caption->caption->caption->caption->caption->caption->caption Head
Head Reattachment Surgery Reattaching a severed head to a body again. caption->caption->caption->caption Head

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
  1. caption Cut an incision while aiming with 'Help' intent at the head
  2. caption Stop bleeders in the head
  3. caption Open up the incision for further surgery
  4. caption Cut through the skull
  5. caption Open up the skull
  6. caption 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.
  7. caption caption Use the FixOVein and Trauma Kit to repair hematomas and damage to the brain and eyes if necessary
  8. 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.
  9. caption Close the skull back up
  10. caption Use bone gel on the skull
  11. caption Use bone gel on the damaged bones in the skull
  12. caption Piece together the broken or fractured skull
  13. caption Add bone gel once more
  14. caption Seal up the incision
  15. 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)
  1. 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.
  2. caption Make an incision quickly
  3. caption Ignore bleeders and rearrange organs. Removing the larva ASAP is the top priority right now
  4. caption Cut open the rib cage
  5. caption Separate the rib cage
  6. caption Begin pulling out the alien embryo
  7. caption Repair the ruptured lungs and any other damaged organs, note that a mechanical heart requires caption to fix
  8. caption Now stem the bleeders with the hemostat
  9. caption Close up the rib cage
  10. caption 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.
  11. caption Another application for the broken ribs themselves
  12. caption Set the broken bones in the chest
  13. caption 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.
  14. caption Cauterize the incision, your patient should be recovering nicely now
  15. 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. A space cleaner bottle on yourself works too.
  • 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.
  • If in a rush, you can give your patients ~30u of oxycodone for quick surgeries without anesthesia. You need to work quick though.
  • Patients can often times tell you where they need surgery if an advance scanner is not available.
  • 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.
  • Basic Laser Scapels are available from research which are essentially faster scapels. Make sure to ask the researcher for them! An even better scapel is also available on the Planet somewhere too..
  • Infected wound detected in subject [Insert Location Here]. Disinfection of wounds recommended means that the patient has a infected wound that needs to be treated with gauze/advanced brute kit, surgery and spaceacillin won't work at all.