Guide to Surgery

## Surgery Speed and Failure

For every tool there are *ghetto analogues*. The percentages listed next to them show how efficient they are **speed wise** compared to the basic tools (on TG the percentages used to simply mean to *success rate* until Oct 2019). For example, if it says "50%" the step takes double the time to complete. These percentages stack with the percentage point bonus or malus from using different tables or chemicals (see Beginning of any Operation).

However, the slowness is capped to 2x the original time the step would have taken. A step that takes 10 seconds would cap at 20 seconds, for example. Every second after that cap will instead add 1 percentage point into the odds of a failure. Failing may cause extra damage or other effects.

So for example:

* Say a surgery step takes 10 seconds by default, but you use a pen (25%) instead of a hemostat and do it on the floor (50%) instead of a surgery table.
* Now the surgery is slowed to 40 seconds, but since it's capped at 20 seconds it takes 20 seconds.
* Those 20 extra seconds that were removed when we capped it to 20 seconds is now your chance to fail.
* Result: The step takes 20 seconds and has a 20% chance to fail.

# Beginning of any Operation

Step 1:  Place the patient onto the **operating table**. Do this by selecting **grab**  intent. Then click the patient twice in a row until you have an aggressive grab. Then left click the operating table to place the patient on it. Switch back to **help**  intent or your surgery will fail.

* If there is no operating table, you can use: **Stasis bed** (-10%), **any table** (-20%), **any bed** (-30%), ask them to lie **on the floor** (-50%). The speed of completing every step will be reduced.

Step 1.1  (Optional) Splash on, spray or apply a patch with **Miner's Salve** (+10%), **Sterilizine** (+20%), **alcoholic drinks** (up to +46%), or **Honey** (+60%) to faster surgery speed.

* The stronger the alcohol, the more effective! The formula is: 0.1\*(booze power/65). For example: Ethanol gives +10% surgery speed, Manly Dorf +15%, Bacchus' Blessing +46%.

Step 1.2:  (Optional) Use a **tank of anesthetic** and a **breath mask** to make your patient sleep. This has no surgical benefits however.

Step 2:   Place **drapes** or **bedsheet** over the part of body you are operating.

Step 3:  Switch to **help intent**. Pro tip: Disarm intent will fail every surgery step.

Step 4:  **Aim** at the appropriate body part (important!).

Step 5:  **Do the surgery** (see the steps below!). Afterwards congratulate the patient and kick them out. Failed steps will autorepeat.

**To abort a surgery, hold a cautery in one hand and drapes in the other, and use the drapes on the patient.**

# Procedures requiring no research or computer

## Organ Manipulation

This surgery covers operations to remove/insert organs (brain, heart, appendix), **lizard/cat tails**, cyber implants and alien embryos.

The body part to target depends on which procedure you want to do.

See below for details about each procedure.

 Step 2:  **Retractor**: retract the skin.
 Step 3 (Head/Chest only):  **Circular Saw**: saw through bones.
 Step 4:  **Hemostat**: clamp the bleeders.
 Step 5:  **Scalpel**: make an incision.
 Step 6 **Remove**:  **Hemostat**: remove something.
 Step 7:  **Cautery**: seal the wound.

### Ordinary organs that require Organ Manipulation

These organs are present in every normal human, and can be removed or transferred through the Organ Manipulation surgery type.

#### Brain

The source of consciousness, and where the player actually resides. Removing the brain from a body will make it unclonable through normal means. The brain can also be inserted into an MMI to allow it to speak, and to prepare it to be inserted into a Cyborg or an AI. Or it can be transferred into another body, which can then be cloned or defibrillated with the new host.

Changelings' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.

**Target: Head**

**Note:** Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.

**Note:** There's also a non-surgery method to put a brain back in:

Step 1:  Place the patient onto the operating table.

Step 2:  Cram their brain back into their skull.

Step 3:  Usually, you take the body to be cloned.

#### 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.

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.

**Target: Chest**

#### Eyes

They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.

**Target: Eyes**

#### Ears

Required for hearing. Removing them will make the patient deaf.

**Target: Head**

#### Liver

Required for processing reagents. Removing the liver will cause the patient to take heavy toxin damage.

**Target: Chest**

#### 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.

**Target: Chest**

#### Stomach

Required for digesting food.

**Target: Chest**

#### 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.

**Target: Mouth**

#### Appendix

Removing it cures appendicitis and prevents it in the future, too.

**Target: Groin**

### 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.

**Target: Chest/Head/Eyes/Arms**

#### 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. Cybernetic organs can be printed by Robotics or the medbay techfab after research.

**Target: Chest/Eyes**

#### 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.

**Target: Chest**

#### 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.

**Target: Head**

## 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**

 Step 3:  **Wrench** (chest and head only): unwrench the bolts.
 Step 4:  **Multitool**: prepare electronics.
 Step 5:  **Hemostat**: manipulate organs/remove implant.
 Step 6:  **Wrench** (chest and head only): wrench the bolts.
 Step 7:  **Screwdriver**: screw the shell.

## Alien Organ Manipulation

Used to remove or add organs from Xenos.

 Step 2:  **Scalpel**: make an incision.
 Step 3:  **Retractor**: retract the skin.
 Step 4:  **Circular Saw**: saw through the bone.
 Step 5 **Remove**:  **Hemostat**: remove something.
 Step 6:  **Cautery**: seal the wound.

## 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!

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3  **Circular Saw**: saw through bones.
 Step 4:  **Hemostat**: clamp the bleeders.
 Step 5:  **Scalpel**: excise the damage lung node. (95%)
 Step 6:  **Cautery**: seal the wound.

## 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).

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3  **Circular Saw**: saw through bones.
 Step 4:  **Hemostat**: clamp the bleeders.
 Step 5:  **Scalpel**: incise the heart. (90%)
 Step 6  **Hemostat**: attach heart graft. (90%)
 Step 7:  **Cautery**: seal the wound.

## 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.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3  **Circular Saw**: saw through bones.
 Step 4:  **Hemostat**: clamp the bleeders.
 Step 5:  **Scalpel**: incise. (90%)
 Step 5:  **Scalpel**: remove damaged liver section. (95%)
 Step 7:  **Cautery**: seal the wound.

Failing the last scalpel step will deal damage to the liver.

## Amputation

Sever a limb from the torso. Tails are handled under Organ Manipulation (groin).

**Target: Head, legs, or arms**

 Step 2:  **Hemostat**: clamp bleeders.
 Step 3:  **Retractor**: retract the skin.
 Step 4:  **Circular Saw**: cut through the bone.
 Step 5:  **Hemostat**: clamp bleeders.
 Step 6:  **Scalpel** or  **Circular Saw**: sever the limb.

## Prosthetic Replacement

Replace a severed limb with either a normal or a robotic limb.

**Target: Head, legs or arms**

 Step 1:  **Scalpel**: make an incision.
 Step 2:  **Hemostat**: clamp bleeders.
 Step 3:  **Retractor**: retract the skin.
 Step 4(Alternative): **Chainsaw/Synthetic Arm Blade**: replace the limb with the chosen weapon.

## 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.
Cyborg head
Cyborg torso
Cyborg arm
*We can rebuild him. We have the technology.*

**Target: Head, chest, legs or arms**

 Step 1:  **Scalpel**: make an incision.
 Step 2:  **Hemostat**: clamp bleeders.
 Step 3:  **Retractor**: retract the skin.
 Step 4:  **Scalpel**: sever the muscles.
 Step 5:  **Circular Saw**: cut through the bone.
 Step 7: **Cyborg limb**: augment the limb.

## 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.
Flashlight is commonly implanted
**Target: Chest**

 Step 2:  **Hemostat**: clamp bleeders.
 Step 3:  **Retractor**: retract the skin.
 Step 4:  **Scalpel**: make an incision.
 Step 6:  **Cautery**: seal the wound.

## 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!
Removes this
**Target: Chest**

 Step 2:  **Hemostat**: clamp bleeders.
 Step 3:  **Retractor**: retract the skin.
 Step 4:  **Hemostat** and **Empty Implant Case**: extract the implant.
 Step 5:  **Cautery**: seal the wound.

## 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.

**Target: Mouth**

 Step 1:  **Surgical Drill**: Drill a hole in a tooth.
 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.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Circular Saw**: cut through the bone.
 Step 4:  **Hemostat**: clamp bleeders.
 Step 5:  **Hemostat**: perform brain surgery. (85%)
 Step 6:  **Cautery**: seal the wound.

## Eye Surgery

This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.

**Target: Eyes**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Hemostat**: fix the patient's eyes.
 Step 5:  **Cautery**: mend the incision.

## Removal of Embedded Objects

Extracts objects stuck in the body such as throwing stars or spears.

**Target: Head, chest, legs, or arms**

 Step 2: **Remove**:  **Hands**: Remove object.

## Plastic Surgery

If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Scalpel**: alter the patient's appearance.
 Step 4:  **Cautery**: seal the wound.

## Lipoplasty

Removes excess fat from the patient. Can only be selected if the patient is fat.
You get this
**Target: Chest**

 Step 2:  **Hemostat**: clamp bleeders.
 Step 3:  **Circular Saw**: cut up the fat.
 Step 4:  **Retractor**: remove the fat.
 Step 5:  **Cautery**: seal the wound.

## 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.
A slime

 Step 2:  **Hemostat**: extract core.

# Upgradable Surgery

These surgeries are available roundstart, but can be upgraded to better or different versions by researching certain nodes and then synching 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 synching 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 (or Stasis bed) with an adjacent and synched 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.

**Target: Chest**

 Step 2:  **Tend bruises**: repair damage to the target (automatically repeats until fully healed).
 Step 3:  **Cautery**: seal the wound.

* 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 synched, it will heal 5 damage plus a higher bonus from damage ("bruises" and "burn" versions only).
* With **Advanced Surgery** researched and synched, it will heal 5 damage plus an even higher bonus from damage ("bruises" and "burn" versions only).
* With **Advanced Surgery** researched and synched, 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 synched, "tend physical wounds" will heal 3 brute and burn plus a better bonus from damage.
* With **Alien Surgery** researched and synched, "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.

If research was completed in the middle of surgery, you must restart the surgery to get the upgraded version.

## Dissection

The dissection surgeries all share the same steps. They require an operating table (or Stasis bed) with an adjacent operating computer. They can be upgraded by researching certain nodes, and then synching the operating computer with research database. The procedure will deeply analyze the biology of a corpse (both humanoid and simple), and automatically add new findings to the research database. This generates research points for science. Does not work on living patients. Unlike other surgeries, even cyborgs can fail step 5.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: perform dissection (can fail, repeatable).
 Step 5:  **Hemostat**: clamp bleeders.
 Step 6:  **Cautery**: seal the wound.

### Corpse Values

This is how many research points a successful dissection will generate without upgrades.

 Any simple mob
 Human
 Jellyperson
 Podperson
 Golem
 Zombie
 Abductor
 Xeno Adult
 Xeno Queen

### Dissection Upgrades

This is how much the above base points are multiplied by researching upgrades.

 Advanced Surgery
 Experimental Surgery
 Alien Surgery

* If you fail step 5 you only get 1% of the points, but you can try again on the same corpse.
* If you dissect a corpse and later do an upgraded dissection on the same corpse, you will only get the point difference between the two versions.
* If no upgrades were made between dissections, you can't dissect the same corpse again for extra points.

# 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 (or Stasis bed) with a connected operating computer.

## Revival

The target is resurrected by this surgery. Unlike normal defibrillation, it works on any non-husked corpse, regardless of how much damage the body has sustained or how long the target has been dead.

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. Requires the "Advanced Surgery" technology.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Circular Saw**: cut through the bone.
 Step 4: **Hemostat**: clamp bleeders.
 Step 5:  **Scalpel**: make an incision.
 Step 6:  **Revive**: revive the target (repeatable).
 Step 7:  **Cautery**: seal the wound.

## 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. Requires the "Advanced Surgery" technology.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Circular Saw**: cut through the bone.
 Step 4: **Hemostat**: clamp bleeders.
 Step 5:  **Lobotomize** (85%): perform the lobotomy procedure.
 Step 6:  **Cautery**: seal the wound.

# 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 (or Stasis bed) with a connected operating computer.

## Pacification

The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.

Requires the "Experimental Surgery" technology.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Circular Saw**: cut through the bone.
 Step 4: **Hemostat**: clamp bleeders.
 Step 5:  **Pacify**: rewire the target's brain.
 Step 6:  **Cautery**: seal the wound.

## Vein Threading

The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Scalpel**: make an incision.
 Step 7:  **Cautery**: seal the wound.

## Muscled Veins

Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Scalpel**: make an incision.
 Step 7:  **Cautery**: seal the wound.

## Nerve Splicing

Nerves are connected to each other multiple times, greatly reducing stun times. This caps stun times to 4 seconds. Requires the "Experimental Surgery" technology.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Scalpel**: make an incision.
 Step 7:  **Cautery**: seal the wound.

## 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.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Scalpel**: make an incision.
 Step 7:  **Cautery**: seal the wound.

## 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.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Scalpel**: make an incision.
 Step 7:  **Cautery**: seal the wound.

## 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.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Scalpel**: make an incision.
 Step 7:  **Cautery**: seal the wound.

## 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.

**Target: Chest**

 Step 2:  **Retractor**: retract the skin.
 Step 3: **Hemostat**: clamp bleeders.
 Step 4:  **Scalpel**: make an incision.
 Step 5:  **Viral Bond**: force a symbiotic relationship.
 Step 6:  **Cautery**: seal the wound.

# 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 (or Stasis bed) 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.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Circular Saw**: cut through the bone.
 Step 4: **Hemostat**: clamp bleeders.
 Step 5:  (85%) **Brainwash**: perform the brainwashing procedure. Failing will grant brain damage.
 Step 6:  **Cautery**: seal the wound.

## 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.

**Target: Head**

 Step 2:  **Retractor**: retract the skin.
 Step 3:  **Circular Saw**: cut through the bone.
 Step 4: **Hemostat**: clamp bleeders.
 Step 5:  **Bionecrosize**: perform the revival procedure.
 Step 6:  **Cautery**: seal the wound.