3191. Green berets are for the Infantry, Singapore Armed Forces

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Seen in Toa Payoh on Sep 15, 2018 (Saturday) bus interchange

3190. A leg wart irritates the dwarf hamster. Electrosurgery done.

Jul 1, 2018. Electro-surgical removal of the leg wart 4 to 5 mm across.

Electrosurgery is a term used to describe multiple modalities that use electricity to cause thermal destruction of tissue through dehydration, coagulation, or vaporization. The two types of electrosurgery most commonly used are high-frequency electrosurgery and electrocautery.

High-frequency electrosurgery refers to four different methods: electrocoagulation, electrodesiccation, electrofulguration, and electrosection. These methods involve high-frequency alternating current, which is converted to heat by resistance as it passes through the tissue.

 

What is electrosurgery used for?

Electrosurgery is a technique often used in dermatologic surgery to provide superficial or deep coagulation or cutting of the skin. The skin has poor conducting properties for the electrical flow of energy. Therefore, this energy builds up and is converted into heat.

Does electrosurgery hurt?

Electrosurgery cuts extremely rapidly when compared to a diode laser. When on the proper setting, hemostasis is almost immediate. Assuming the electrode is cleaned frequently while operating, the cutting consistency, speed, and depth of cuts are very good. After cutting, the wound is nearly painless.

How does electrosurgery induce tissue effect in surgery?

During electrosurgery, the back and forth movements of the high-frequency alternating current make the cellular ions oscillate to create frictional heat. Thus, electrical energy is converted to mechanical then to thermal energy intracellularly. Such generated heat produces the thermal tissue effects.

3189. Jul 1, 2018 5.30 am to 6am. Bright moon and star and clouds resembling a face

July 1, 2018. I spotted a very bright moon and a bright star to its left. A cloud resembling an old man's face appears too.

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should be 5.30 am to 6 am

3189. Passing clouds create a face in the moon

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Another photoshopped image

3187. Z-plasty for a big facial wound

Jun 28, 2018

The Chihuahua X had two ears filled with tumours. Big swellings esp. below the right ear.  They obstruct the ear canal, leading to pus formation and causing pain.

Details are at:
https://2010vets.blogspot.com/2018/06/3182-rare-case-of-bilateral-ear.html




It will take 2 months to close by granulation and there is a possibility of infection of the muscles and nerves inside this large wound. The dog keeps scratching this area to relieve her itch. She has pyometra and another similar ear abscess with tumours on the left facial area. 

The owner opted for Z-plasty. The images are as follows:

15 days after surgery, the ear is still wet and needs daily cleaning and medication.

30 days after surgery. Wound has healed well. The owner did not return for post-op checks and operation of the other ear that was oozing pus and was filled with ear canal tumours or spay.

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Post op photo from a busy owner

Owner did not want to have surgery done on the right ear that was filled with tumours and had discharging pus



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1-cm margin for suspected cancerous skin tumour is important
Large incision needs Z-plasty.  Skin heals well generally. One case is shown


Z-plasty for suspected cancerous skin growth post-op

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Very large wound. Z-plasty is needed

https://2010vets.blogspot.com/2015/09/2989-z-plasty-in-very-large-wound.html\


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large breast tumours in dogs. Z-plasty is needed.
  https://2010vets.blogspot.com/2017/12/3224-gigantic-breast-tumour-with-stalk.html

3186. Mushrooms white to black wilted

Jun 25, 2018   11 pm at night

Jun 26, 2018  8 am morning