Fertility and sterility · 2013
Vasovasostomy: a step-by-step surgical technique video.
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Hakky Tariq S, Coward Robert M, Smith Ryan P, Kovac Jason R, Lipshultz Larry I
Аннотация
OBJECTIVE: To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced urologic microsurgeon.
DESIGN: Video presentation.
SETTING: Baylor College of Medicine.
PATIENT(S): This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal.
INTERVENTION(S): Vasovasostomy.
MAIN OUTCOME MEASURE(S): Intraoperative technique with commentary highlighting tips for a successful anastomosis.
RESULT(S): Microsurgical vasovasostomy by a fellowship-trained urologic microsurgeon yields superior results than macrosurgical approaches, particularly when epididymovasostomy is indicated. Patency for our vasovasostomy technique approaches 100%. The popularity of vasovasostomy in recent years can be attributed to improvements in operative technique, instrumentation, optics, and most importantly, patency rate.
CONCLUSION(S): This video is the first published video demonstrating a step-by-step technique for two-layered microsurgical vasovasostomy, as a method of training.
DESIGN: Video presentation.
SETTING: Baylor College of Medicine.
PATIENT(S): This surgical technique video demonstrates a vasovasostomy of a patient undergoing vasectomy reversal.
INTERVENTION(S): Vasovasostomy.
MAIN OUTCOME MEASURE(S): Intraoperative technique with commentary highlighting tips for a successful anastomosis.
RESULT(S): Microsurgical vasovasostomy by a fellowship-trained urologic microsurgeon yields superior results than macrosurgical approaches, particularly when epididymovasostomy is indicated. Patency for our vasovasostomy technique approaches 100%. The popularity of vasovasostomy in recent years can be attributed to improvements in operative technique, instrumentation, optics, and most importantly, patency rate.
CONCLUSION(S): This video is the first published video demonstrating a step-by-step technique for two-layered microsurgical vasovasostomy, as a method of training.