Thursday, September 10, 2015

UROLOGIC OPERATION 18 vasovasostomy


Vasovasostomy
Objective
In case of:
•   Demand for reversal
•   Anastomosis of the severed ends of the vas deferens.
Position
Supine.
Anesthesia
Local, spinal or general.
Procedure
1.  A scrotal incision exposes the vas deferens above and below site of the previous ligation.
2.  Scar tissue is excised from both ends of the vas.
3.  Under magnification sutures are placed in the mucosal lining of the lumen.
4.  Muscularis is approximated separately.
5.  Wound is closed.
Instruments
•   Vasectomy set
•   Vasovasostomy microscopic instruments, for example,
     1 tissue forceps,
     2 curved smooth forceps,
     1 curved tying forceps,
     1 castroviejo needle holder,
     1 vas holder
•   Electrosurgical pencil with needle tip
•   Scrotal support
•           Microscope or magnifying loop.

Any questions be sent to drmmkapur@gmail.com
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