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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