Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
Fertil Steril. 2014 Mar;101(3):e14. doi: 10.1016/j.fertnstert.2013.11.024. Epub 2013 Dec 24.
To demonstrate a step-by-step microsurgical approach to the two-layered vasovasostomy technique of an experienced urologic microsurgeon.
Video presentation.
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.
展示一位经验丰富的泌尿科显微外科医生进行双层吻合技术的分步显微外科方法。
视频演示。
贝勒医学院。
本手术技术视频演示了一名接受输精管切除术复通术的患者的吻合术。
吻合术。
带有注释的术中技术，突出成功吻合的技巧。
经过 fellowship培训的泌尿科显微外科医生进行的显微吻合术比宏观手术方法效果更好，特别是当需要进行附睾输精管吻合术时。我们的吻合术技术的通畅率接近 100%。近年来吻合术的普及可归因于手术技术、器械、光学的改进，最重要的是，通畅率的提高。
这是第一个发表的视频，演示了一种用于双层显微吻合术的分步技术，作为一种培训方法。
