Milanov N O, Borovikov A M, Gilis Ia S
Urol Nefrol (Mosk). 1989 Nov-Dec(6):54-9.
Based on their own experience with 83 reconstructive microsurgeries performed for epididymis obstruction the authors concluded that a simple incorporation of microsurgical techniques into the surgery of excretory infertility failed to substantially improve the results of the treatment. Supposing a well-managed clinical study to be the main tool to provide better results and the data of animal studies to be inapplicable for the diseases of the human reproductive system, the authors suggested that the aforementioned study in the clinical settings should conform to the two major requirements: an uniform pattern of the techniques employed and an exacting control over anastomosis application. As a method of choice, end-to-side vasoepididymostomy was offered. A training model for gaining the mastery of epididymis microsurgery techniques was developed as well. The reliability of the method was proved by experiments on 20 rabbits. 17 animals gave offsprings. The system of epididymal ducts studied in health opened the possibility of a well-founded division of epididymis into zones of surgical importance.
基于他们自身对83例因附睾梗阻而进行的显微外科重建手术的经验，作者得出结论，简单地将显微外科技术应用于排泄性不孕手术并不能显著改善治疗效果。假设精心管理的临床研究是取得更好结果的主要工具，而动物研究数据不适用于人类生殖系统疾病，作者建议上述临床研究应符合两项主要要求：所采用技术的统一模式以及对吻合应用的严格控制。作为首选方法，提供了端侧输精管附睾吻合术。还开发了一种用于掌握附睾显微外科技术的训练模型。通过对20只兔子的实验证明了该方法的可靠性。17只动物产下了后代。对健康状态下研究的附睾管系统进行研究，为将附睾合理划分为具有手术重要性的区域提供了可能性。
