This video show a 2 layer anastomosis--connecting the 2 ends--during a vasectomy reversal. The first layer uses very fine suture known as 10-0 bicurve nylon. The second layer is with 9-0 nylon. Both sutures are so small that they can only be seen with the aid of an operating microscope. Operating with such small suture requires a great deal of manual dexterity. Success rates for vasectomy reversals have dramatically improved since urologic microsurgeons began using this technique.
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