Tuesday, September 17, 2013

Vasal Microsurgery/Vas Reversals

The inner lumen of the vas deferens is very small. In order to see it more clearly and to assist in suture placement, we dilate the vas lumen with a vasal dilator, as seen above.  

 In this picture, the vasal lumen can be seen very clearly.  

 Suture placement can be done in 1 or 2 layers, depending on the demands of the case and the preference of the microsurgeon.  Below, I am placing a 10-0 bicurve nylon suture.  

Microsurgery can be very challenging and like anything else, is made better with repitition and practice.  These images were produced during a practice session that I did today in anticipation of some upcoming vasectomy reversal procedures.