Journal article
Use of surgical clips prevents suture slippage when ligating folded vas deferens during vasectomy
Canadian journal of urology, Vol.17(3), pp.5213-5215
06/2010
PMID: 20566017
Abstract
We describe a technique of surgical clip placement, which prevents slippage when ligating the folded vas deferens during vasectomy.
We utilized this technique in 25 consecutive vasectomy procedures. After isolating the vas, two mosquito clamps are placed approximately 2 cm-3 cm apart and a small 5 mm-10 mm section of full thickness vas is removed. The lumen of each cut end is cauterized. Surgical clips (Ethicon Ligaclip Extra LS-200, Medium) are placed at approximately 2 mm, 3 mm and 15 mm (on the opposite side of the hemostat) from each cut end. By rotating the hemostat, the vas is folded on itself and a 3-0 or 4-0 chromic suture is placed between the two proximal clips and distal to the third clip. The hemostat is carefully removed and the vas gently ligated.
A single surgeon noted no instances of suture slippage in 25 consecutive vasectomies. All patients underwent postoperative semen analysis that showed azoospermia.
Placement of the ligating suture between two proximal clips and past a third distal clip prevents suture slippage when ligating the folded end of the vas deferens during vasectomy.
Details
- Title: Subtitle
- Use of surgical clips prevents suture slippage when ligating folded vas deferens during vasectomy
- Creators
- Miriam Hadj-Moussa - Division of Urology, Medical College of Georgia, Augusta, Georgia, USAJames A Brown
- Resource Type
- Journal article
- Publication Details
- Canadian journal of urology, Vol.17(3), pp.5213-5215
- Publisher
- Canada
- PMID
- 20566017
- ISSN
- 1195-9479
- Language
- English
- Date published
- 06/2010
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Urology
- Record Identifier
- 9984051989502771
Metrics
24 Record Views