Vasovasostomy

1. VASOVASOSTOMY
Presented by----
Mrs. Usha Rani Kandula,
MSc.Nursing, Assistant professor,
Department of Adult Health Nursing,
College of Health Sciences,
Arsi University, Asella, Ethiopia.

2. DEFINITION
-Recannulization of the vas deferens for the
restoration of fertility requires an
unobstructed anastomosis.

12. PROCEDURE
-A scrotal incision exposes the vas deferens
above and below the site of the previous
ligation.
-A needle biopsy,
-or preferably incisional testicular biopsy, may
be performed.

13. -Under magnification,
-scar tissue is excised from both ends of the
vas and the vas is mobilized to avoid tension
on the ananstomosis.

14. -Care is taken to avoid undue trauma to the
local blood supply.
-The wound is closed.
- A bulky dressing is applied.
-For Preparation of Patient, Skin Preparation,
and Draping, see Vasectomy,.

15. DRAPING
-Add microscope cover, as necessary.
EQUIPMENT
-ESU
-Magnifying loupes or microscope, as
requested

16. INSTRUMENTATION
-Limited procedures tray
MICROSCOPIC INSTRUMENTS:
-Tissue forceps (1),
-curved smooth forceps (2),
-curved tying forceps (1),
-Castroviejo needle holder (1),
-vas holding forceps (1)

17. SUPPLIES
-Antiembolitic hose
-Small basin
-Blades, (1) #15 and (1) #11
-Needle magnet or counter

18. -Electrosurgical pencil with needle tip
-Suture (fine), e.g., 9-0 and 10-0 nylon
-Dressing, e.g., telfa, “gauze fluffs,” and scrotal
support
-Ice pack (as requested)

19. SPECIAL NOTES
-Apply Special Notes from Abdominal
Laparotomy, as indicated.
-Arrangement of all needed equipments.

20. CUTANEOUS VASOSTOMY
DEFINITION
-Establishment of an opening of the vas onto
the scrotal skin.

21. Cutaneous vasostomy
-Cutaneous vasostomy is performed to drain an
infected epididymis or testis by incising a
loop of the vas and suturing it to the scrotal
skin.

22. Vasography
-The wound or wounds usually close
spontaneously after the precipitating episode
subsides.
-Vasography may be done by injection of
contrast media into the severed end(s) of the
vas.

23. PROCEDURE
-An incision is made over the vas;
-the vas is grasped and freed of surrounding
tissue.
-The vas is divided,
-and the severed ends are sutured to the scrotal
skin.
-A bulky dressing is applied.

24. -For Preparation of the Patient,
-Skin Preparation,
-Draping,
-Equipment,
-Instrumentation,
-Supplies,
-and Special Notes, see Vasectomy, .
THANKING YOU.