Mesh : Male Humans Vas Deferens / surgery Rete Testis / surgery Azoospermia / surgery Retrospective Studies Epididymis Anastomosis, Surgical Testis / surgery

来  源:   DOI:10.1590/S1677-5538.IBJU.2024.0099   PDF(Pubmed)

Abstract:
OBJECTIVE: This video aims to present an in-depth, step-by-step tutorial on microsurgical reconstruction for obstructive azoospermia, featuring a distinctive case involving anastomosis from vas deferens to rete testis. The primary aim of this endeavor is to offer thorough and practical insights for healthcare professionals and researchers within the realm of reproductive medicine. The video endeavors to disseminate expertise, methodologies, and perspectives that can be advantageous to individuals grappling with obstructive azoospermia, providing a significant contribution to the progress of reproductive medicine and the augmentation of existing treatment alternatives.
METHODS: Surgical footage was recorded using the ORBEYE 4K 3D Orbital Camera System by Olympus America, with patient consent acquired for research purposes. Additionally, a retrospective examination of patient records was undertaken to compile relevant medical histories.
RESULTS: This video furnishes an exhaustive guide to microsurgical reconstruction for obstructive azoospermia, encompassing a distinctive instance of anastomosis from vas deferens to rete testis. State-of-the-art technology, such as the ORBEYE 4K 3D Orbital Camera, heightens procedural transparency, accentuating the significance of advanced instrumentation. The ethical underpinning is emphasized by obtaining patient consent for footage utilization, and a retrospective chart review augments the repository of valuable patient data. This comprehensive approach serves as an invaluable reservoir of knowledge for medical professionals and underscores excellence in clinical and ethical healthcare research.
CONCLUSIONS: Anastomosis from vas deferens to rete testis emerges as a viable surgical reconstruction alternative for obstructive azoospermia, particularly when confronted with non-dilated tubules within the epididymis.
摘要:
目的:本视频旨在深入介绍,关于梗阻性无精子症显微外科重建的分步教程,特征是涉及从输精管到睾丸网状吻合的独特病例。这项工作的主要目的是为生殖医学领域的医疗保健专业人员和研究人员提供全面和实用的见解。视频努力传播专业知识,方法论,以及对患有阻塞性无精子症的个体有利的观点,为生殖医学的进步和现有治疗替代方案的增加做出了重大贡献。
方法:使用OlympusAmerica的ORBEYE4K3D轨道摄像机系统记录手术镜头,为研究目的获得患者同意。此外,我们对患者记录进行了回顾性检查,以汇编相关的病史.
结果:本视频为梗阻性无精子症的显微外科重建提供了详尽的指导,包括从输精管到睾丸网状吻合的独特实例。最先进的技术,例如ORBEYE4K3D轨道相机,提高程序透明度,强调先进仪器的重要性。通过获得患者同意使用镜头来强调道德基础,回顾性图表审查增加了有价值的患者数据的存储库。这种全面的方法为医疗专业人员提供了宝贵的知识储备,并强调了临床和伦理医疗保健研究的卓越表现。
结论:从输精管到睾丸网状吻合是治疗梗阻性无精子症的一种可行的手术重建方法,特别是当遇到附睾内未扩张的小管时。
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