Microsurgery of epididymis: laboratory background for further clinical trial.
Based on the experience of 75 microsurgical reconstructions of the obstructed epididymis, the authors conclude that a simple introduction of microsurgery does not improve the results significantly. This experience, however, has provided a better understanding of the most important problems of epididymal surgery and has shown the ways to solve them. The principal means, they believe, is a well organized clinical study. Experimental data are hardly applicable to human sperm viae pathology. This clinical study should satisfy two requirements: a uniform operative technique and special account for an anastomosis level. End-to-side vasoepididymostomy is suggested to be the method of choice. A training model for epididymal microsurgery is elaborated and used for working out the above-mentioned technique. The reliability of the technique is shown in 20 rabbits, with litters from 17 couples. A special investigation of the microsurgically significant details of epididymal anatomy substantiates several separate zones marking out.
Borovikov
A M
AM
Microsurgery Department, Medical Academy, Moscow, USSR.
Gilis
J
J
D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D002986:Clinical Trials as Topic; D004822:Epididymis / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D011817:Rabbits; D014649:Vas Deferens / Q000601:surgery