No-scalpel technique for vasectomy.
This review aims to describe the development of the no-scalpel technique and to summarize the available results. An attempt is made to simplify the training of surgeons in the no-scalpel vasectomy technique. This technique uses the method described by Dr Li Shunqiang, utilizing a dedicated vas-grasping forceps; a sharp dedicated dissecting forceps, scissors and sutures are all that are required in addition. In a simple comparative study in Bangkok involving 1203 patients, it was found that the no-scalpel technique was faster. In the 19 cases of complications of symphysis and hemorrhage, 16 occurred using the standard technique (3.1 per 100 patients) and three from the no-scalpel technique (0.4 per 100 patients). The no-scalpel technique is probably more difficult to learn but requires fewer resources. The operation is nearly twice as fast as the standard technique with approximately one-eighth of its complications.
Department of Obstetrics and Gynaecology, University of Nottingham, Queen's Medical Centre, UK.
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Filshie
D002983:Clinical Competence; D004210:Dissection / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D019106:Postoperative Hemorrhage / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D013536:Suture Techniques; D013997:Time Factors; D014659:Vasectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*