Technique
In this video the cut ends of the vas deferens are brought into close proximity with each other and stabilized in position by a small atraumatic clip. An operating microscope is then used to magnify the site of the microsurgery approximately 40 times. A series of very fine microscopic sutures (much finer than a human hair) are then placed around the circumference of the lumen of the vas deferens (which is less in diameter of a pin) to bring the ends together and establish patency (microsurgical vaso-vasostomy).
Once this has been achieved a second layer of sutures is then added to provide support and stability to the site of the anastomosis. These secondary sutures reduce the risk of movement and therefore excess scarring following the operation. It is always possible to visibly see the ends of the vas deferens come together and be certain at the time of the surgery that the vas deferens is open. Following conclusion of the reanastomosis of the vas deferens the subcutaneous tissue and then the skin are closed with fine stitches