Microsurgery for Fertility Specialists by Jay I. Sandlow

Author:Jay I. Sandlow
Language: eng
Format: epub
Publisher: Springer New York, New York, NY

Summary

Microsurgical techniques can be applied to a variety of urologic procedures outside the field of male infertility surgery. However, the advantages of microsurgery, including optical magnification, minimal tissue trauma and meticulous hemostasis, must be balanced with its limitations, such as operative cost and time, and the microsurgical skills of the operating surgeon. As discussed in this chapter, the use of microsurgical techniques leads superior outcomes in the appropriately selected case and patient population. The ability to successfully perform detailed procedures such as denervation of the spermatic cord, and the execution of fine vascular of lymphovascular anastomoses, is clearly enhanced with the use of the operating microscope. Equally importantly, postoperative complications in procedures such as varicocelectomy, hydrocelectomy, and spermatocelectomy are minimized under the microscope. With technical advances in microsurgery, and training of dedicated microsurgeons, the application of microsurgical techniques in urology will likely continue to expand.

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