Operative Note |
PROCEDURE: Bilateral vasectomy. |
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SUMMARY: Under adequate IV sedation,
the patient was put in supine position and genitalia prepped and draped in the usual sterile manner. First, the right vas deferens
was separated from surrounding cord structures by palpation and then held firmly against the stretched scrotal skin over it. About 3 cc of 1% lidocaine was injected and then skin tissue incision was made about 2 cm long and the vas deferens was grasped with
hemostat and brought out of the incision. Following that, surrounding tissue from the vas was dissected off sharply. Hemostasis
was achieved with broad cauterization. About a 2 cm long segment of vas deferens was excised. The cord ends were cauterized,
tied with 3-0 chromic ties, and then suture ligated and folded over with suture ligature of 3-0 chromic material. Hemostasis
was confirmed. The vas deferens was dropped back into the scrotum, scrotal incision closed with interrupted mattress suture
of 3-0 chromic. Similar procedure was carried out on the left vas deferens. Following the procedure, sterile dressings
are applied. The patient was transferred to recovery in satisfactory condition.
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