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A realistic model for vasectomy reversal training using swine testicles

Authors :
Deivid Ramos dos Santos
Wender de Jesus Pena Corrêa Junior
Lívia Guerreiro de Barros Bentes
Rafael Silva Lemos
Victor Matheus Mendonça de Araújo
Gabrielly Leite Andrade
Renan Kleber Costa Teixeira
Luís Otávio Amaral Duarte Pinto
Herick Pampolha Huet de Bacelar
Source :
Acta Cirúrgica Brasileira, Vol 38 (2023)
Publication Year :
2023
Publisher :
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2023.

Abstract

ABSTRACT Purpose: To evaluate the viability of the porcine vas deferens as a realistic microsurgical training model for vasectomy reversal Methods: The model uses swine testicles (vas deferent), which are usually discarded in large street markets since they are not part of Brazilian cuisine. The spermatic cord was carefully dissected, and the vas deferens were isolated, measuring 10 cm in length. A paper quadrilateral with 5 cm2 was built to delimit the surgical training field. The objective of the model is to simulate only the microsurgical step when the vas deferens are already isolated. The parameters analyzed were: feasibility for reproducing the technique, patency before and after performing the vasovasostomy, cost of the model, ease of acquisition, ease of handling, execution time, and model reproducibility. Results: The simulator presented low cost. All models made were viable with a texture similar to human, with positive patency obtained in 100% of the procedures. The internal and external diameters of the vas deferens varied between 0.2-0.4 mm and 2-3 mm, respectively, with a mean length of 9 ± 1.2 cm. The total procedure time was 43.28 ± 3.22 minutes. Conclusions: The realistic model presented proved to be viable for carrying out vasectomy reversal training, due to its low cost, easy acquisition, and easy handling, and providing similar tissue characteristics to humans.

Details

Language :
English
ISSN :
16782674
Volume :
38
Database :
Directory of Open Access Journals
Journal :
Acta Cirúrgica Brasileira
Publication Type :
Academic Journal
Accession number :
edsdoj.2010c0e71c874c30886c5aabbdc0f58c
Document Type :
article
Full Text :
https://doi.org/10.1590/acb383023