
vasopedidostomy

vasopedidostomy yaa epididomovosostomy ack aisee sergery haye jisake dwara nasbandi koo ulat diyaa jaataa haye. isamen kataa huaa vaas epidemis key liye vilambit hotaa haye aur takniki roop seey vasovasostomy kii tulanaa mein adhik maang kartaa haye.
nasbandi key ulatane key liye jisamen ack vasopedidostomy shamil haye, dou sookshm shalya chikitsa drishtikon hain. prakriya mein vasovasostomy key samaan shalya chikitsa cheera shamil haye; haalaanki, vasovasostomy key vipareet, vrishan koo aamtaur parr iss adhik jatil micro sergery key liye kshetra mein vitarit kiya jaataa haye. epididimal baadha dikhaane vaale vaasal drav key nishkarshon kii sameeksha key baad, baahari vrishan aavaran (tunica yoni) koo kholkar epididymis kaa pataa chalata haye. epidemis kaa nireekshan kiya jaataa haye aur vaas deference mein pravesh karane aur usase judane key liye ack vyaktigat nalika kaa chayan kiya jaataa haye. iss bindu seey, dou epididomovasostomy takneekon mein seey ack lii jaati haye. mucosa-too-mucosa mein, ack khuli epididimal tubul koo vaas deference key cutt aind seey jodaa jaataa haye, jisamen 4 seey 6 chhote (10-0) saral taanke hotey hain joe pratyek kii paridhi key aspas rakhe jaate hain. iss "aantarik" parat koo connection koo majboot karane key liye 9-0 taanke kii ack "baahari" parat key saath samarthit kiya jaataa haye. haal hii mein, ack "aakraman" vasoepidistomy koo mucosa-too-mucosa vidhi key vikalp key roop mein varnit kiya gayaa thaa. iss takneek key saath, 10-0 silai key ack, dou yaa teen "west" taanke epididimal tubal key udghaatan key paas rakhe jaane chaahiye taaki epididimal tubal koo vaas deference mein "aakraman" karane kii anumati mill sakey, saiddhaantik roop seey ack connection banaaya jaa sakey, joe pashu model mein adhyayan key aadhar parr, ack behtar jalrodhi muhar haye aur sambhavatah safalata kii uchch sambhavana haye. ack baar jaba vaas-deference-epidemis connection puuraa hoe jaataa haye, tou vrishan key chaaron or key aavaran koo badal diyaa jaataa haye.
mootra vigyaan key kshetra mein vasopedidostomy koo aksar takniki roop seey sabse chunautipurna sanchalanon mein seey ack maanaa jaataa haye. prakriya key liye vaas deference (vyaas 0.3-0.4 mimi) key lumen mein ekal epididimal tubul (luminal vyaas 0.15-0.25 mimi) key anastomosis kii aavashyakta hoti haye, aur yeh janmajaat yaa adhigrahit epididimal baadha vaale rogiyon key liye aarakshit haye, yaa aise rogi joe vaas deference key shalya chikitsa punarnirmaan mein pichhale prayason mein whiffle rahey hain. yeh shalya chikitsa vaas koo seedhe epididymis seey jodati haye, pratyek vrishan key peechhe kii kundalit nully jahaan shukranu paripakva hotey hain. nasbandi seey avrodh yaa vis deference yaa epididymis mein viram hoe sakata haye. iss shalya chikitsa kaa upayog taba kiya jaataa haye jaba ack vasovasostomy kaam naheen karegi kyonki shukranu pravaah avaruddh hoe jaataa haye. vaas deference avrodh key bindu key oopar epididymis seey judaa huaa haye.