A realistic model for vasectomy reversal training using swine testicles
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 s...
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| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2023-08-01
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| Series: | Acta Cirúrgica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502023000100224&lng=en&tlng=en |
| _version_ | 1797733675294523392 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Deivid Ramos dos Santos |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T12:31:21Z |
| format | Article |
| id | doaj.art-2010c0e71c874c30886c5aabbdc0f58c |
| institution | Directory Open Access Journal |
| issn | 1678-2674 |
| language | English |
| last_indexed | 2024-03-12T12:31:21Z |
| publishDate | 2023-08-01 |
| publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| record_format | Article |
| series | Acta Cirúrgica Brasileira |
| spelling | doaj.art-2010c0e71c874c30886c5aabbdc0f58c2023-08-29T07:48:34ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira1678-26742023-08-013810.1590/acb383023A realistic model for vasectomy reversal training using swine testiclesDeivid Ramos dos Santoshttps://orcid.org/0000-0002-7558-0359Wender de Jesus Pena Corrêa Juniorhttps://orcid.org/0000-0002-2841-5908Lívia Guerreiro de Barros Benteshttps://orcid.org/0000-0002-4788-1672Rafael Silva Lemoshttps://orcid.org/0000-0002-6806-6220Victor Matheus Mendonça de Araújohttps://orcid.org/0000-0002-9766-4641Gabrielly Leite Andradehttps://orcid.org/0000-0002-5383-4872Renan Kleber Costa Teixeirahttps://orcid.org/0000-0002-5079-297XLuís Otávio Amaral Duarte Pintohttps://orcid.org/0000-0003-3065-7516Herick Pampolha Huet de Bacelarhttps://orcid.org/0000-0003-0784-5543ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502023000100224&lng=en&tlng=enVasovasostomyMicrosurgeryUrologic Surgical ProceduresLow Cost TechnologySimulation Training |
| spellingShingle | 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 A realistic model for vasectomy reversal training using swine testicles Acta Cirúrgica Brasileira Vasovasostomy Microsurgery Urologic Surgical Procedures Low Cost Technology Simulation Training |
| title | A realistic model for vasectomy reversal training using swine testicles |
| title_full | A realistic model for vasectomy reversal training using swine testicles |
| title_fullStr | A realistic model for vasectomy reversal training using swine testicles |
| title_full_unstemmed | A realistic model for vasectomy reversal training using swine testicles |
| title_short | A realistic model for vasectomy reversal training using swine testicles |
| title_sort | realistic model for vasectomy reversal training using swine testicles |
| topic | Vasovasostomy Microsurgery Urologic Surgical Procedures Low Cost Technology Simulation Training |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502023000100224&lng=en&tlng=en |
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