3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats

Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery. The three-dimensional (3D) digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back, which can improve outcomes in mi...

Full description

Bibliographic Details
Main Authors: Peng Li, Na-Chuan Liu, Er-Lei Zhi, Chen-Cheng Yao, Zhi-Liang Zhao, Zhi-Yong Yu, Qi-Meng Li, Yu-Hua Huang, Jie-Chang Ju, Wen-Bin Huang, Husanjan Rozi, Zhi-Yong Ji, San-Wei Guo, Ru-Hui Tian, Zheng Li
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Asian Journal of Andrology
Subjects:
Online Access:http://www.ajandrology.com/article.asp?issn=1008-682X;year=2021;volume=23;issue=4;spage=396;epage=399;aulast=Li
_version_ 1819129789804445696
author Peng Li
Na-Chuan Liu
Er-Lei Zhi
Chen-Cheng Yao
Zhi-Liang Zhao
Zhi-Yong Yu
Qi-Meng Li
Yu-Hua Huang
Jie-Chang Ju
Wen-Bin Huang
Husanjan Rozi
Zhi-Yong Ji
San-Wei Guo
Ru-Hui Tian
Zheng Li
author_facet Peng Li
Na-Chuan Liu
Er-Lei Zhi
Chen-Cheng Yao
Zhi-Liang Zhao
Zhi-Yong Yu
Qi-Meng Li
Yu-Hua Huang
Jie-Chang Ju
Wen-Bin Huang
Husanjan Rozi
Zhi-Yong Ji
San-Wei Guo
Ru-Hui Tian
Zheng Li
author_sort Peng Li
collection DOAJ
description Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery. The three-dimensional (3D) digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back, which can improve outcomes in microsurgery. We report a randomized prospective study of vasoepididymostomy and vasovasostomy using a 3D digital image microscope system (3D-DIM) in rats. A total of 16 adult male rats were randomly divided into two groups of 8 each: the standard operating microscope (SOM) group and the 3D-DIM group. The outcomes measured included the operative time, real-time postoperative mechanical patency, and anastomosis leakage. Furthermore, a user-friendly microscope score was designed to evaluate the ergonomic design and equipment characteristics of the microscope. There were no differences in operative time between the two groups. The real-time postoperative mechanical patency rates were 100.0% for both groups. The percentage of vasoepididymostomy anastomosis leakage was 16.7% in the SOM group and 25.0% in the 3D-DIM group; however, no vasovasostomy anastomosis leakage was found in either group. In terms of the ergonomic design, the 3D-DIM group obtained better scores based on the surgeon's feelings; in terms of the equipment characteristics, the 3D-DIM group had lower scores for clarity and higher scores for flexibility and adaptivity. Based on our randomized prospective study in a rat model, we believe that the 3D-DIM can improve surgeon comfort without compromising outcomes in male infertility reconstructive microsurgery, so the 3D-DIM might be widely used in the future.
first_indexed 2024-12-22T08:49:18Z
format Article
id doaj.art-765a94b5cfed4f0d8f6eb9e6dca73ed1
institution Directory Open Access Journal
issn 1008-682X
1745-7262
language English
last_indexed 2024-12-22T08:49:18Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Asian Journal of Andrology
spelling doaj.art-765a94b5cfed4f0d8f6eb9e6dca73ed12022-12-21T18:32:01ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622021-01-0123439639910.4103/aja.aja_94_203D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in ratsPeng LiNa-Chuan LiuEr-Lei ZhiChen-Cheng YaoZhi-Liang ZhaoZhi-Yong YuQi-Meng LiYu-Hua HuangJie-Chang JuWen-Bin HuangHusanjan RoziZhi-Yong JiSan-Wei GuoRu-Hui TianZheng LiOptimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery. The three-dimensional (3D) digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back, which can improve outcomes in microsurgery. We report a randomized prospective study of vasoepididymostomy and vasovasostomy using a 3D digital image microscope system (3D-DIM) in rats. A total of 16 adult male rats were randomly divided into two groups of 8 each: the standard operating microscope (SOM) group and the 3D-DIM group. The outcomes measured included the operative time, real-time postoperative mechanical patency, and anastomosis leakage. Furthermore, a user-friendly microscope score was designed to evaluate the ergonomic design and equipment characteristics of the microscope. There were no differences in operative time between the two groups. The real-time postoperative mechanical patency rates were 100.0% for both groups. The percentage of vasoepididymostomy anastomosis leakage was 16.7% in the SOM group and 25.0% in the 3D-DIM group; however, no vasovasostomy anastomosis leakage was found in either group. In terms of the ergonomic design, the 3D-DIM group obtained better scores based on the surgeon's feelings; in terms of the equipment characteristics, the 3D-DIM group had lower scores for clarity and higher scores for flexibility and adaptivity. Based on our randomized prospective study in a rat model, we believe that the 3D-DIM can improve surgeon comfort without compromising outcomes in male infertility reconstructive microsurgery, so the 3D-DIM might be widely used in the future.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2021;volume=23;issue=4;spage=396;epage=399;aulast=Limicrosurgery; three-dimensional digital image microscope system; vasoepididymostomy; vasovasostomy
spellingShingle Peng Li
Na-Chuan Liu
Er-Lei Zhi
Chen-Cheng Yao
Zhi-Liang Zhao
Zhi-Yong Yu
Qi-Meng Li
Yu-Hua Huang
Jie-Chang Ju
Wen-Bin Huang
Husanjan Rozi
Zhi-Yong Ji
San-Wei Guo
Ru-Hui Tian
Zheng Li
3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats
Asian Journal of Andrology
microsurgery; three-dimensional digital image microscope system; vasoepididymostomy; vasovasostomy
title 3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats
title_full 3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats
title_fullStr 3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats
title_full_unstemmed 3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats
title_short 3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats
title_sort 3d digital image microscope system assisted vasovasostomy and vasoepididymostomy in rats
topic microsurgery; three-dimensional digital image microscope system; vasoepididymostomy; vasovasostomy
url http://www.ajandrology.com/article.asp?issn=1008-682X;year=2021;volume=23;issue=4;spage=396;epage=399;aulast=Li
work_keys_str_mv AT pengli 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT nachuanliu 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT erleizhi 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT chenchengyao 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT zhiliangzhao 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT zhiyongyu 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT qimengli 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT yuhuahuang 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT jiechangju 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT wenbinhuang 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT husanjanrozi 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT zhiyongji 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT sanweiguo 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT ruhuitian 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats
AT zhengli 3ddigitalimagemicroscopesystemassistedvasovasostomyandvasoepididymostomyinrats