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. 2012 Dec 17;15(1):67–74. doi: 10.1038/aja.2012.131

Figure 5.

Figure 5

Surgical technique for robotic assisted vasoepididymostomy. (a) Two 10-0 nylon double-armed suture needles are placed longitudinally through a single epididymal tubule to expose the tubule. (b) Incision of the epididymal tubule with Potts scissors and aspiration of the epididymal fluid for microscopic examination. (c) All four needles of two double-armed 10-0 are brought inside out on the vas mucosal lumen to involute the epididymal tubule lumen into the vas lumen. (d) Five to six 9-0 nylon suture placement for vasal adventitia to epididymal tunica layer approximation. For all above: (1) Main view from the da Vinci Si 3D HD camera (Intuitive Surgical, Sunnyvale, CA, USA), (2) View from the VITOM ×16–×18 optical magnification camera lens system (Karl Storz Inc., Tuttlingen, Germany) and (3) View from the ×40–×100 optical microscopic view from the andrology laboratory microscope (Nikon Inc., Tokyo, Japan).