Background: Non Scalpel Vasectomy (NSV) is being widely used by Family Planning Sector of Bangladesh for male sterilization. But when young persons with NSV needs reversal of the procedure (recanalization), they become frustrated hugely affecting the family harmony.
Aims and Objectives: To see the efficacy of recanalization of Vas Deferens of Non Scalpel Vasectomy (NSV) Individuals. To establish confidence on national NSV program by assuring the scope of future reversal if needed.
Materials and methods: During the period of January 2017 to November 2019, we have analyzed the outcome of recanalization surgery of all cases of NSV individual which were referred to our urology team at Rangpur of Bangladesh. We excised the involved segment of Vas Deferens and stented it internally by No-1 prolene (Ethicon). Then end-to-end anastomoses were done by 7/0 vicryl (Ethicon). We collected articles from Hinari, Pubmed and Banglajol with extensive searches. We have compared our findings to the previously published articles.
Result- We found 91.9% success rate in this study with positive semen production. Pregnancies were achieved in wives of 72.9% of recanalized individuals. The most common causes of unsuccessful recanalizations are more than 7 years of NSV, knot in close proximity to epididymis, two or more knots and cord like Vas Deferens. One patient had significant hematoma leading to a failed outcome, otherwise there was no mentionable complication in this series.
Conclusion- Recanalization of Vas Deferens of NSV individuals can be done with high success rate and other centers of Bangladesh may take steps for further evaluation.
J Bangladesh Coll Phys Surg 2021; 39(3): 167-170
Coronary artery bypass graft (CABG) surgery is one of the treatment modalities of coronary artery disease (CAD) patients. There are multiple selection criteria for CABG and multiple procedures like conventional CABG, on pump beating heart CABG and off pump beating heart CABG (OPCAB). This study was intended to compare between conventional CABG and on pump beating heart CABG. Total 60 patients were selected for the study, of which 30 patients had undergone conventional CABG and 30 had undergone on pump beating heart CABG. Different preoperative and postoperative variables shows clear and significant superiority of on pump beating heart CABG. So it may be an alternative surgical procedure where OPCAB is not feasible in poor left ventricular (LV) .function.
Journal of Surgical Sciences (2014) Vol. 18 (1) : 20-27
A middle aged man was admitted into National Institute of Cardiovascular Diseases with the complaints of intermittent syncopal attack, dyspnoea, low grade fever and headache. After admission, he was diagnosed as a of case right atrial (RA) myxoma by echocardiography. With all preoperative preparation, he was undergone surgery under general anesthesia with cardiopulmonary bypass (CPB). About 9cm x 7cm myxoma was removed and severe tricuspid regurgitation (TR) was found by regurge test. De Vega annuloplasty of the tricuspid annulus was done. Recovery of the patient was satisfactory with disappearance of all symptoms. DOI: 10.3329/jbcps.v27i1.4245 J Bangladesh Coll Phys Surg 2009; 27: 52-55
Non Scalpel Vasectomy (NSV) is used extensively for male sterilization by the family planning industry in Bangladesh. But if NSV needs a reverse procedure (recanalization), variable rates are observed in different studies. We collected articles from Hinari, Pubmed and Banglajol with extensive searches. We compared these results between articles and recommended the best vasectomy reversal (NSV) procedure for male clients.
J Rang Med Col. March 2023; Vol. 8, No. 1:69-71
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