@Article{,
AUTHOR = {Miriam Hadj-Moussa, James A. Brown},
TITLE = {Use of surgical clips prevents suture slippage  when ligating folded vas deferens during vasectomy},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {17},
YEAR = {2010},
NUMBER = {3},
PAGES = {5213--5215},
URL = {http://www.techscience.com/CJU/v17n3/62046},
ISSN = {1488-5581},
ABSTRACT = {<b>Objective:</b> We describe a technique of surgical clip placement, which prevents slippage when ligating the folded vas deferens during vasectomy.<br/>

<b>Methods:</b> We utilized this technique in 25 consecutive vasectomy procedures. After isolating the vas, two mosquito clamps are placed approximately 2 cm-3 cm apart and a small 5 mm-10 mm section of full thickness vas is removed. The lumen of each cut end is cauterized. Surgical clips (Ethicon Ligaclip Extra LS-200, Medium) are placed at approximately 2 mm, 3 mm and 15 mm (on the opposite side of the hemostat) from each cut end. By rotating the hemostat, the vas is folded on itself and a 3-0 or 4-0 chromic suture is placed between the two proximal clips and distal to the third clip. The hemostat is carefully removed and the vas gently ligated.<br/>

<b>Results:</b> A single surgeon noted no instances of suture slippage in 25 consecutive vasectomies. All patients underwent postoperative semen analysis that showed azoospermia.<br/>

<b>Conclusion:</b> Placement of the ligating suture between two proximal clips and past a third distal clip prevents suture slippage when ligating the folded end of the vas deferens during vasectomy.},
DOI = {}
}