No-Scalpel Vasectomy: An Illustrated Guide for ... - EngenderHealth

18 Spreading the tissues to make a skin opening twicethe diameter of the vas 3419 Piercing the wall of the vas with the tip of thelateral blade of the dissecting forceps 3520 Rotation of the dissecting forceps, Part 1 3621 Rotation of the dissecting forceps, Part 2 3622 Releasing the ringed clamp before elevating the vaswith the dissecting forceps—ringed clamp open,but still in place 3723 Grasping a partial thicknessof the elevated vas 3924 Grasping a partial thickness of the elevated vasat the crest of the loop, with only the ringedclamp attached 4025 Puncturing the sheath with one tip of thedissecting forceps 4126 Inserting both tips of the dissecting forceps intothe punctured sheath 4227 Opening the dissecting forcepsto strip the sheath 4228 Steps in performing vasectomy by ligation withexcision 4429 Steps in completing vasectomy by fascialinterposition 4530 The completed fascial interposition, with thestump of the prostatic end outside the fascialsheath and the stump of the testicular endinside the fascial sheath 4731 Cautery with a sharp needle electrode 4832 Cautery with a blunt wire inserted into thehemitransected vas 4833 Sometimes a segment of the vas is removedfollowing cauterization 4934 Isolating the left vas before occlusion 5035 Dressing the wound 52vi No-Scalpel Vasectomy: Illustrated GuideEngenderHealth