You have accessJournal of UrologyInfertility: Therapy (MP31)1 Sep 2021MP31-19 ARTIFICIAL INTELLIGENCE BASED MACHINE LEARNING MODELS PREDICT SPERM PARAMETER UPGRADING AFTER MICROSURGICAL VARICOCELE REPAIR: A MULTI-INSTITUTIONAL ANALYSIS Jesse Ory, Michael B. Tradewell, Udi Blankstein, Thiago Lima, Sirpi Nackeeran, Elijah Nwefo, Vinayak Madhusoodanan, Susan Lau, Keith Jarvi, and Ranjith Ramasamy ...

There are several options in the treatment of varicocele. Surgical repair either by open or microsurgical approach, laparoscopy, or through percutaneous embolization of the internal spermatic vein have been used to treat varicocele [1]. Regardless of the chosen technique, the ultimate goal relies on the occlusion of the dilated veins that drain the testis. Percutaneous embolization offers a rap...

Anastomotic leak after low anterior resection (LAR) in patients with rectal cancer who have received neoadjuvant chemoradiation can be challenging to treat and can lead to the creation of a permanent stoma. We report the case of a post-operative anastomotic leak after a Baker-type anastomosis during a low anterior resection was successfully managed with transanal endoscopic microsurgical (TEM) ...

Injuries to the thoracic duct are infrequent but may become life-threatening when chylous leakage persists. This report describes 6 patients with such injuries in whom the leakage resolved spontaneously in one, was corrected using microsurgical lymphatic repair or lymphatic-venous anastomosis in two, successfully treated either by ligation of the thoracic duct or insertion of a peritoneovenous ...

In microsurgical nerve repair, the epineural sleeve technique can be used to bridge short nerve defects and to cover the coaptation site with the epineurium of the nerve stump. The epineurium serves as a mechanical aid to reduce gap size, and increase repair strength, effectively assisting nerve regeneration. This article presents a 32-year-old patient who experienced complete transection of th...

severe leg injuries involving comminuted fractures, vascular damage and extensive skin loss. Here results have been significantly improved by the cooperative work of several departments: the orthopaedic surgeon applies the Belfast fixator made in Mackie's foundry, the vascular surgeon inserts an arterial shunt followed by repair of the damaged vessels, and the plastic surgeon completes the work...

The topography of the intraneural fascicular groups must be understood if the treatment of acute lacerations of the major nerves in the forearm is to be successful. Most lacerations in the upper extremity occur at the wrist and in the distal half of the forearm. With microsurgical longitudinal dissections and serial sections, we studied the intraneural topography of the fascicular groups of the...

Cells are always subjected to mechanical stresses, resulting in wounds of the cell membrane, but cells are able to repair and reseal their wounded membrane. Previous reports have shown that actin and myosin II accumulate around the wound and that the constriction of this purse-string closes the membrane pore. Here, we developed a microsurgical wound assay to assess wound repair in Dictyostelium...

Microsurgical training is imperative for urologists and clinical andrologists specializing in male infertility. Success in male infertility microsurgery is heavily dependent on the surgeon's microsurgical skills. Laboratory-based practice to enhance microsurgical skills improves the surgeon's confidence, and reduces stress and operating time, benefiting both the patient and the surgeon. This re...