Figure 6

Two 8-0 sutures initiating an outer layer of a formal two-layer anastomosis.

Figure 7

Posterior row has been completed. The vas-holding clamp has been turned, and three 10-0 luminal sutures are placed. One can use sutures with needles on either end, as shown in the illustration, or cut the sutures in half. It is easier to leave the last two or three sutures unties until they are all placed.

Figure 8

The outer layer is completed with 8-0 sutures.

(Modified from Thomas, A.J., and Howards, S.S.: Microsurgical treatment of male infertility. In: Infertility in the Male, 3rd edition. Edited by L.I. Lipshultz and S.S. Howards. St.Louis, Mosby-Year Book, 1997, p.376.)

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