Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery.The three-dimensional(3D)digital image microscope system with a better 3D depth of field can rele...Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery.The three-dimensional(3D)digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back,which can improve outcomes in microsurgery.We report a randomized prospective study of vasoepididymostomy and vasovasostomy using a 3D digital image microscope system(3D-DIM)in rats.A total of 16 adult male rats were randomly divided into two groups of 8 each:the standard operating microscope(SOM)group and the 3D-DIM group.The outcomes measured included the operative time,real-time postoperative mechanical patency,and anastomosis leakage.Furthermore,a user-friendly microscope score was designed to evaluate the ergonomic design and equipment characteristics of the microscope.There were no differences in operative time between the two groups.The real-time postoperative mechanical patency rates were 100.0%for both groups.The percentage of vasoepididymostomy anastomosis leakage was 16.7%in the SOM group and 25.0%in the 3D-DIM group;however,no vasovasostomy anastomosis leakage was found in either group.In terms of the ergonomic design,the 3D-DIM group obtained better scores based on the surgeon's feelings;in terms of the equipment characteristics,the 3D-DIM group had lower scores for clarity and higher scores for flexibility and adaptivity.Based on our randomized prospective study in a rat model,we believe that the 3D-DIM can improve surgeon comfort without compromising outcomes in male infertility reconstructive microsurgery,so the 3D-DIM might be widely used in the future.展开更多
基金This work was supported by grants from the National Nature Science Foundation of China(81701524,81871215)the Strategic Priority Research Program of the Chinese Academy of Sciences(XDA16020701)the National Key R&D Program of China(2017YFC1002003).
文摘Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery.The three-dimensional(3D)digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back,which can improve outcomes in microsurgery.We report a randomized prospective study of vasoepididymostomy and vasovasostomy using a 3D digital image microscope system(3D-DIM)in rats.A total of 16 adult male rats were randomly divided into two groups of 8 each:the standard operating microscope(SOM)group and the 3D-DIM group.The outcomes measured included the operative time,real-time postoperative mechanical patency,and anastomosis leakage.Furthermore,a user-friendly microscope score was designed to evaluate the ergonomic design and equipment characteristics of the microscope.There were no differences in operative time between the two groups.The real-time postoperative mechanical patency rates were 100.0%for both groups.The percentage of vasoepididymostomy anastomosis leakage was 16.7%in the SOM group and 25.0%in the 3D-DIM group;however,no vasovasostomy anastomosis leakage was found in either group.In terms of the ergonomic design,the 3D-DIM group obtained better scores based on the surgeon's feelings;in terms of the equipment characteristics,the 3D-DIM group had lower scores for clarity and higher scores for flexibility and adaptivity.Based on our randomized prospective study in a rat model,we believe that the 3D-DIM can improve surgeon comfort without compromising outcomes in male infertility reconstructive microsurgery,so the 3D-DIM might be widely used in the future.
