1. NSV June 2003 karbBaÄb;keNItCaGcié Rnþy_edaysµ½RKcitþel Iburs bgðajeday evC©> lI Twg

2. NSV June 2003 GVIeTAEdlehAfa NSV ? KWCakarkat;pþac; Vas deferens TaMgBIredayeRbIfñaMsW< k ehIyecaHtamEs,k Scrotum. karbBaÄb;kMeNItcMeBaHb urstamrebobenHehAfa NSV

3. NSV June 2003 Rbvtþién NSV  qñaM 1985 GnuvtþenARbeTséf eday Dr.Phaitum Gijaseni enA USA eday Dr. Marc Goldstein.  qñaM 1986 Dr.Li, Dr. Goldstein rYmCamYyGñkÉkeTsmkBI RbeTsbg;køaeds eN):al; nig RsIlgáa )anebIkvKÁbNþúH bNþal dl;RKÚeBTüCaeRcIneToten A)agkk  rYc)anbNþúHbNþal nig BRgIkCabnþeTARbeTsCaeR cIneTot  NSV cab;epIþmenARbeTscinnaqñ aM 1974eday Dr. Li Shunquiang

4. NSV June 2003 Bt’manTUeTAénkarbBaÄb;kMeNItcMeBaHburs enAelIBiPBelak vaCameFüa)ayEdleBjniym kñúgcMeNammeFüa)ayEp nkarRKÜsar. man 33lanRKÜsar kñúgcMeNam191lanRKÜs ar )anTTYlykmeFüa)ayenH. vaCameFüa)ayEdlmansuv tßiPaBnigRbsiT§iPaBx<s;

5. NSV June 2003 Complications after No Scalpel Vasectomy

6. NSV June 2003 karerobcM nig BinitüGtifiCnmuneBlvHkat; RbvtþievC¢saRsþrbs;GtifiCn cMnYnkUnEdlenArs; Gayurbs;kUneBAeKbg¥s; RbtikmµfñaM CaBiessCamYyfñaMs<wknigfña MbM)at;karQWcab; Binitünigkt;RtasMNuMÉksarev C¢saRsþrbs;GtifiCn

7. NSV June 2003 karBinitüGtifiCn Physical examination sßanPaBTUeTA³ PaBesøksøaMg sm >> BinitüsrIragÁbnþrBUC³ – Scrotum: rbYs CMgWesIrEs,k sñamsMlakFøab;manvHkat;BImun mandMusac;bJuTwk nigPaBxusFmµtaepSg²eTot – ligÁ ³ mandMe)A rbYs bJu hUrTwkrég- xÞúH>>> – BgsVas ³ sPaBrbs;va mandMusac; bJuTwk>>> – Spermatic cord: sPaBrbs;va mandMusac;sÞabb:H>>> – Inguinal region: :rbYs CMgWesIrEs,k sñamsMlakHkat;BImun

8. NSV June 2003 Indications én NSV eqøIytbeTAnwgeKalneya)ayrbs;Rks YgsuxaPi)al³ – Gayurbs;Priya – cMnYnkUnenArs; nig Gayurbs;kUneBAeK – bBaðasuxPaBeBlmanépÞeBaHbJueBl sMral GtifiCnyl;RBmedaysµ½Rkcitþ edaymankic©RBmeRBog Kµanlkç½NevC¢saRsþNaEdlhamXa t;karvHkat;)anenaHeT EteyIgRtÚvkMNt;fakarvHkat;eFVI)a nedayrebobNa enAeBlNa ehIyenAkEnøgNa WHO, 1995

9. NSV June 2003 Precaution s én NSV dMe)AkøayenA Scrotum man infection RsÜcRsavenARbdab;b nþrBUC ³ sVay RbemH>>> man infection RsYcRsavenARbB½n§ NamYy manCMgWebHdUg bJuvibtþiQamkk manCMgWTwkenamEpÐm manbBaðaepSg²eTot³ Large varicocoele, Inguinal hernia, Filariasis, Previous scrotal surgery, Intra scrotal mass, Scar tissue, AIDS related disease

10. NSV June 2003 bBaðaEdlRtÚvBicarNa GtifiCnEdlenAcg;)ankUneTot GtifiCnEdlmanKMnitfa meFüa)ayenHGactP¢ab;vij)a n GtifiCnEdlminRBmcuHhtßel xaelIcic©RBmeRBog TaMgBIrnak; bþI-RbBn§ GtifiCnEdlmankarbgçwtbgç M bJuCMrujBIGñkdéT GtifiCnEdlmancitþrn§t; GtifiCnEdlmanbBaÐðapøÚvc itþ

11. NSV June 2003 viFIsaRsþcak;fñaM;s<wk nig viFIsaRsþvHkat;

12. NSV June 2003 NSV Instruments

13. NSV June 2003 Positioning

14. NSV June 2003 bec©keTsRmaméd3

15. NSV June 2003 bec©keTs Rmaméd3

16. NSV June 2003 BIviFIsaRsþcak;fñaMs<wkkñúg NSV

17. NSV June 2003 BIviFIsaRsþcak;fñaMs<wkkñúg NSV

18. NSV June 2003 BIviFIsaRsþcak;fñaMs<wkkñúg NSV

19. NSV June 2003 Direction inguinal canal Male anatomy and loco-regional anesthesia

20. NSV June 2003 BIviFIsaRsþcak;fñaMs<wkkñúg NSV

21. NSV June 2003

22. BIviFIsaRsþkat;cg Vas kñúg NSV

23. NSV June 2003 90 degrees

24. NSV June 2003 Verification of the presence of the vas

25. NSV June 2003

34. Ligation Dr Ly Tung’s hint: pull a double threat and cut it

35. NSV June 2003 Ligation and cut

36. NSV June 2003 Ligation and cut Testicular endProstatic end

37. NSV June 2003 Fascial interposition

38. NSV June 2003 Fascial interposition

39. NSV June 2003 Fascial interposition

40. NSV June 2003 Fascial interposition

41. NSV June 2003 Fascial interposition

42. NSV June 2003 Fascial Interposition

43. NSV June 2003 Fascial interposition

44. NSV June 2003

45. kartamdanGtifiCneRkaykarvHkat; BinitüemIleLIgvij sMNuMÉksarevC¢saRsþrbs; GtifiCn eFVIy:agNa[GtifiCnmanpasu xPaB tamdan Vital Signs ehIykt;RtaTuk Binitü sßanPaBTUeTArbs;GtifiCn³ PaBesøksøaMg karQWcab;>>> BinitüemIl Scrotum manehIm bJuecjQam BinitüemIlkEnøgvH s¶Üt bJu esIm-Qam

46. NSV June 2003 karpþl;dMbUnµaneRkaykarvHkat; ¬1¦ etIRtÚvEfTaMy:agdUemþc? - rkSaTukbg;s¥itEdlbitelImuxrbY seGay)an3éf¶ - kñúgry³eBlenHGñkGacsMGatx øÜnedayCUtxøÜnnwgkEnSg esIm b:uEnþRtUvrkSabg;s¥itEdlbitelI muxrbYseGays¶Üt - GñkKYreCosvagkargarF¶n;² kñúgry³eBl7éf¶ - p¥akkarrYmr½kSry³eBl7éf¶ - ebIRKUeBTüpþl;fañMCUneTAG ñk sUmGñkeRbIfañMenaH eGay)an RtwmRtUvtamevC¢bBa¢a

47. NSV June 2003 karpþl;dMbUnµaneRkaykarvHkat; ¬2¦ etIGVInwgekItman? - mankarQWcab;tictYcenAkEnøgvHk at; karRbúgRby½tñ ³ - ehImehIymankarQWcab;xøaMge nAelIBgsVas - hUrxÞúH rW QamtammuxrbYs cMNucKYrcgcaM ³ - GacbgárkMeNItkñúgryHeBl3ExeRk ayvHkat; - kñúgryHeBl3ExenH RtÚvrYmePTedayeRbIeRsam bJu eRbImeFüe)ayBnüarkMeNItepSgeT ot

48. NSV June 2003 karpþl;dMbUnµaneRkaykarvHkat; ¬3¦ kartamdan ³ - RtLb;mkvij 3éf¶eRkayvH edIm,IBinitütamdan - RtLb;mkvijebImanbBað a bJusMNYr-cMgl;

49. NSV June 2003 dMeNIrkarén NSV  cak;fñaMs<wkenAnwgkEnø g  cab; Vas CamYynwgEs,k[esþIgbMput  ecaHEs,knig Vas edayruj)uaMgeTAmux ” Walking ”  qÁwH Vas ecj  Ejk Fascia edayEpømçagén)uaMgecaH  sk)uaMgcUl rYcebIkha )auMgtamTisedA BIelIeTAeRkam

50. NSV June 2003 dMeNIrkarén NSV  sþg;daénkareFVI NSV - RtÚveFVI Fascial interposition - Lidocaine 2% Kµan Adrenaline 2,5ml sMrab; Vas nimYy² - m¢úlelx 25 - cgeday Silk 2.0 - manRbsiT§iPaB ³ 3Ex, 12s)þah_, 90éf¶ - RtÚveRbIeRsamligÁ

51. NSV June 2003 Or do you prefer this method??