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July 26, 1941

Modifikatsiya operatsii Razumovskogo na yaichke; eksperimentalnoe issledovanie

JAMA. 1941;117(4):325. doi:10.1001/jama.1941.02820300089031

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This monograph, in Russian, presents experimental work on dogs and horses in which the epididymis was resected and the vas deferens was implanted into the rete halleri of the testis. The author concludes that ligation of the vas deferens, when followed by obliteration of the vas, leads in some instances to atrophy of the testis. Resection of the epididymis and ligation of the vas lead to dystrophy and atrophy of the testis. The author modified Razumovskiy's operation of anastomosis between the vas and the testis by fenestrating that part of the vas which is implanted into the bed of the testis with the view of creating temporary drainage. Preservation of the deferential artery is essential for success. By creating a temporary fistula of the vas, the author was able to ascertain the patency of the transplanted duct. This brief monograph should prove of interest to urologists, particularly because of an

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