Dr. Yaniv Larish specializes in micro-surgery to reverse vasectomies.

Vasectomy Reversal NYC Couple with Baby 10

Dr. Larish performs vasectomy reversal micro-surgery at Gramercy Surgery Center. This state of the art facility utilizes the most modern and advanced high quality surgical microscope, micro-instruments and the most highly trained nurses and support staff.

Dr. Larish has helped many men successfully reverse their vasectomies.

Call today for a consultation:

(646) 862-5500


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What Training Does A Microsurgeon Receive?

Microsurgery is a specialized surgical discipline that involves the use of precision instruments and microscopes. It helps in repairing intricate structures such as nerves, vessels, and tissues. Microsurgeons receive training to operate on the smallest of tissues and nerves. The field is dedicated to restoring function in individuals suffering from congenital anomalies, cancer, and trauma.

Many plastic surgeons and urologists rely on microsurgery to perform different procedures. These include transferring tissue from one part of the body to another, composite tissue transplantation, replantation, or reattachment of various body parts.

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Microsurgeons can perform a wide range of individualized operations. Microsurgical reconstruction is a complex reconstructive surgery that solves problems better than other options such as skin grafting, primary closure, and regional and local flap transfer.

Who is a Microsurgeon?

Microsurgeons perform all type of surgeries that involves microscopic procedures. Apart from reconstructive and plastic surgery, microsurgeons are advancing in many fields. They can now perform numerous surgeries safely and efficiently. Their abilities expand the scope of treatments greatly.

By enhancing their skillset, microsurgeons help patients overcome severe injuries. They do so using innovative techniques rather than traditional methods. Microsurgeons can perform surgeries via special operating microscopes. They can transplant tissues, bones, muscles, and other body parts. They inspect the area using a high-power microscope and execute different surgeries. This way, they can carefully move and reattach the nerves and blood vessels carefully. This way, the transplanted tissue will stay and live in the new position.

A microsurgeon can take tissue from the back or leg, reattach the fingers, reattach the breast, or perform plastic surgeries. They can also reconstruct tongues, toes, fingers, hands, noses, ears, and other parts of the body. Microsurgeons usually handle and manage complicated surgeries such as trauma and cancer. Microsurgery cases are challenging and help with reconstructive and plastic surgery, as well as urological procedures such as vasectomy reversal.

What Does Microsurgery Involve?

Surgeons use various tools to operate and repair nerves, tissues, and blood vessels. Here are some of the tools that they use:

·       Bright Light Source

It helps the surgeon maintain proper visibility in the operating theatre.

·       Microscope

This device helps surgeons magnify the target and visualize the monitor for better procedures.

·       Specialized Needles and Thread

These instruments help surgeons with stitching

·       Forceps and other Instruments

Surgeons use specialized instruments to allow precision and prevent inaccuracy due to natural tremors.

Why is Microsurgery Performed?

Microsurgeons perform surgeries for a wide range of healthcare disorders and treatments such as plastic surgery, vasectomy, neurosurgery, orthopedic surgery, ophthalmology, and general surgery. With the advancement of microsurgical techniques and perform the following procedures:

·       Transplantation

A microsurgeon can reconstruct a body part via a transplant. For instance, they will recommend a toe-to-thumb transplant and replace the thumb with the big toe.

·       Replantation

In this emergency procedure, the surgeon will reattach the body part no longer attached to the body, such as the toe or finger.

·       Free Tissue Transfer

A microsurgeon has the ability and skill to take tissue from one body part and reconstruct it to another. They will perform the surgery if you undergo severe surgery, and stitching and skin grafts are out of the options.

What training does a microsurgeon receive?
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What Training Does A Microsurgeon Receive?

·       Stage 1: The Microscope

The microsurgeon will perform microscope position, parfocal, and focus exercises under training sessions. They will learn about identifying conditions by properly using microscopic instruments.

·       Stage 2: Microsurgery

The surgeon will stimulate the participants to practice osteotomy, private practice setting, retro ultrasonic preparation, and retro filling on dental mannequins. They will work under a surgeons supervision and their assistance, demonstrating them to diagnose and treat the patients. Furthermore, the surgeons will learn how to use microsurgical tools and instruments for surgeries. Participants will observe and monitor the condition through a TV monitor, and the supervisors will engage them through interactions.

·       Stage 3: Mannequin Microsurgery Practice

This practice will help enhance microsurgery students efficiency and confidence. During this training process, they practice microsurgical techniques on mannequins, depending on their specialization. They will use a microscope for the procedures.

Microsurgeon Training: Conclusion

At Vasectomy reversal NYC, we ensure that you receive the best vasectomy reversal treatment under the supervision of Dr. Yaniv Larish, a microsurgeon at Gramercy Surgery Center. Dr. Larish has extensive experience, training, and expertise in performing microsurgery with high-quality microsurgical instruments.

You can discuss your conditions with him, and he will suggest the best treatment options for your situation. Contact us at (646) 862-5500 and set up an appointment with the best micro-surgeon in New York City.

What Is Vasoepididymostomy?

When it comes to having vasectomy reversal, many men wonder if there is an option and opportunity to go through with the procedure. If you’ve had a vasectomy, you’ve made the decision to change the way your body functions to prevent sperm from being released. However, many men change their minds down the road, such as because they’ve remarried or decided to have another child. Your doctor can help you to determine if this is an option for you. If and when you come in for a consultation, you may learn about the various vasectomy reversal options. One of the options your doctor may decide is right for you is Vasoepididymostomy.

When Is Vasoepididymostomy Effective?

BestVasectomyReversalDoctorNYC2.jpgWhen your doctor begins your vasectomy reversal, he or she can determine the best possible method for reattaching the vas, the pathway that reconnects the vas deferens to allow for sperm to travel through the pathway and to the semen. During the procedure, your doctor will cut the ends of the scarred vas. During this process, the doctor opens up the two ends to allow for the passage of sperm.

However, before doing making that connection, the doctor must determine if sperm is available in the vasal fluid. He or she will test this during the procedure to determine which is the right option for reconnection. If there is no sperm in the vasal fluid, your doctor may proceed with a Vasoepididymostomy procedure.

If sperm is missing in the vasal fluid, this may indicate that back pressure from the vasectomy occurred and led to what doctors call a blowout. This occurs in the epididymal tube. When this occurs, a blockage can occur, limiting the flow of sperm. If this is present, your doctor will need to create a way to go around the block and then joins the upper end of the vas directly to the epididymis. This is what the Vasoepididymostomy procedure is. This connection is more complex, but the results are virtually the same as vasovasotomy, the most common method.

BestVasectomyReversalDoctorNYC4.jpgWhen it comes to having a vasectomy reversal, the process can be complex and there are limited benefits in some situations. However, it is possible for most men. A vasectomy reversal can work for you. To find out what your options are, call the best urologist in New York. Let us talk to you about your options in vasectomy reversal.

 

Yaniv Larish, MD

4 East 76th Street
New York, NY 10021

(646) 862-5500


What is Vasectomy Reversal?

Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)

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Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.

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