Assertion: scalpel vasectomy | /r/CapableOf | excise a segment of vas
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text: In general, this procedure can be performed as an open vasectomy, or as a non-scalpel vasectomy using fine sharp instruments to puncture the skin and deliver the vas for ligature, i.e. excising a segment of vas and repositioning the ends of the vas either with or without ligation (with the latter known as open-ended vasectomy).