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This was followed by de-epithelializing an ellipse of skin to maintain the skin and fat of the midline and perform the subcutaneous undermining independently

and Gharaei, A., 2020

Concurrently, the inflammatory microenvironment further deteriorates the overall spermatogenic microenvironment by inhibiting the steroidogenic function of Leydig cells (e.g., TNF- inhibits the activity of key testosterone synthesis enzymes) and weakening the nutritional and physical support provided by Sertoli cells to germ cells (52)