after reading articles and med-surg books online for the past 2 hours for a case study... you are the only person who has let me fully understand the difference between direct . indirect inguinal hernia I love your illustrations, it makes more sense especially since I am a visual person thank you
LOL, I’m 81 and will be having this surgery pretty soon. I made the mistake of watching actual procedures and not understanding, now that this fellow did such a detailed job of explaining the area from three directions, I need to go back and watch the actual procedures again. Thanks for simplifying and making this so clear, so even a layman can understand it a little.
I went to the testing and all I feared was getting erection somehow. Am a dude and I had the hernia at groin near the penis. They was a female who was doing the testing, it was embarrassing I was doing squats and sit ups while I was naked.
It helped me great much to show in these pictures. I didn't know what teachers at our med school were talking about since my first year Anatomy classes. This 15 minutes solved it all. Thank you.
Excellent! Thank you for such a concise explanation and demonstration. "Direct" consultation scheduled. Stressing over it, but not as much, thanks to you. Peace.
i get 18/20 for a written test. but i dont have any clue about it. i just memorize all things. now i understand hernia in details. good effort, dude! thanks so much
I've now watched several of your videos for general review. Really fantastic descriptions and associated drawings that make it super easy to follow and understand. Thank you.
This is the most amazing video on hernias I've seen. Believe me. I'm preparing for my residency exams and during medschool I never got to fully understand this as well as I do now. Your videos are awesome and really, really helpful. :)
Armando, what an amazing demo and explanation of Inguinal Hernia, which is what I was just told I have. I have a consult this Tuesday with a referral from my GP's office, so I've been doing my research on it so I am more informed on what it is and so I can ask pertinent and well formulated questions, should I have them! THANK YOU so much for this post!!!
Thanks....Just diagnosed with indirect on my right side... 52 year old white male with history of manual work... was recently constipated(was this a cause or a symptom? maybe I had already ruptured?) but not chronically, just one day, and was not "pushing" like a madman... this is the first explanation I've fully understood... so these "deep" and "superficial" rings(either end of the inguinal canal) are analogous to the rubber grommets that allow electrical wires/cables(spermatic cord) from your car engine bay (abdomen)to the interior(scrotum via inguinal canal) without letting water(intestines) through... and mine have perished lol... here in the UK a mesh repair seems the only viable option. My one is not sore and lying down goes away itself, and been out 7-8 miles with the dog each day... just got to avoid straining and heavy lifting but getting it done privately asap as the NHS is f**ked with this covid 19 hoax....
I thank you so much for this video. I never understood the difference between direct and indirect hernias in detail. Next week it will be my last exam in med school- so it was time to finally understand! :D thank you.
Hi! Thanks so much for making this topic clear. Do you post a PDF of the final product (the notes and illustrations) that you have after you make the video?
Wow, awesome explanation. You really helped me understand it better then the Dr who gave me my surgery. I had a Left Direct Inguinal Hernia Repair. Thank you for sharing this video.
After all these confusions about direct and indirect inguinal hernia, finally got clear with this :) Thanks a lot for the illustrations . Really helpful !!!!
So... Male, caucasian, smoker with a constant cough and chronic constipation... Yeah, that's me. Was diagnosed with an inguinal hernia a few hours ago, though never told what kind, just that it would be an extremely good idea to speak with the surgeon I was referred to asap to discuss getting it taken care of. Specifically in regards to its interaction with the spermatic cord, I think it's an indirect. Fascinating description of the issue at hand and quite useful in regards to explaining it better than the ER doc did. Didn't think it was a medical emergency, but ended up going to the local clinic's immediate care unit since my doc is taking a vacation this week, then was transferred to hospital ER for ultrasound after doc assumed I may be dealing with the strangest case of testicular torsion ever and no lab techs were on staff that late in the day at the clinic. No pain, just discomfort and a testicle withdrawn toward the abdomen. Anyway, thanks again for the rundown. Makes it much easier for the layman to understand when drawn out like that.
Can you give further details of your treatment please? As i am suffering from a similar problem. There is no clinical evidence of hernia but i do have discomfort and pain at times. Ultrasound suggested that i do have hernia but it is on preliminary stage and my surgeon adviced not to get operated now. Its been around 1 and half year. I am very confused as i am afraid of its link with my sexual function.
Made perfect sense to me. Very pleased to have found such a well explained video. I have 2 Inguinal Groin Hernias myself , one on each side of the Groin ( not yet classified into their Direct and Indirect categories by the Consultant ) but at least now I have proper knowledge where I can understand what my Consultant team are talking about. From my viewpoint of both Hernias, the Left side certainly looks like a Direct Hernia, while the Right side, found Yesterday, March 2020, could well be an Indirect hernia. All this actually caused by long term use (20+ years) of Morphine which in turn caused the Chronic Medical Constipation.
can you make videos on burgers disease and Raynaud's disease ... your videos are really really very helpful , please I request you to make videos on these topics
Lots of thanks .ur. The person who really help me out on this hernia topic. It takes 3 yrs to understand hernia.I always tried to avoid this chapter. Thanks again
Wait, is it just me or have the intro's where you say your name disappeared? omw, I loved saying your name along with you...bring the name intro back please :D :D
I have a minor direct hernia and it does not hurt or bother me at all.. nor has it increased in any way in 4 years when I first discovered it... is it worth getting surgery?
It will get worse at some point. I use to wear a truss, stopped wearing it for two years. Now all of sudden the hernia is awakened and causing severe issue. It is in my scrotum now. Hernias almost always will get worse no matter what. My great grandfather died because of one.
@@jaredontv I've read that small asymptomatic inguinal hernias are better to be handled with "watchful waiting". But you still have to check with your doctor. I know the reply is a year later, but just in case somebody is wondering.
@@monaelagder4665 I discovered it back in 2013.... 6 years later.. it is the exact same as it was then.. my doctor is aware of it.. I'm not worried at all
The direct inguinal hernia does not go through the superficial inguinal ring, otherwise it too would follow the spermatic cord into the scrotum. A direct hernia passes medially to the inferior epigastric artery and then pushes against the posterior wall of the inguinal canal.
No, the direct Herna DOES pass through the superficial inguinal ring but the spermatic canal is too small for it to go all the way to the scrotum. So it bulges into another direction.
Hernia is a surgical problem because the main problem in hernia is defect in the deep ring or weakness in the abdominal wall layers. Therefore, the definite treatment is surgery. But there are also conservative treatment to prevent recurrence from occur (stop smoking, treat cough, constipation, ascites etc..)
Thank you so much.... Your video really made me understand it clearly, I've been preparing for a case study and I've read articles but it still left me confused but when I watched your videos it became clear as day, especially with the drawings and illustrations😊😊
Thank you sooooooooooooooo much sir ji for making all the best videos with perfection, thank you so much for helping all the learner like us , we thank to God that we found a very grateful teacher like you 😊❣️✨
Amazing explanation and diagrams. Thank you for the education. Just had a double inguinal hernia repair and although my surgeon explained the process, it was still confusing. Your video clarified many things
after reading articles and med-surg books online for the past 2 hours for a case study...
you are the only person who has let me fully understand the difference between direct . indirect inguinal hernia
I love your illustrations, it makes more sense especially since I am a visual person
thank you
Therese Apolonia Cabahug i agree. I scoured the net looking for the ACTUAL difference between direct and indirect.
You've never read a textbook?? You haven't attended any clinical sessions? Wow! Raw stupidity.
Same here
hi xyqqv
@@DigitalBrain22 Why are you saying this to her!!!!
LOL, I’m 81 and will be having this surgery pretty soon. I made the mistake of watching actual procedures and not understanding, now that this fellow did such a detailed job of explaining the area from three directions, I need to go back and watch the actual procedures again.
Thanks for simplifying and making this so clear, so even a layman can understand it a little.
I went to the testing and all I feared was getting erection somehow. Am a dude and I had the hernia at groin near the penis. They was a female who was doing the testing, it was embarrassing I was doing squats and sit ups while I was naked.
How did the procedure go hh?
I truly appreciate the effort you put into making these illustrations, they’re so simple but very informative 🙏🏽✨
It helped me great much to show in these pictures. I didn't know what teachers at our med school were talking about since my first year Anatomy classes. This 15 minutes solved it all. Thank you.
This is the best video ever… never have I ever seen such a detailed and clear explanation for hernias. Thank you so so much for clearing my concept. ❤
You're a life saviour Armando! Your skills of explanation with such clarity is impeccable! Thank you so much for doing this🙏🏻🙏🏻🙏🏻
For those who study from this, deep to the internal oblique there's is transversus abdominis before transversalis fascia that wasn't mentionned here.
i knew something were missing...
Thank you!
Doesn't the transversus abdominis aponeurosis fuse with the transversalis fascia at the inguinal level? Someone correct me if I am wrong
@@AffluentPotato no Transversus abdominis fuse with internal oblique apeneurosis to make con joint tendon
@@AffluentPotato the transvirsalis fascia contain the deep inguinal ring which is posterior to the conjoint tendon
Thank You so Much for your videos ! They're amazing ! I'm a french med school student and I love watching them !
Excellent! Thank you for such a concise explanation and demonstration. "Direct" consultation scheduled. Stressing over it, but not as much, thanks to you. Peace.
30
This vid is incredibly helpful. This is the best educational video I've seen on direct and indirect hernias.
Thank you!
I absolutely love these videos. It's like you watch it once and you never forget.
i get 18/20 for a written test. but i dont have any clue about it. i just memorize all things. now i understand hernia in details. good effort, dude! thanks so much
Thank you so much for the brief yet concise explanation, you are doing amazing!
I have one of the two that was illustrated. Thank you for educating me on this as it will help me to understand what the doctor says when I see him.
Drawing, explanation, voice, eloquence.... Everything is better than the best.
Respect for using your talents in such a helpful thing
Hands down the best explanation of this topic. Thank you for making this video.
Dr Armando anks for being such a good teacher, breaking things down clearly and understandably
As a medical student, all I can say is u r a life-saver. Marvellous presentation. 👌
my boy Armando always coming through with that high yield knowledge
Sir. Armando,
Saying thanx actually is not enough for your great work. My respect
I've now watched several of your videos for general review. Really fantastic descriptions and associated drawings that make it super easy to follow and understand. Thank you.
The best explanation I have seen yet. I loved the drawing. Fantastic job. Thank you for doing this.
This is the most amazing video on hernias I've seen. Believe me. I'm preparing for my residency exams and during medschool I never got to fully understand this as well as I do now. Your videos are awesome and really, really helpful. :)
Armando, what an amazing demo and explanation of Inguinal Hernia, which is what I was just told I have. I have a consult this Tuesday with a referral from my GP's office, so I've been doing my research on it so I am more informed on what it is and so I can ask pertinent and well formulated questions, should I have them! THANK YOU so much for this post!!!
how did the treatment go
👆🏻Gerald? How did it go?
Thank you for making this so informative and easy to understand for a non-surgical physician.
The free hand-drawings are magnificent. Explanations are very good too.
Thanks....Just diagnosed with indirect on my right side... 52 year old white male with history of manual work... was recently constipated(was this a cause or a symptom? maybe I had already ruptured?) but not chronically, just one day, and was not "pushing" like a madman... this is the first explanation I've fully understood... so these "deep" and "superficial" rings(either end of the inguinal canal) are analogous to the rubber grommets that allow electrical wires/cables(spermatic cord) from your car engine bay (abdomen)to the interior(scrotum via inguinal canal) without letting water(intestines) through... and mine have perished lol... here in the UK a mesh repair seems the only viable option. My one is not sore and lying down goes away itself, and been out 7-8 miles with the dog each day... just got to avoid straining and heavy lifting but getting it done privately asap as the NHS is f**ked with this covid 19 hoax....
The constipation was a symptom.
I thank you so much for this video. I never understood the difference between direct and indirect hernias in detail. Next week it will be my last exam in med school- so it was time to finally understand! :D thank you.
thank u so much Aramando!!
I really wish I watched it before med surgery exam T_T
my favorite channel ever!
After reading so many books and articles this video easily explained me the difference between direct and indirect thank you so much
Everything is crystal clear ..thanks for such an amazing lecture👍🏻
Hi! Thanks so much for making this topic clear. Do you post a PDF of the final product (the notes and illustrations) that you have after you make the video?
I love love your way of explaining things fast & so clear ..God bless you
Wow, awesome explanation. You really helped me understand it better then the Dr who gave me my surgery. I had a Left Direct Inguinal Hernia Repair. Thank you for sharing this video.
Excellent review! I just started my surgery rotation and needed a refresher. I was not disappointed.
you will help many, what a blessing eh.
This was clear as blue sky. Thanks so much for making this.
Gary clark
too clear that I need to wear a pair of sunglasses to watch it
As az XC an
do@@robertmolnar2406
So clear
" people are calling for blue skies "..... I'm a blessed man but I wear out a lot of bicycles & walking shoes
Bro explained and drew flawlessly one of the hardest topics in medicine & thought we won’t notice ❤❤
After all these confusions about direct and indirect inguinal hernia, finally got clear with this :)
Thanks a lot for the illustrations . Really helpful !!!!
Thank you for the amazing video, you really clarified a lot of concepts for me! It really helped me a lot!
So... Male, caucasian, smoker with a constant cough and chronic constipation... Yeah, that's me. Was diagnosed with an inguinal hernia a few hours ago, though never told what kind, just that it would be an extremely good idea to speak with the surgeon I was referred to asap to discuss getting it taken care of. Specifically in regards to its interaction with the spermatic cord, I think it's an indirect. Fascinating description of the issue at hand and quite useful in regards to explaining it better than the ER doc did.
Didn't think it was a medical emergency, but ended up going to the local clinic's immediate care unit since my doc is taking a vacation this week, then was transferred to hospital ER for ultrasound after doc assumed I may be dealing with the strangest case of testicular torsion ever and no lab techs were on staff that late in the day at the clinic. No pain, just discomfort and a testicle withdrawn toward the abdomen.
Anyway, thanks again for the rundown. Makes it much easier for the layman to understand when drawn out like that.
Siggy 313
Can you give further details of your treatment please? As i am suffering from a similar problem. There is no clinical evidence of hernia but i do have discomfort and pain at times. Ultrasound suggested that i do have hernia but it is on preliminary stage and my surgeon adviced not to get operated now. Its been around 1 and half year. I am very confused as i am afraid of its link with my sexual function.
Siggy 313 was
nice explanation from a urologist who fixed hernias during my training and just had one fixed myself yesterday
Best demonstration of this topic,was never able to understand this properly before watching this video.❤
Made perfect sense to me. Very pleased to have found such a well explained video. I have 2 Inguinal Groin Hernias myself , one on each side of the Groin ( not yet classified into their Direct and Indirect categories by the Consultant ) but at least now I have proper knowledge where I can understand what my Consultant team are talking about. From my viewpoint of both Hernias, the Left side certainly looks like a Direct Hernia, while the Right side, found Yesterday, March 2020, could well be an Indirect hernia. All this actually caused by long term use (20+ years) of Morphine which in turn caused the Chronic Medical Constipation.
how did the treatment go
I can't thank you enough. I spent hours on useless anatomy books. And it took me 10 minutes on this video to understand the whole thing. THANK YOU!
Wow. You are so incredibly perfect at explaining this. Thank you.
This was the most discriptive presentation of the Inuinal Hernia. Amazing details, thank you.
Your video helped me a lot to differentiate between direct and indirect hernia! Thank you!
can you make videos on burgers disease and Raynaud's disease ... your videos are really really very helpful , please I request you to make videos on these topics
Lots of thanks .ur. The person who really help me out on this hernia topic. It takes 3 yrs to understand hernia.I always tried to avoid this chapter. Thanks again
Now this is crystal clear!! Wow.. Amazing video! Thank you for all your efforts!
greetings from panama :)
Superb!
This made my life so easy! Thank you for the crystal clear video ❤️
Thank you for this! I always get these two confused, but not again because of your video!
Thanks a lot ;) your videos are amazing
Wait, is it just me or have the intro's where you say your name disappeared? omw, I loved saying your name along with you...bring the name intro back please :D :D
Dianna Achando
OMG, finally after my first semester of PA school I finally understand. Thank you!!
Beautifully explained...very clear about hernia now..thank you
you have shown the deep ring in the peritoneum but it us an outpouching of the transversalis fascia
Abhishek Mukherji yeah
Dude you're awesome! These videos are so helpful! Do you have a go fund me page? Because I'm sure everyone wants to support your videos!
I have a minor direct hernia and it does not hurt or bother me at all.. nor has it increased in any way in 4 years when I first discovered it... is it worth getting surgery?
It will get worse at some point. I use to wear a truss, stopped wearing it for two years. Now all of sudden the hernia is awakened and causing severe issue. It is in my scrotum now. Hernias almost always will get worse no matter what. My great grandfather died because of one.
@@jaredontv Nope. Detox your bodu toxins that is causing the issue.
@@jaredontv I've read that small asymptomatic inguinal hernias are better to be handled with "watchful waiting". But you still have to check with your doctor.
I know the reply is a year later, but just in case somebody is wondering.
@@monaelagder4665 I discovered it back in 2013.... 6 years later.. it is the exact same as it was then.. my doctor is aware of it.. I'm not worried at all
I understand topics way better by watching ur videos over reading med surg books for hours. Thank you so much for making such informative content.
Best lecture ive heard so far in my life. Made sense.
The direct inguinal hernia does not go through the superficial inguinal ring, otherwise it too would follow the spermatic cord into the scrotum. A direct hernia passes medially to the inferior epigastric artery and then pushes against the posterior wall of the inguinal canal.
No, the direct Herna DOES pass through the superficial inguinal ring but the spermatic canal is too small for it to go all the way to the scrotum. So it bulges into another direction.
I had a large indirect hernia operation key hole last Wednesday I'm recovering now
Thankyou for this very informative as I have 2 Hernias at the moment !! Inguinal and umbilical had them nearly 6 months awaiting surgery !!
You are expert in both medical and surgical aspect as well...thanks for videos
please we wont more videos about embryology
man it's " We want " not " Wont " ...
great, now something more important, HOW DO YOU FIX IT WITHOUT SURGERY????????
Hernia is a surgical problem because the main problem in hernia is defect in the deep ring or weakness in the abdominal wall layers. Therefore, the definite treatment is surgery. But there are also conservative treatment to prevent recurrence from occur (stop smoking, treat cough, constipation, ascites etc..)
With flex tape, zero leaking
@@intensivist3225 hola, da resultado tratar una hernia inguinal con cintas flex? Saludos
an absolutely immaculate explanation of inguinal hernias, better than my teachers!!!.......god bless you sir
You are so amazing bro.. I really love watching your videos. Thanks for your tireless efforts and hard work.
Thank you so much.... Your video really made me understand it clearly, I've been preparing for a case study and I've read articles but it still left me confused but when I watched your videos it became clear as day, especially with the drawings and illustrations😊😊
Wow, that work and time you must have put in! Thank you!!!
Fantastic clarity of exposition, thanks.
Your explanation is so easy and understandable !
Thank you sooooooooooooooo much sir ji for making all the best videos with perfection, thank you so much for helping all the learner like us , we thank to God that we found a very grateful teacher like you 😊❣️✨
Excellent presentation, topic made super easy to understand. Thank you
Great vid Armando! Thank you for the lucid pictures and explanation.
Best explanation both verbally and graphically
Very informative. Thank you for contributing this for all to view.
Can someone pls give this guy award.
A superhero personified
Amazing explanation and diagrams. Thank you for the education. Just had a double inguinal hernia repair and although my surgeon explained the process, it was still confusing. Your video clarified many things
Bubuh u uu
This is the most effective explanation video for me ,Thank you so much.I really appreciate your efforts❤
Thanks a lot! You have really made medicine so easy .. thank you!
Your videos helped me in clearing my concepts during my post grad exam. Now I am making clinical examination videos also. Wish me luck. Thank you
I've read through books but it never gave me such clear picture so Thank you so much! / Subscribed. /
Incredible!!! All explained very ilustrative! Thanks
This is what I've been looking for... thank you so much! This video was soooo helpful
Very clear illustrations! Thanks for saving my time!
My dad recently got hernia and it freaked me out but your video really helped explain it
No one made this topic clearer as u did .. thaaaaanks a lot.. 🤲🤩💟
Great video!!!
Love n respect from NEPAL
Absolutely aced the concept!! thank you Armando!
Dude ur videos are super awesome.. I was trying hard to understand this topic from books but u just solved it in mins.. Great work 🖒🖒🖒
This is the best explaination ever with nice hand drawing make it easier for layman to understand. Good job.
Thank you I learned more in 12 minutes than in 3 hours lecture yesterday 😂
Just can't thank you enough for this gem video on this topic🙏👍
Thank you very much for all this nice work.
Wow such an amazing explanation with diagrams. Thank you
Love your work! Keep up the good work!