Best video I’ve seen on descriptions and landmarks for hernias. Very helpful thank you! Can you make a video on help finding appendix if normal or abnormal and hernias in females (recently had a canal of nuck hernia)
Thanks again for all your videos! What about sports hernia? Is it for you the same process as indirect hernia, or is there slight differences in your analysis? Anything bulging between the rectus and epigastric vessels doesn't translate in parietal weakness?
It’s a similar process but will look more like a direct hernia only without the hernial sac tracking distally over the pubic tubercle when the probe is in longitudinal. In transverse it can bulge lateral to the rectus abdominis and appear to displace the sp. cord but there’s no true defect in the fascia. A sportsman hernia is really just a like a pair of old underpants (threadbare and thinned transversalis fascia and peritoneum) which no longer holds the abdominal contents in properly at the region of hassebachs triangle. I have some examples somewhere.
I had a inguinal hernia repaired by a competent surgeon with mesh about 16 years ago after several failed attempts by another surgeon. Then a couple of years ago, I had been diagnosed by ultrasound a Spigllian hernia and also repaired by mesh. The Spigillian hernia may have resulted by the mesh not be large enough when I first had the inguinal hernia mesh repair. After this, I developed a lot of adhesions and after several attempts to cut them out, I went back to the surgeon and he removed both meshes which would obviously reduce adhesions since I was having a reaction to the mesh. However, now being about 2 and 1/2 weeks out, I have some groin pain. I am worried taking the mesh out may have resulted in the groin hernia coming back. Would an ultrasound be able to detect a recurrent groin hernia? (The pain could be from internal swelling, etc. caused by the surgery which is still healing. ). I would appreciate your comments.
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Best video I’ve seen on descriptions and landmarks for hernias. Very helpful thank you! Can you make a video on help finding appendix if normal or abnormal and hernias in females (recently had a canal of nuck hernia)
Great msk videos!! Ty so much
U have very nicely captured sonographic anatomy of the different muscles.
Thanks!
Really nice¡¡
Very good & informative
Love your work!
Thank you!
Thank you for sharing this.
Your video it's wonderful ❤!!!
Thank you
Excellent
Thanks
Thankfull
Thanks again for all your videos! What about sports hernia? Is it for you the same process as indirect hernia, or is there slight differences in your analysis? Anything bulging between the rectus and epigastric vessels doesn't translate in parietal weakness?
It’s a similar process but will look more like a direct hernia only without the hernial sac tracking distally over the pubic tubercle when the probe is in longitudinal. In transverse it can bulge lateral to the rectus abdominis and appear to displace the sp. cord but there’s no true defect in the fascia. A sportsman hernia is really just a like a pair of old underpants (threadbare and thinned transversalis fascia and peritoneum) which no longer holds the abdominal contents in properly at the region of hassebachs triangle. I have some examples somewhere.
well done
Thank you
Are hernias MSK? Do they fall under MSK pathology? Or is it more general ultrasound as sometimes you have to also assess the scrotum as well
I guess it depends where you work for Medicare billing purposes. The anatomic knowledge requires experience with MSK and general.
I had a inguinal hernia repaired by a competent surgeon with mesh about 16 years ago after several failed attempts by another surgeon. Then a couple of years ago, I had been diagnosed by ultrasound a Spigllian hernia and also repaired by mesh. The Spigillian hernia may have resulted by the mesh not be large enough when I first had the inguinal hernia mesh repair. After this, I developed a lot of adhesions and after several attempts to cut them out, I went back to the surgeon and he removed both meshes which would obviously reduce adhesions since I was having a reaction to the mesh. However, now being about 2 and 1/2 weeks out, I have some groin pain. I am worried taking the mesh out may have resulted in the groin hernia coming back. Would an ultrasound be able to detect a recurrent groin hernia? (The pain could be from internal swelling, etc. caused by the surgery which is still healing. ). I would appreciate your comments.
It’s early days, I would just talk to your Doctor.
Why are there NOT more males in the ultrasound business? It doesn't appear as though the patient has much of an option as to the provider.
I guess it’s city by city and company specific but where I live we do have plenty of males.