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.
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
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 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.
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!!!
After all these confusions about direct and indirect inguinal hernia, finally got clear with this :) Thanks a lot for the illustrations . Really helpful !!!!
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.
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.
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?
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
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.
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. :)
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.
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....
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😊😊
Very nice explanation and sketches. Just amazed at how the medical community can figure this stuff out. I had my surgery done 6/24/2024 and my surgeon said he found a direct and indirect hernia in me on the right side. So, I guess you can have both hernias simultaneously. This explanation is by far the best I found (though had to watch it a few times to understand it as I've had no medical training). Thanks to Armando for doing this! You really broke it down nicely for the laymans' community.
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
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
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.
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 😊❣️✨
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..)
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
You are such a talented in delivering the information 🌸🌸I'm 6th year med student and now this is the first time to understand this complicated topic (for me) so big thanks to you 💙💙
Dude ! U are simply Amazing. Kudos . Lovely 😊 bro . Thanks . May the Lord ( Allah ) Give u more blessings . Direct and indirect hernias gave me more headaches and sleepless Night . Being a medical student I couldn’t comprehend. This video crystal clear .
