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.

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. ❤

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.

You're a life saviour Armando! Your skills of explanation with such clarity is impeccable! Thank you so much for doing this🙏🏻🙏🏻🙏🏻

I truly appreciate the effort you put into making these illustrations, they’re so simple but very informative 🙏🏽✨

Thank You so Much for your videos ! They're amazing ! I'm a french med school student and I love watching them !

For those who study from this, deep to the internal oblique there's is transversus abdominis before transversalis fascia that wasn't mentionned here.

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 absolutely love these videos. It's like you watch it once and you never forget.

This vid is incredibly helpful. This is the best educational video I've seen on direct and indirect hernias. 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

Thank you so much for the brief yet concise explanation, you are doing amazing!

One of the rare times, when a topic is completely understood by just watching one video! 🫡 Thank you for such great explanation that even after 8 years of upload, this video is still teaching people!

Hands down the best explanation of this topic. Thank you for making this video.

I've been computer science IT engineer throughout my life but how am I able to understand all of this is beyond my comprehension. Great explanation.

This was clear as blue sky. Thanks so much for making this.

Respect for using your talents in such a helpful thing

Drawing, explanation, voice, eloquence.... Everything is better than the best.

As a medical student, all I can say is u r a life-saver. Marvellous presentation. 👌

Sir. Armando, Saying thanx actually is not enough for your great work. My respect

The best explanation I have seen yet. I loved the drawing. Fantastic job. Thank you for doing this.

Dr Armando anks for being such a good teacher, breaking things down clearly and understandably

my boy Armando always coming through with that high yield knowledge

Everything is crystal clear ..thanks for such an amazing lecture👍🏻

thank u so much Aramando!! I really wish I watched it before med surgery exam T_T my favorite channel ever!

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.

Thank you for the amazing video, you really clarified a lot of concepts for me! It really helped me a lot!

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!!!

The free hand-drawings are magnificent. Explanations are very good too.

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.

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.

Excellent review! I just started my surgery rotation and needed a refresher. I was not disappointed.

OMG, finally after my first semester of PA school I finally understand. Thank you!!

Thank you for making this so informative and easy to understand for a non-surgical physician.

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.

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....

This was the most discriptive presentation of the Inuinal Hernia. Amazing details, thank you.

Now this is crystal clear!! Wow.. Amazing video! Thank you for all your efforts!

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. :)

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.

After all these confusions about direct and indirect inguinal hernia, finally got clear with this :) Thanks a lot for the illustrations . Really helpful !!!!

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?

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.

Thank you for this! I always get these two confused, but not again because of your video!

Best lecture ive heard so far in my life. Made sense.

Your video helped me a lot to differentiate between direct and indirect hernia! Thank you!

greetings from panama :)

After reading so many books and articles this video easily explained me the difference between direct and indirect thank you so much

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.

Thanks a lot ;) your videos are amazing

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

This made my life so easy! Thank you for the crystal clear video ❤️

Beautifully explained...very clear about hernia now..thank you

Superb!

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 love love your way of explaining things fast & so clear ..God bless you

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

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!

you have shown the deep ring in the peritoneum but it us an outpouching of the transversalis fascia

Bro explained and drew flawlessly one of the hardest topics in medicine & thought we won’t notice ❤❤

Very clear illustrations! Thanks for saving my time!

please we wont more videos about embryology

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.

Incredible!!! All explained very ilustrative! Thanks

Great video!!! Love n respect from NEPAL

I had a large indirect hernia operation key hole last Wednesday I'm recovering now

great, now something more important, HOW DO YOU FIX IT WITHOUT SURGERY????????

an absolutely immaculate explanation of inguinal hernias, better than my teachers!!!.......god bless you sir

nice explanation from a urologist who fixed hernias during my training and just had one fixed myself yesterday

Great vid Armando! Thank you for the lucid pictures and explanation.

Your explanation is so easy and understandable !

Very informative. Thank you for contributing this for all to view.

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😊😊

Fantastic clarity of exposition, thanks.

You are so amazing bro.. I really love watching your videos. Thanks for your tireless efforts and hard work.

This is what I've been looking for... thank you so much! This video was soooo helpful

You are expert in both medical and surgical aspect as well...thanks for videos

Can someone pls give this guy award. A superhero personified

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 demonstration of this topic,was never able to understand this properly before watching this video.❤

Wow, that work and time you must have put in! Thank you!!!

Best explanation both verbally and graphically

Absolutely AMAZING! Well done!

Excellent presentation, topic made super easy to understand. Thank you

Just can't thank you enough for this gem video on this topic🙏👍

No one made this topic clearer as u did .. thaaaaanks a lot.. 🤲🤩💟

Thankyou for this very informative as I have 2 Hernias at the moment !! Inguinal and umbilical had them nearly 6 months awaiting surgery !!

The explanation was too good. Thank you for such an amazing video :)

I've read through books but it never gave me such clear picture so Thank you so much! / Subscribed. /

Very detailed vid! Thank you for posting this.

Love your work! Keep up the good work!

Thank you very much for all this nice work.

Thank you so much for such an amazing concept of hernia

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 🖒🖒🖒

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 😊❣️✨

This so good man . I thought I would never understand but here we are .

Amazing work Armando, thanks a lot!

Absolutely aced the concept!! thank you Armando!