Beein with u since i was in my first year of medical school .. now im in my last studying surgery of inguinal hernia and yet u r my fav anatomist and i will be watching ur vids for the rest of my career
I've just been diagnosed with one of these things and I must say that this was one of the most informative videos I've ever seen and you explained it so well. You're a top bloke and thanks for sharing.
Hi there. I'm a female, 55 years old, who actually began having discomfort in my inguinal area in 2014! At that time, and for a few years after that, there was no visible lump formed, yet, there WAS a hernia, the doctors could see on an ultrasound and MRI. The doctors saw no physical lump while doing a Physical exam on me, tho That was 10 years ago, and, the discomfort and the lump have continued to grow. Now, 10 years later, I have a huge lump that is literally between the inguinal and femoral areas. Now it looks like it could be a femoral hernia. I'm so scared of having surgery, and very scared about the recovery. Was curious, did you have your surgery yet? And did they have to use mesh? From what I understand, these hernia surgeries can be done without mesh if they are small hernias. Please let me know if you had your surgery yet, and was mesh used on your surgery also, how was your recovery if you had your surgery, and how are you feeling now? If you had your surgery, how long was your recovery..?
Yes, I had my surgery in December last year and took 3 weeks off work, but I should have probably taken more. And yes, mesh was used. I wasn't allowed to lift much when I returned to work, and from now on, I will be extra careful with what I lift believe you me as that is how I got the hernia in the first place. For me being a man the bruising and swelling was horrendous and quite sore for a few weeks. So three months down the track im pretty much back to normal. I'm still a bit sore in the groin area and I can tell there is something there that shouldn't be, that being the mesh. Im 64 and like I say, im being very careful with what I lift, in fact I'm probably going to retire later on this year. One other thing is I had it done in a private hospital using my insurance. It was day surgery and so after about two hours they deem you fit enough to go home to recover. Personally I was in no fit state to go home and when I left the hospital no assistance was offered to me to get down three floors and get into a car which I thought was very poor service. A wheel chair would have made it a whole lot easier instead of trying to walk. This has happened to me on other occasions in the private sector. Not good, especially when you are paying for it privately. Anyway I'm going on a bit but hope this helps. All the best.
Wanted to let you know that as a surgeon, myself and my colleagues often go to your videos to review the basics of relevant anatomy, and encourage students to do the same. Sometimes we get caught up in the practice and routine, and need a 10 minute review on the basics. Going over the fundamentals always helps me make better and more informed decisions when the anatomy is abarrent or difficult. Thank you for having all of these lectures free for all of us to use.
Sam that was one of the best videos i ever watched in anatomy. I was struggling to understand the anatomy of hernias through notes and images..nothing compares to your fluently explanation. Many thanks for your time and your free of charge video! If only all our professors had the same passion as you!
Thank you! My partner for over 20 years, passed away following hernia surgery, SEPTEMBER 2023, several months ago, at the age of 78. Thank you for your expertise.
I’m sorry for your loss. May he rest in peace. Was the surgery directly linked to his passing? I have undergone the surgery myself and will most likely need a second one to fix a failed repair.
There is a class action lawsuit regarding the use of mesh during hernia surgery procedures. I have not followed it up, however information is presented in Google search.
Great video, I'm going to get my inguinal hernia surgery a week from now. Been watching so many of these videos my UA-cam recommendations will never be the same lol.
@mudkow5092 Went by the book, followed doctor's orders and these videos helped, feels so much better. Waited 6 months before going back to the gym. Taking it slow has seemed to work well.
Wow, that was the best discussion and description of an inguinal hernia ever! As someone who just got one (I know, Lucky me!) I was curious to know more about my condition. Thank you very much for the clear and concise presentation!
Thank you very much. Ive just had the Lap surgery to repair the an Inguinal Hernia, and this has given me a better understanding of inner workings of why it appeared.
I have a level 3 diploma in Anatomy & Physiology and understand most of this brilliantly explained lecture but even so it will require several revisits to absorb this gold mine of information. I’ve never listened to such a gifted teacher in all my 80 years.
I had an inguinal hernia in 2009. It was the most painful thing I have ever experienced in my life thank God the doctor got me in within two weeks for surgery. He said there was some strangulation going on in there. He did it using laparoscopic and mesh, so far so good and I would never want to ever have another one again.
@@suzettecamilo2773it went really well! I do still have scars from the incesion spots (3 cuts) but overall, nothing to be scared of. Full anesthesia and the surgery took about an hour intotal. Couldnt walk properly for about 3 days for me. Been 3 months now and im back at the Gym, and back at work since a long time already and barely feel anything from it anymore. Good luck with your Surgery! I'm sure you will be fine!
I have watched so many of these videos trying to get a full understanding of what is happening. This by far the best one I have watched. I know exactly now what is going on. Thanks a ton!
As others stated, superb talk, especially as I just had inguinal op, and to be honest had not much idea of the anatomy of my problem, amazingly now I see why the pain before and after is so obvious and see that it is a life changing thing, so many thanks Sam, superb I suppose lecture.
Sam, thanks for this education. I know much more about my condition in advance of a surgeon's appt on Monday Sept 18 2023. I feel more prepared to understand my condition as he explains treatment options. Many thanks from Fort Worth, Texas.
Superb explanation with excellent models to empower me to see exactly what is being explained. I'm now in a much friendlier relationship with my hernia. And, maybe I can have a slightly more intelligent discussion with my surgeon. Thank you for this.
Tysm Dr webster for uploading this video! I'm in my final prof/ year of mbbs rn and I still watch your videos before studying for surgery topics because it's always great to refresh your anatomy knowledge before jumping into a surgery lecture. I used to watch your videos all the time during my 1st prof/year when I had to study anatomy and it made understanding anatomy so much easier. You've helped me a lot throughout my mbbs and I am so so grateful! Ty for making anatomy easy, fun and understandable.
Thank you for putting in the effort to make us understand what you understand. I think the best part of your videos is not the anatomy model, camera, props etc. (which are helpful but still), instead it's the way you communicate your thoughts and vision. Not gonna lie it makes us excited too when we're about to finally see the light!
Hi , I am so pleased to have found your excellent, relatively easy to understand and clear presentation of what my recently diagnosed inguinal hernia actually is. My doctor is lovely but she couldn’t quite describe it in as clear a fashion as you have here. I have obviously been confusing abdominal hernias videos, up to now, as I was hoping to strengthen the muscular wall through which my inguinal hernia has rudely entered, but from your explanation that doesn’t seem possible. Thank you.
Earlier today i was palpating my ingroinal canal it then began to hurt. I have now stopped palpating it to give it a rest and now it seems to stop hurting. My left hip is sore from activity, I think the slight inflamation had squeezed my ingroinal canal and the sensitive nerves it contains, causing me to palpate it out of curiosity. Thanks for helping me find my way around my body.
Wow...I have just had a inguinal hernia repaired which led me here....how interesting to know the workings of the body....thank you for sharing your knowledge
I have a right side Inguinal Hernia. How do you feel about wearing a double hernia belt while lifting just for the sake of prevention on the other side?
Be careful with hernia belts. I tried two. They are more trouble than they're worth, in my opinion. Both my belts have a pad that presses against the hernia with the aim of pushing it back in. But the pad on one belt is quite firm and can cause undue pressure in the wrong place. The other belt at least has a removable pad that you can adjust. Also, the inside of that belt has a pocket in which you can insert something less intrusive, after detaching the pad. Maybe a sock or a piece of foam. I have had both inguinal hernias repaired in the last 10 years, but the right side (3 years ago) is threatening to recur, as I sometimes experience the typical burning sensation in the groin crease. No bulge, though. What I am doing right now is getting plenty of rest lying flat in bed, exercising the abdominal muscles, and massaging the pubic area when I take a hot bath. So far, the symptoms have reduced considerably after a week.
My fav anatomist! Sam Sir, I fell in love with this subject because of your teaching methodology...watching these quality videos since the first year of my med school till today...3rd year Surgery lectures...always a bliss to listen you illustrating anatomical topics 😀
As someone who came back to university to study medicine after very long hiatus (11 years, give or take) your videos are pure gold. I had anatomy exam in my first year of university, I was horrified. People were failing exam left and right, it was so stressful trying to grasp some of the concepts (Eastern Europe, country, we didn't have models or cadavers, so it was very hard to visualise, at least in the beginning, later I managed to save money for Netter's Atlas of Anatomy and found second hand old edition of Sobbotta Atlas). It helped a lot. But I would sell my soul for something like this back in the day. So comprehensive. Being so long out of medicine, my knowledge is rusty to say the least but I'm trying my best to finish what I started almost 20 years ago. And you, sir, are helping more than you'll ever know. Thank you P.S. sorry for my not so great English, as you can tell, not my native tongue.
Great instruction. Truly a great presentation. Male 63 very fit and eat a very good diet. I decided to do 30 mins of stretching and in the process, overstreched my groin. 4 weeks later and I can now sence a swelling in my right groin (as per your vid). I am now working out how to address it.
I am freshly diagnosed and I will try without surgery, already changed my diet completely, my protocol is going after a small book by Carsten Bachmeyer
@@adeleassouline529 I got a THUASNE Truss. It has made a big difference. It may even repair the damage. I notice the bulge has actually gone. There is still swelling but I am far better today than yesterday.
phenomenal information, just got a repair of that kind and it is nice to know all this, thanks for your acknowledgement, Cheer Mate!!! (I am from Tijuana Mexico living in L.A.)
Just had Inguinal repair surgery myself recently before I found this video. This is such a great description of how , why and where all of this occurs. Extremely well done. Thank you!
Thank you for this man! I have an admitting conference few hours from now, and reading Schwartz is a bit complicated for me atm. Good thing I saw ur video, I can now continue my reading on Schwartz. God bless you!
Dang, if I had found your channel in my first year! Thank you a lot for this video, I am preparing for surgery exam and this was of great help! Short and clear 🙌
Amazing. Watching My Natural Hernia Cure on here for info and healing...I have a direct (I think) I can still massage and relax and breathe out. I'm 51 but fit, so trying to strengthen those muscles. Great videos by George Hirst explaining how. Seems helpful and stays in longer. Who knows, if needed, surgery. Mine could be fat, as it is soft and squishy. Fugax too, as pelvic muscles need strengthening and inguinals need too. Abs are good, so good start. Thanks for the knowledge. 22 years flying military helicopters didn't help.
Really useful A&P review of the Inguinal Hernia… It’s allowed me to gain a better understanding of what’s actually happened. I’m aware you’re not a doctor, however when conducting the operation, I have discomfort of the hip flexor when trying to fully extend the leg &😮 also weakness when lifting the knee.. I am due for my 2 wk review with the doctor, however I was wondering if the operation when fitting the Gauze could have had something to do with this, even though it seems doubtful. What are your thoughts? Thanks for sharing your video & also if you find time to respond.
Okay so. I'm sometimes getting a burn sensation in this area. No bulge, the burn sensation mostly goes away after I go for a wee. I've heard stomach vacuums can help, various anecdotal experiences. When I first tried it, I did feel a very satisfying sensation in the area of interest. The suspect burn is quite rare though.
Interesting. I had a HUGE inguinal hernia in 1999. When the hernia occurred, I had a terrible ripping sensation go through my body. I then saw the right side swelling up. When I got into bed, I saw the area reduce. When I got up from bed, the swelling returned. The hernia was so large that it couldn't become strangulated. It did get clogged when waste products moved through the intestine, and I would be in so much pain that I couldn't move. Once I had had surgery, I couldn't climb the stairs for 10 days. What an ordeal!
Can you please explain it deeply through the surgery. I want to know it because I also have a hernia and it's so big through my right side of the penis. I need some help from your side to explain the case because after that I gonna through surgery. Please Thank you.
I have a same condition like you. Please need your help through your case and hope you wanna share your expectations and procedure where you got surgery and and symptoms. Anything you witness through the the time. Thankful to you brother
@@kashif_farrukh Well I had my surgery in October of 1999. My hernia was unusually large, so large that it could not become strangulated. It got constricted. Food products would get trapped in there if I ate anything with processed cheese in it. I would then be unable to even walk because I was in so much pain. When my doctor diagnosed the hernia, he had to press up on the groin area. This would cause my to have to bend over in horrible pain. The doctor even tried to get me to remain standing by pushing back on my shoulder while also pushing up on my groin and I STILL was bending over in pain. The doctor then said, and I quote, "You've got a gigantic hernia." I then went to see a surgeon for a second opinion and had my surgery in October 1999. After the surgery, my mom stayed with me for 4 days, helping me eat and do some simple things at home. After about 4 days, I could at least take a shower but I still couldn't climb stairs. I had to wait another week before I felt strong enough and comfortable enough to climb the stairs. On the positive side immediately after surgery I was able to go home and didn't have no trouble going to the bathroom. Sometimes, after surgery, a person is unable to go to the toilet because of the swelling. But I didn't have no trouble like that. I was able to eat and drink normally. I was so relieved when the surgery was over and I was home and in bed resting. I had my surgery at Riverside Hospital here in Columbus, Ohio. I hope that helps you. Good luck and best wishes
Dear Sam Webster, Can you provide information about the optimal/average number/amount of personel, who is usually present during a problem free Lichtenstein hernia repair? Like 1 surgeon + 1 anesthetist + 1 assistant is sufficient? Maybe can you provide source of statistic about this? Thank you!
I'd never heard of an Inguinal Hernia until I got one. For anyone stressing over getting it repaired: don't wait, just get it done. The op was easy, the anaesthetic kicked my ass for 3 days, and 6 months later all is well, save for some occassional discomfort if I do something new that stretches the abdomel around the repaired area. For those of you who are worried about losing muscle-mass: it's easy to maintain for a few weeks and transition back into training over a few months. The only difference to my lifestyle has been the decision, at 56 years of age, to stay away from max-lifts and anything that induces an especially strong valsalva effect. Also to avoid very heavy split-squats as I feel these where the culprit. Essentially, I go for intensity and time under tension, rather than pushing the poundage. That's not to say everyone should do the same. For me, I took the experience as a sign to look after my body and joints as age advances.
@shahidansari3291 Since I originally posted, I've had a second inguinal hernia and am currently 2 weeks post surgery. I had laparoscopic on both occasions which went without issue. I'm healing very quickly this time round and I'm back training, although carefully. The mesh is said to be fully healed/absorbed in 6 weeks. My plan as last time is to avoid any exercises that cause a strong valsalva effect, and after 6 weeks take an extra 2 months to steadily increase the weight I use. The second hernia was despite my being careful and the surgeon informed me that it's quite common for a second to occur once you've already suffered the first. My only complaint is that had I been fully aware of that I might have elected to have both done in the first op as a precaution.
I'm 72 but I work out and in super good shape, better than most guys half my age. Two years ago I got my first hernia and over the summer got one on the left with was bigger and painful. Both repaired. Is it okay for me to continue with gym strength and core exercise now that I have mesh covering both sides? Any advice would be greatly appreciated. Thanks.
Does this imply the elderly should supplement collagen to maintain a barrier against intrusion ? Is testicular pain a symptom of intrusion ? Can the ligament be strengthened by pelvic floor exercise ?
Dear Sam Webster, I have a terminology related question. If inguinal hernia appears only on one side of the body it is called unilateral inguinal hernia, if on both sides it is bilateral inguinal hernia. If a patient has unilateral inguinal hernia, but before the surgery the ultrasound examination discovers the presence of asymptomatic contralateral inguinal hernia, is the correct diagnosis still unilateral inguinal hernia, or it changes to bilateral inguinal hernia? Thanks!
Could a direct inguinal hernia sit level to the pubic tubicle? I had a recent direct inguinal hernia repair with mesh. It was caused partially by a cycling accident where the bike handlebars impacted on the same spot followed by a sickness bug 27 years later. It would appear that the repair mesh doesn't properly cover the original hernia. It has been confirmed that the mesh extends to the coopers ligament.
The anatomy of the lower abdominal muscles is confusing. Surgeons prefer the mesh operation for inguinal hernia, because the operation is much easier and less risky in general. The non-mesh surgery involves using the existing anatomy to make the repair. In that process there is more opportunity for damage to nerves and a bad outcome. But mesh repairs also have their risks. The non-mesh repair has been perfected in India and by surgeons at the Shouldice Center in Ontario, Canada.
Thanks professor for your awesome lectures online but I feel like there are tons of information missed on this episode particularly: - Poupard’s ligament is another name for inguinal ligament. - Lacunar, gimbernat, cooper (pectineal), iliopubic tract are missed. - Hasselbach’s triangle is missed. - Triangle of doom and pain, corona mortis are missed. - Inf. epigastric nerves are missed. - Rectus sheet formation superior and inferior to umblicus are missed. Hope you can consider these next time, that’ll be awesome!
Can a complicated vasectomy operation weaken the inguinal canal (or inguinal "area") and cause a hernia? By complicated vasectomy, i mean that the right testicle was operated during childhood (orchidopexy). The vasectomy on this side (where the testicle remained very high) took almost an hour (lot of scarred tissue and difficulties). 3 weeks recovery and very severe postoperative pain.
Sir does both the direct & indirect hernia pass through deep ring ? And then direct goes through the canal , but direct pass medial to inferior epigastric vessels and Hesselbach triangle . Weather the direct inguinal hernia pass through superficial ring or not ?
"The indirect inguinal hernia is more common in younger people". Is the meaning - in younger people, the indirect inguinal hernia is more common _than the direct inguinal hernia is_ ? _or_ - the indirect inguinal hernia is more common in younger people _than it is in older people_ ?
Sam, I had a personal experience with this canal. As I was growing up and becoming a young teenager, I'd get this terrible pain in my right side where the testicle would get hung up and create a terrible pain, enough to make me pass out. Our local doctor took a while to determine what the problem was. He hoped that I would grow out of it. I did but it took several years to do that. I would have to lay down with an ice pack for several hours.
Beein with u since i was in my first year of medical school .. now im in my last studying surgery of inguinal hernia and yet u r my fav anatomist and i will be watching ur vids for the rest of my career
Same!!!
Saw Videos in 1st Year to study Anatomy , Now Studying for Surgery.😂
Same here brother 😅
Us bro us😭
😭
I've just been diagnosed with one of these things and I must say that this was one of the most informative videos I've ever seen and you explained it so well. You're a top bloke and thanks for sharing.
Yea same…
Hi there. I'm a female, 55 years old, who actually began having discomfort in my inguinal area in 2014! At that time, and for a few years after that, there was no visible lump formed, yet, there WAS a hernia, the doctors could see on an ultrasound and MRI. The doctors saw no physical lump while doing a Physical exam on me, tho That was 10 years ago, and, the discomfort and the lump have continued to grow. Now, 10 years later, I have a huge lump that is literally between the inguinal and femoral areas. Now it looks like it could be a femoral hernia. I'm so scared of having surgery, and very scared about the recovery. Was curious, did you have your surgery yet? And did they have to use mesh? From what I understand, these hernia surgeries can be done without mesh if they are small hernias. Please let me know if you had your surgery yet, and was mesh used on your surgery also, how was your recovery if you had your surgery, and how are you feeling now? If you had your surgery, how long was your recovery..?
Yes, I had my surgery in December last year and took 3 weeks off work, but I should have probably taken more. And yes, mesh was used. I wasn't allowed to lift much when I returned to work, and from now on, I will be extra careful with what I lift believe you me as that is how I got the hernia in the first place. For me being a man the bruising and swelling was horrendous and quite sore for a few weeks. So three months down the track im pretty much back to normal. I'm still a bit sore in the groin area and I can tell there is something there that shouldn't be, that being the mesh. Im 64 and like I say, im being very careful with what I lift, in fact I'm probably going to retire later on this year. One other thing is I had it done in a private hospital using my insurance. It was day surgery and so after about two hours they deem you fit enough to go home to recover. Personally I was in no fit state to go home and when I left the hospital no assistance was offered to me to get down three floors and get into a car which I thought was very poor service. A wheel chair would have made it a whole lot easier instead of trying to walk. This has happened to me on other occasions in the private sector. Not good, especially when you are paying for it privately. Anyway I'm going on a bit but hope this helps. All the best.
get a belt to help keep it from getting worse.
Wanted to let you know that as a surgeon, myself and my colleagues often go to your videos to review the basics of relevant anatomy, and encourage students to do the same. Sometimes we get caught up in the practice and routine, and need a 10 minute review on the basics. Going over the fundamentals always helps me make better and more informed decisions when the anatomy is abarrent or difficult. Thank you for having all of these lectures free for all of us to use.
What hospital do you work at, so I am never admitted there. Really
Sam that was one of the best videos i ever watched in anatomy. I was struggling to understand the anatomy of hernias through notes and images..nothing compares to your fluently explanation. Many thanks for your time and your free of charge video!
If only all our professors had the same passion as you!
Sam takes the mystery out of the realm of the surgeons; who in most cases fail to communicate effectively. Bravo!!
Thank you!
My partner for over 20 years, passed away following hernia surgery,
SEPTEMBER 2023, several months ago, at the age of 78.
Thank you for your expertise.
I’m sorry for your loss. May he rest in peace. Was the surgery directly linked to his passing? I have undergone the surgery myself and will most likely need a second one to fix a failed repair.
There is a class action lawsuit regarding the use of mesh
during hernia surgery procedures. I have not followed it up, however information is presented in Google search.
What was the cause?
What did he die from was it from hernia surgery.
@@thomash4810how was the operation. I need one I'm thinking do I have it or do I not.
Great video, I'm going to get my inguinal hernia surgery a week from now. Been watching so many of these videos my UA-cam recommendations will never be the same lol.
How did it go if I may ask?
@mudkow5092 Went by the book, followed doctor's orders and these videos helped, feels so much better. Waited 6 months before going back to the gym. Taking it slow has seemed to work well.
@@chester5324what about now. How long would I have to wait to start boxing and sparring again
Sam, you're a genius anatomist and communicator, loving your videos all the way from down-under in Australia xxx
I absolutely love Sam’s accent, sense of humor, and overall his precise way of explaining. I’ve learned a lot from him.
Wow!! I feel like I just received the best college course of my life. Super interesting and thorough and fast. Thank you Sir.
😂...
Wow, that was the best discussion and description of an inguinal hernia ever! As someone who just got one (I know, Lucky me!) I was curious to know more about my condition. Thank you very much for the clear and concise presentation!
❤😊
Thank you very much. Ive just had the Lap surgery to repair the an Inguinal Hernia, and this has given me a better understanding of inner workings of why it appeared.
Someone with killer presentation skills, thanks.
That was EXTREMELY informative! The best explanation, which is very easy to understand. Much appreciated!!!
Hello
I have a level 3 diploma in Anatomy & Physiology and understand most of this brilliantly explained lecture but even so it will require several revisits to absorb this gold mine of information. I’ve never listened to such a gifted teacher in all my 80 years.
I had an inguinal hernia in 2009. It was the most painful thing I have ever experienced in my life thank God the doctor got me in within two weeks for surgery. He said there was some strangulation going on in there. He did it using laparoscopic and mesh, so far so good and I would never want to ever have another one again.
Having a Surgery next week Tuesday for an Inguinal Hernia. Thanks for the explanation of the anatomy!
How did it go.I’m getting one in a while.
@@suzettecamilo2773it went really well! I do still have scars from the incesion spots (3 cuts) but overall, nothing to be scared of. Full anesthesia and the surgery took about an hour intotal. Couldnt walk properly for about 3 days for me. Been 3 months now and im back at the Gym, and back at work since a long time already and barely feel anything from it anymore.
Good luck with your Surgery! I'm sure you will be fine!
I have watched so many of these videos trying to get a full understanding of what is happening. This by far the best one I have watched. I know exactly now what is going on. Thanks a ton!
Absolutely amazing! I couldn’t understand hernias until I found this video. You’re helping lots of students, sir. Thank you!
😂😂😂😂
Very helpful, very informative teaching from a good specialist. Much appreciated.
As others stated, superb talk, especially as I just had inguinal op, and to be honest had not much idea of the anatomy of my problem, amazingly now I see why the pain before and after is so obvious and see that it is a life changing thing, so many thanks Sam, superb I suppose lecture.
Sam, thanks for this education. I know much more about my condition in advance of a surgeon's appt on Monday Sept 18 2023. I feel more prepared to understand my condition as he explains treatment options. Many thanks from Fort Worth, Texas.
Please can you list your symptoms please and how you got diagnosed
Superb explanation with excellent models to empower me to see exactly what is being explained. I'm now in a much friendlier relationship with my hernia. And, maybe I can have a slightly more intelligent discussion with my surgeon. Thank you for this.
Extremely well done Sam. Thank you!
Tysm Dr webster for uploading this video! I'm in my final prof/ year of mbbs rn and I still watch your videos before studying for surgery topics because it's always great to refresh your anatomy knowledge before jumping into a surgery lecture. I used to watch your videos all the time during my 1st prof/year when I had to study anatomy and it made understanding anatomy so much easier. You've helped me a lot throughout my mbbs and I am so so grateful! Ty for making anatomy easy, fun and understandable.
Really great to watch you, I had an inquinal hernia opp last January and it is going great.
I have 2.
Now It's clear to me what the situation is.
Many thanks!
South Africa.
Thank you for putting in the effort to make us understand what you understand. I think the best part of your videos is not the anatomy model, camera, props etc. (which are helpful but still), instead it's the way you communicate your thoughts and vision. Not gonna lie it makes us excited too when we're about to finally see the light!
This man is awesome how he explains everything so clearly. Why don’t we have presidents and prime ministers like this? (they can’t be truthful😂)
Cuz he is a scientist, have u ever seen legitimate scientist in politics? Neither did I...
Because , people are mentally tough to understand the situation.
Why
Question: why don’t people like this hold elected office
Answer: _the electorate_
We do have a truthful president his name is DONALD J TRUMP and if you don't want to lose your country you better vote for him TRUMP 2024 !!!
My inguinal hernia operation is two days away. Thanks for explaining the anatomy.
Hi , I am so pleased to have found your excellent, relatively easy to understand and clear presentation of what my recently diagnosed inguinal hernia actually is. My doctor is lovely but she couldn’t quite describe it in as clear a fashion as you have here. I have obviously been confusing abdominal hernias videos, up to now, as I was hoping to strengthen the muscular wall through which my inguinal hernia has rudely entered, but from your explanation that doesn’t seem possible. Thank you.
Earlier today i was palpating my ingroinal canal it then began to hurt. I have now stopped palpating it to give it a rest and now it seems to stop hurting. My left hip is sore from activity, I think the slight inflamation had squeezed my ingroinal canal and the sensitive nerves it contains, causing me to palpate it out of curiosity. Thanks for helping me find my way around my body.
What a brilliant video, thanks. You make a tricky subject understandable and enjoyable, speaking as someone who has never had a single biology lesson.
Wow...I have just had a inguinal hernia repaired which led me here....how interesting to know the workings of the body....thank you for sharing your knowledge
I very been looking for a above umbilical hernia exspanation love this man's knowledge of the human structure no small feat.thank you
I start college next year and pray I have teachers who are even half this good, Bravo sir
I have a right side Inguinal Hernia. How do you feel about wearing a double hernia belt while lifting just for the sake of prevention on the other side?
Be careful with hernia belts. I tried two. They are more trouble than they're worth, in my opinion. Both my belts have a pad that presses against the hernia with the aim of pushing it back in. But the pad on one belt is quite firm and can cause undue pressure in the wrong place. The other belt at least has a removable pad that you can adjust. Also, the inside of that belt has a pocket in which you can insert something less intrusive, after detaching the pad. Maybe a sock or a piece of foam. I have had both inguinal hernias repaired in the last 10 years, but the right side (3 years ago) is threatening to recur, as I sometimes experience the typical burning sensation in the groin crease. No bulge, though. What I am doing right now is getting plenty of rest lying flat in bed, exercising the abdominal muscles, and massaging the pubic area when I take a hot bath. So far, the symptoms have reduced considerably after a week.
Getting surgery for a left inguinal hernia in about a week. This video really helped me understand my condition.
Many thanks for posting this. I'm having surgery for a bilateral inguinal in a couple of weeks. Really helps explain things.
My fav anatomist! Sam Sir, I fell in love with this subject because of your teaching methodology...watching these quality videos since the first year of my med school till today...3rd year Surgery lectures...always a bliss to listen you illustrating anatomical topics 😀
Excellent video, very informative and professional, thanks. Great work.
As someone who came back to university to study medicine after very long hiatus (11 years, give or take) your videos are pure gold. I had anatomy exam in my first year of university, I was horrified. People were failing exam left and right, it was so stressful trying to grasp some of the concepts (Eastern Europe, country, we didn't have models or cadavers, so it was very hard to visualise, at least in the beginning, later I managed to save money for Netter's Atlas of Anatomy and found second hand old edition of Sobbotta Atlas). It helped a lot.
But I would sell my soul for something like this back in the day. So comprehensive. Being so long out of medicine, my knowledge is rusty to say the least but I'm trying my best to finish what I started almost 20 years ago.
And you, sir, are helping more than you'll ever know.
Thank you
P.S. sorry for my not so great English, as you can tell, not my native tongue.
Great instruction. Truly a great presentation. Male 63 very fit and eat a very good diet. I decided to do 30 mins of stretching and in the process, overstreched my groin. 4 weeks later and I can now sence a swelling in my right groin (as per your vid). I am now working out how to address it.
I am freshly diagnosed and I will try without surgery, already changed my diet completely, my protocol is going after a small book by Carsten Bachmeyer
@@adeleassouline529 I got a THUASNE Truss. It has made a big difference. It may even repair the damage. I notice the bulge has actually gone. There is still swelling but I am far better today than yesterday.
Thank you Dr. Webster! It I think I have the inguinal hernia. I just found it yesterday night. Im 54. Im going to see a doctor for sure. Thanks again!
I would have liked to of had Professor Webster for anatomy class! I enjoy his expert explanations, which I could learn easily from.
phenomenal information, just got a repair of that kind and it is nice to know all this, thanks for your acknowledgement, Cheer Mate!!! (I am from Tijuana Mexico living in L.A.)
Your explaination was such good as a kindergarten teacher. Im not medical student but can understand it deeply. Thanks for sharing..
Going in for surgery for this in a week. Glad to learn more about it before. Thx
How did it go?
Just had Inguinal repair surgery myself recently before I found this video. This is such a great description of how , why and where all of this occurs. Extremely well done.
Thank you!
Wow, I love this man.... This is experience with knowledge.. So insightful
Thank you for this man! I have an admitting conference few hours from now, and reading Schwartz is a bit complicated for me atm. Good thing I saw ur video, I can now continue my reading on Schwartz. God bless you!
Thanks Mate. Very clear and understandable. I only had to pause once to let my stomach settle. But now I know what's wrong with me.
This really helps me understand my aging father's condition: thanks very much Sam.
Dang, if I had found your channel in my first year! Thank you a lot for this video, I am preparing for surgery exam and this was of great help! Short and clear 🙌
Amazing. Watching My Natural Hernia Cure on here for info and healing...I have a direct (I think) I can still massage and relax and breathe out. I'm 51 but fit, so trying to strengthen those muscles. Great videos by George Hirst explaining how. Seems helpful and stays in longer. Who knows, if needed, surgery. Mine could be fat, as it is soft and squishy. Fugax too, as pelvic muscles need strengthening and inguinals need too. Abs are good, so good start. Thanks for the knowledge. 22 years flying military helicopters didn't help.
Sir you was really a legend ...your teaching skills is awesome❤❤❤❤
Was watching this legend lectures in first year and now again here i am in my final year revising the anatomy for my surgery clinicals 😅
I got a bit lost but that was a really good model. Whoever designed the human body was extremely clever.
You're a wonderful teacher!
Thank you for the educational videos.
Really useful A&P review of the Inguinal Hernia… It’s allowed me to gain a better understanding of what’s actually happened. I’m aware you’re not a doctor, however when conducting the operation, I have discomfort of the hip flexor when trying to fully extend the leg &😮 also weakness when lifting the knee.. I am due for my 2 wk review with the doctor, however I was wondering if the operation when fitting the Gauze could have had something to do with this, even though it seems doubtful. What are your thoughts?
Thanks for sharing your video & also if you find time to respond.
Okay so. I'm sometimes getting a burn sensation in this area. No bulge, the burn sensation mostly goes away after I go for a wee. I've heard stomach vacuums can help, various anecdotal experiences. When I first tried it, I did feel a very satisfying sensation in the area of interest. The suspect burn is quite rare though.
i love your way of teaching.im always satisfied by your vedios❤
thanks so much for this. You're a brilliant teacher
These videos are amazing, thank you so much!
Interesting. I had a HUGE inguinal hernia in 1999. When the hernia occurred, I had a terrible ripping sensation go through my body. I then saw the right side swelling up. When I got into bed, I saw the area reduce. When I got up from bed, the swelling returned. The hernia was so large that it couldn't become strangulated. It did get clogged when waste products moved through the intestine, and I would be in so much pain that I couldn't move. Once I had had surgery, I couldn't climb the stairs for 10 days. What an ordeal!
Can you please explain it deeply through the surgery. I want to know it because I also have a hernia and it's so big through my right side of the penis.
I need some help from your side to explain the case because after that I gonna through surgery.
Please
Thank you.
I have a same condition like you.
Please need your help through your case and hope you wanna share your expectations and procedure where you got surgery and and symptoms.
Anything you witness through the the time.
Thankful to you brother
@@kashif_farrukh Well I had my surgery in October of 1999. My hernia was unusually large, so large that it could not become strangulated. It got constricted. Food products would get trapped in there if I ate anything with processed cheese in it. I would then be unable to even walk because I was in so much pain. When my doctor diagnosed the hernia, he had to press up on the groin area. This would cause my to have to bend over in horrible pain. The doctor even tried to get me to remain standing by pushing back on my shoulder while also pushing up on my groin and I STILL was bending over in pain. The doctor then said, and I quote, "You've got a gigantic hernia." I then went to see a surgeon for a second opinion and had my surgery in October 1999. After the surgery, my mom stayed with me for 4 days, helping me eat and do some simple things at home. After about 4 days, I could at least take a shower but I still couldn't climb stairs. I had to wait another week before I felt strong enough and comfortable enough to climb the stairs. On the positive side immediately after surgery I was able to go home and didn't have no trouble going to the bathroom. Sometimes, after surgery, a person is unable to go to the toilet because of the swelling. But I didn't have no trouble like that. I was able to eat and drink normally. I was so relieved when the surgery was over and I was home and in bed resting. I had my surgery at Riverside Hospital here in Columbus, Ohio. I hope that helps you. Good luck and best wishes
Great info. Hope you are doing well.
that was a very thorough explanation and deeply appreciated
Dear Sam Webster,
Can you provide information about the optimal/average number/amount of personel, who is usually present during a problem free Lichtenstein hernia repair?
Like 1 surgeon + 1 anesthetist + 1 assistant is sufficient? Maybe can you provide source of statistic about this? Thank you!
Simply outstanding! Very helpful
I'd never heard of an Inguinal Hernia until I got one. For anyone stressing over getting it repaired: don't wait, just get it done.
The op was easy, the anaesthetic kicked my ass for 3 days, and 6 months later all is well, save for some occassional discomfort if I do something new that stretches the abdomel around the repaired area.
For those of you who are worried about losing muscle-mass: it's easy to maintain for a few weeks and transition back into training over a few months. The only difference to my lifestyle has been the decision, at 56 years of age, to stay away from max-lifts and anything that induces an especially strong valsalva effect. Also to avoid very heavy split-squats as I feel these where the culprit. Essentially, I go for intensity and time under tension, rather than pushing the poundage.
That's not to say everyone should do the same. For me, I took the experience as a sign to look after my body and joints as age advances.
No easily understood solutions are presented.
What type of hernia surgery u went through open or laproscopic. And hiw much time it would take to heal completely after hernia surgery.
@shahidansari3291 Since I originally posted, I've had a second inguinal hernia and am currently 2 weeks post surgery.
I had laparoscopic on both occasions which went without issue.
I'm healing very quickly this time round and I'm back training, although carefully.
The mesh is said to be fully healed/absorbed in 6 weeks.
My plan as last time is to avoid any exercises that cause a strong valsalva effect, and after 6 weeks take an extra 2 months to steadily increase the weight I use.
The second hernia was despite my being careful and the surgeon informed me that it's quite common for a second to occur once you've already suffered the first.
My only complaint is that had I been fully aware of that I might have elected to have both done in the first op as a precaution.
@@philgriff586 thats good. Wish you a good health all the best.
@@philgriff586 Actually I went through bilateral open hernia surgery
I'm 72 but I work out and in super good shape, better than most guys half my age. Two years ago I got my first hernia and over the summer got one on the left with was bigger and painful. Both repaired. Is it okay for me to continue with gym strength and core exercise now that I have mesh covering both sides? Any advice would be greatly appreciated. Thanks.
So how is your condition now. when and what type of surgery you went through open and laproscopic.
I had 3 inguinal repairs starting since age 14. Now I'm 37. I cannot imagine where I would be if I never got those repairs...most likely dead.
Why did you get 3 repairs?
@@jordanwong8421 Probably because hernias can pop up again.
Sir, Your videos never disappoint
Thank you Sir, great explanation , even myself could catch it. Best wishes.
Fabulous vídeo and explanations! Congratularions, Sir!
Thank you! You explained this so well! Now I know a bit better what is going on in my body. Got an appointment in another two mos!
Does this imply the elderly should supplement collagen to maintain a barrier against intrusion ? Is testicular pain a symptom of intrusion ? Can the ligament be strengthened by pelvic floor exercise ?
Thanks, I'm really looking forward to my surgery this week now! 😷
Excellent. Thank you. I understand my condition so much better now.
I love the explanation. Calm voice motivate concentration 💪
9:07 is inguinal hernia medial or lateral to pubic tubercle?
Better explained than surgeons
🎉🎉🎉🎉
House MD is a great teacher!
Dealing with one right now got to get surgery so I'm glad I came across this video
That was really good. Thanks Sam!
Dear Sam Webster,
I have a terminology related question. If inguinal hernia appears only on one side of the body it is called unilateral inguinal hernia, if on both sides it is bilateral inguinal hernia. If a patient has unilateral inguinal hernia, but before the surgery the ultrasound examination discovers the presence of asymptomatic contralateral inguinal hernia, is the correct diagnosis still unilateral inguinal hernia, or it changes to bilateral inguinal hernia?
Thanks!
Could a direct inguinal hernia sit level to the pubic tubicle?
I had a recent direct inguinal hernia repair with mesh. It was caused partially by a cycling accident where the bike handlebars impacted on the same spot followed by a sickness bug 27 years later.
It would appear that the repair mesh doesn't properly cover the original hernia. It has been confirmed that the mesh extends to the coopers ligament.
The anatomy of the lower abdominal muscles is confusing. Surgeons prefer the mesh operation for inguinal hernia, because the operation is much easier and less risky in general. The non-mesh surgery involves using the existing anatomy to make the repair. In that process there is more opportunity for damage to nerves and a bad outcome. But mesh repairs also have their risks. The non-mesh repair has been perfected in India and by surgeons at the Shouldice Center in Ontario, Canada.
Please share the any link or contact of institution or Doctor.
Please
This answers all my questions. Without paying a ton of money tp see the right doctor.
Thanks professor for your awesome lectures online but I feel like there are tons of information missed on this episode particularly:
- Poupard’s ligament is another name for inguinal ligament.
- Lacunar, gimbernat, cooper (pectineal), iliopubic tract are missed.
- Hasselbach’s triangle is missed.
- Triangle of doom and pain, corona mortis are missed.
- Inf. epigastric nerves are missed.
- Rectus sheet formation superior and inferior to umblicus are missed.
Hope you can consider these next time, that’ll be awesome!
Thanks! Nailed it. 77 yrs young and believe this happened when I forced a bowel movement.
you are the hero we all wanted and need
Very well narrated .for Radiologists even .thx alot many.
Can a complicated vasectomy operation weaken the inguinal canal (or inguinal "area") and cause a hernia?
By complicated vasectomy, i mean that the right testicle was operated during childhood (orchidopexy). The vasectomy on this side (where the testicle remained very high) took almost an hour (lot of scarred tissue and difficulties). 3 weeks recovery and very severe postoperative pain.
Sir does both the direct & indirect hernia pass through deep ring ? And then direct goes through the canal , but direct pass medial to inferior epigastric vessels and Hesselbach triangle . Weather the direct inguinal hernia pass through superficial ring or not ?
"The indirect inguinal hernia is more common in younger people".
Is the meaning
- in younger people, the indirect inguinal hernia is more common _than the direct inguinal hernia is_ ? _or_
- the indirect inguinal hernia is more common in younger people _than it is in older people_ ?
I finally got my new UA-cam Professor! God bless.
Sam, I had a personal experience with this canal. As I was growing up and becoming a young teenager, I'd get this terrible pain in my right side where the testicle would get hung up and create a terrible pain, enough to make me pass out. Our local doctor took a while to determine what the problem was. He hoped that I would grow out of it. I did but it took several years to do that. I would have to lay down with an ice pack for several hours.
superbly presented