Role of Low Lying Pubic Tubercle in Development of Inguinal Hernia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Introduction: Based on origin hernia can be congenital or acquired.[2] Lack of the evolutionary development of a strong posterior rectus sheath and transversalis fascia in lower abdomen is thought to represent a significant specific anatomic defect in the humans. There are various contributing and precipitating factors like chronic constipation, chronic cough, senile enlargement of prostate (all increasing intra-abdominal pressure) and obesity. The lowness of pubic tubercle is associated with narrow origin of internal oblique muscle from lateral inguinal ligament. The narrow origin of internal oblique muscle fails to protect the deep right and consequently indirect inguinal herniation occurs. [3] Aim and Objective: To incidence of development of inguinal hernia in low lying pubic tubercle. Observation:Atotal of 50 cases were included in the study. Out of 50 cases, 48 were males and 2 were females. 19(38%) had direct hernia and 27(54%) had indirect hernia and 4(8%) had pantaloons hernia. 3(6%) had recurrent hernia and 5(10%) had irreducible hernia.ST segment in 4(8%) was < 7.5 cm whereas in 46(92%) it was >7.5 cm that is low lying pubic tubercle. Conclusion: Thus, it can be concluded that low lying pubic tubercle is associated with increased risk of development of inguinal hernia
Authors and Affiliations
Jitendra Kumar Mangtani, Ritik Hooda, Ankita Jain, Sahil Punia, Krishan Kumar Dangayach
Keywords
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- EP ID EP238895
- DOI 10.9790/0853-1611083437
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