ROLE OF LOW LYING PUBIC TUBERCLE IN THE DEVELOPMENT OF INGUINAL HERNIA - A CASE CONTROL STUDY FROM CENTRAL INDIA

CORRESPONDING AUTHOR:
Dr. Roshan Chanchlani,
# 1/6 - Idgah Kothi, Doctors Enclave,
Near Filter Plant, Idgah Hills,
Bhopal – 462001, M. P.
E-mail: roshanchanchlani@gmail.com

ABSTRACT: BACKGROUND: all sites of herniation possess one feature in common i.e. the zone of weakness. The lowness of pubic tubercle is associated with narrow origin of internal oblique muscle from lateral inguinal ligament. MATERIAL & METHODS: Hospital based case -control study was carried out at tertiary care institute on 135 admitted patients with inguinal hernia in Surgery department, form Nov. 2010 to Dec. 2011 and the same number of age matched volunteers not having inguinal hernia(IH) were taken as control. Various anatomical and anthropometric measurements were recorded. RESULTS: Right sided IH was more common 59.25%.And most of them were direct IH 94.5%. Weight, SS line and ST line showed significant difference among cases and control. CONCLUSION: The present study undoubtedly shows that the number of, muscle and connective tissue variations in inguinal region depends upon the position of the groin in relation to the interspinal plane which increases the risk of IH.

KEYWORDS: Anatomy, height, Inguinal Hernia, Pubic tubercle, Weight.