Determining the Role of Low Lying Pubic Tubercle for Development of Inguinal Hernia

Abstract

Background: One important factor that determines the probability of an individual to suffer from an inguinal hernia is the location of the pubic tubercle. The purpose of this study was to assess the role of pubo-spinal distance as a causative factor for inguinal hernia. Aim: To assess the the role of pubo-spinal distance as a causative factor for inguinal hernia. Objectives: • To measure the inter ASIS distance (SS distance) in cases and controls • To measure the vertical distance between the line joining the two ASIS and pubic tubercle (ST distance) in cases and controls • To compare and analyse SS and ST distance in cases and controls Methodology: • The study subjects will be asked to lie in supine relaxed position on a hard bed. Keeping both their lower limbs straight, so that both the anterior superior iliac spine will be at the same level, line will be then drawn on the anterior abdominal wall, connecting both anterior superior iliac spine which will be called the “SS Line” and the length of SS Line will be noted. Next the pubic tubercle on the side of hernia will be marked by palpation. Then vertical distance between this point and the SS Line will measured in centimeters. This line will be designated as “ST line”. • Similar measurements will be done on control as well. Results: At the end of this study, we will be able to ascertain the role of Low-Lying Pubic Tubercle in the Development of Inguinal Hernia.