Inguinal Hernia Pubic Tubercle

To differentiate between direct and indirect inguinal hernias.

Inguinal hernia pubic tubercle. 96 8 of inguinal hernias have their necks above and lateral to pubic tubercle while all femoral hernia had their necks below and lateral to the pubic tubercle. However the sac of a large inguinal hernia protruded through the inguinal canal and extended medial to the pubic tubercle whereas that of a femoral hernia was localized lateral to the pubic tubercle. And 27 54 had indirect hernia and 4 8 had. The inguinal canal is a tubular structure that runs inferomedially and contains the spermatic cord in ma.

Traditionally it is taught that an inguinal hernia will lie above and medially to the pubic tubercle whereas a femoral hernia lies laterally and below. The bulk of a femoral hernia lies below an imaginary line drawn between the anterior superior iliac spine and the pubic tubercle which essentially represents the inguinal ligament whereas an inguinal hernia starts above this line. Locate the deep inguinal ring midway between the anterior superior iliac spine and pubic tubercle. To incidence of development of inguinal hernia in low.

Within this ligament runs a tube like structure known as the inguinal canal the function of this canal is to provide a passageway for abdominal contents to exit the abdomen. Role of low lying pubic tubercle in development of inguinal hernia. This is not strictly true as the internal ring is always lateral to the femoral canal and a small indirect inguinal hernia will therefore be lateral to the pubic tubercle. It is located above and medial to the pubic tubercle you should then try to determine if it is direct or indirect.

Nonetheless it is often impossible to distinguish the two preoperatively. The 76 hernias included 37 indirect inguinal hernias 29 direct hernias 1 femoral hernia 1 pantaloon hernia combined direct indirect inguinal aim and objective. The inguinal ligament runs between the anterior superior iliac spine asis and the pubic tubercle pt. In this article we shall look at the classification clinical features and management of inguinal herniae.

Inguinal hernia is a protrusion of loop of small intestine into the inguinal canal is termed as inguinal hernia. An inguinal hernia occurs when abdominal cavity contents enter into the inguinal canal. If you suspect a hernia is inguinal in origin i e. Indirect inguinal hernia oblique inguinal hernia.

They are the most common type of hernia and account for around 75 of all anterior abdominal wall hernias with a prevalence of 4 in those over 45 years. Location above or below the pubic tubercle should be used as the sole difference between femoral and inguinal hernias in clinical demonstrations. The inguinal region of the body also known as the groin is located on the lower portion of the anterior abdominal wall with the thigh inferiorly the pubic tubercle medially and the anterior superior iliac spine asis superolaterally. Anatomy of the inguinal canal.