(d) The TF plane was deeply stained, but the PPS was preserved (ES, erector spinae; QL, quadratus lumborum; IC, iliac crest; EO, external oblique muscle; IO, internal oblique muscle; TA, transversus abdominis muscle; PPS, posterior pararenal space; * TAP, transversus abdominis plane; TLF, thoracolumbar fascia; TF, transversalis fascia
Accordingly, the QL 1 block is referred to as the lateral QL block because it involves injecting local anesthetic lateral to the QL muscle with the spread at the junction of QL with transversalis fascia, similar to the pattern of transversalis fascia plane block .
The needle tip was placed at the anterolateral border of the QL at its junction of QL with transversalis fascia, and the local anesthetic was injected.
Technical difficulty due to thinning of Transversalis fascia was also encountered in this patient during the surgery.
As Modified Bassini's technique involves dissecting and strengthening of the Transversalis fascia, technical difficulty may arise in case of older patients as the fascia is thinned out.
Transient femoral palsy after TAP block is induced by incorrect local anesthetic deposition between transversus abdominis and the transversalis fascia .
Gharapetian, "Unanticipated Motor Weakness with Ultrasound-Guided Transversalis Fascia Plane Block," A&A case reports, vol.
The first two sutures are taken through the anterior rectus sheath, where EOA is fused with it and each suture is passed first through the inguinal ligament, then the transversalis fascia and then the EOA.
It does not require complicated dissection or suturing nor does it use the weakened muscles or transversalis fascia for repair.
Mesh was fixed to the transversalis fascia
using non-absorbable 2/0 polypropylene sutures at two to three points.
 Because of the stress of child-bearing, the transversalis fascia
is stronger in the floor of the inguinal canal and hence has protective effect, so direct hernia in females is unusual.