• Paolo Scimia, Basso RicciErikaE, Emiliano Petrucci, Astrid Ursula Behr, Franco Marinangeli, and Pierfrancesco Fusco.
• From the Department of Anaesthesia and Perioperative Medicine, A.S.S.T. of Cremona, Cremona, Italy; Department of Anaesthesia and Intensive Care Unit, S.S. Filippo and Nicola Hospital of Avezzano, L'Aquila, Italy; Division of Anesthesia and Intensive Care, University of Padova, Italy; and Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, L'Aquila, Italy.
• A A Pract. 2018 Apr 15; 10 (8): 209-211.

AbstractUltrasound (US)-guided transversalis fascia plane block (TFPB) was first described by Hebbard as a technique for blockade of T12-L1 nerves. Although this technique appears similar to the quadratus lumborum 1 block, the point of injection is more caudal and anterior, specifically targeting ilioinguinal and iliohypogastric nerves. There are only few published data on US-guided TFPB demonstrating effective postoperative analgesia in iliac crest bone graft harvesting. We report the use of US-guided TFPB in a patient undergoing inguinal herniorrhaphy. Our experience suggests that this technique could represent a viable alternative to general anesthesia and standard regional techniques for inguinal hernia repair.

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