The transversalis fascia is the innermost layer of the abdominal wall, lining the transversus abdominis muscle internally and blending with the posterior rectus sheath above the arcuate line. Its tendinous condensation at the deep inguinal ring forms the internal spermatic fascia covering the spermatic cord.
The transversalis fascia is the key layer in Shouldice inguinal hernia repair, where double-breasting of this fascia reconstructs the posterior inguinal floor. In laparoscopic hernia repair, the preperitoneal space deep to the transversalis fascia is developed. The fascia is also the layer that must be closed in trocar site hernia prevention during laparoscopic surgery above 10 mm port sites.
Weakness in the transversalis fascia medial to the inferior epigastric vessels allowing direct protrusion through the Hesselbach triangle, repaired by fascial repair or mesh reinforcement in the preperitoneal space.
This website uses cookies to enhance your experience. Some are essential for site functionality, while others help us analyze and improve your usage experience. Please review your options and make your choice.
If you are under 16 years old, please ensure that you have received consent from your parent or guardian for any non-essential cookies.
Your privacy is important to us. You can adjust your cookie settings at any time. For more information about how we use data, please read our privacy policy. You may change your preferences at any time by clicking on the settings button below.
Note that if you choose to disable some types of cookies, it may impact your experience of the site and the services we are able to offer.
Some required resources have been blocked, which can affect third-party services and may cause the site to not function properly.
This website uses cookies to enhance your browsing experience and ensure the site functions properly. By continuing to use this site, you acknowledge and accept our use of cookies.
