10 ml of mixture is injected immediately underneath the aponeurosis of external oblique muscle
. This injection floods the enclosed inguinal canal and anaesthetizes all three major nerves in this region.
It originated from the ribs or the costal cartilages or the aponeurosis of the external oblique muscle
(Samuel & Vollala), and it inserted into the medial epicondyle of the humerus and to the brachial fascia, medial intermuscular septum or medial aspect of the humerus (Spinner et al., 1991).
In our case, the patient had a L1 nerve root compression, the ventral ramus of LI divides into iliohyoogastric and ilioinguinal nerves, both in charge of supplying the innervation of the lower segments of the transversus abdominis and the internal and external oblique muscle
. (2) Thus, a far lateral lumbar disc herniation at L1-L2 can also present with abdominal pain and weakness causing abdominal wall paresis and bulge.
The lesion was localized between the subcutaneous fascia and aponeurosis of the external oblique muscle
The skin incision is undermined upwards to expose the aponeurosis of external oblique muscle
4-5 cm above inguinal ligament.
The skin and subcutaneous tissue on the abdominal flank, spreading horizontally from the midline to the midaxillary line and vertically from the 10th thoracic vertebra to the sacrum, were removed to reveal the LD, external oblique muscle
(EO), and the posterior layer of the TLF.
The straight abdominal muscle and the external oblique muscle
are involved in the dissolvement of the bow tension.
We removed a small number of the skin and then removed the tumor at the 3–5 cm distance, including the attached muscles (serratus anterior and latissimus dorsi), the normal costa around the tumor, a part of the diaphragm, the adhesive lung, a part of the external oblique muscle
and of the internal oblique muscle.
Then abdominal muscles (external oblique muscle
, internal oblique muscle and transverse abdominis) were incised and bleeding vessels ligated.
EO: external oblique muscle
, IO: internal oblique muscle, TA: transversus abdominis, QL: quadratus lumborum, white arrow: needle trajectory, and white dotted line: spread of local anesthetic.
The training program contains the special exercises of keeping the balanced position of the pelvis and the lumber spine area as the study concentrates on the lower limb of the body which depend on the deep abdomen muscles, such as the Internal Oblique muscle, and the Transverses Abdomens muscle, and the flat abdomen muscles, such as the External oblique muscle
, the Rectus Abdomens and the gluteal (K.