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. 2025 Dec 5;6:5. doi: 10.1186/s44158-025-00322-2

Table 2.

Micro-anatomical characteristics of key fascial planes and their potential relevance to regional anesthesia

Fascia RA technique of interest Mean thickness and structure Mean HA content (µg) Nerve fibers
Fascia lata Fascia iliaca block 805 to 944 µm with anterior to posterior thickness gradient 35.4 ± 3  + 
Pectoral fascia

Interpectoral plane block

Pectoserratus plane block

297 µm with cranio-caudal thickness gradient NI  + 
Rectus sheath Rectus sheath block densely packed fibrous bundles interspersed with small amounts of adipose tissue 29.1 ± 0.2 NI
Fascia transversalis

Transversalis fascia plane block

Quadratus lumborum plane block

thin layer composed by an elastic system comprising three distinct fiber types—oxytalan, elaunin, and elastic fibers NI NI
Thoracolumbar fascia

Erector spinae plane block

Retrolaminar plane block

Quadratus lumborum plane block

Up to 1500 µm. Two-layers with a trilaminar structure with each lamina separated by thin, loose connective tissue rich in type I collagen NI  ± 

RA regional anesthesia, NI no information

+ confirmed in histological studies

± not confirmed in all histological studies