<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992022000300145</article-id>
<article-id pub-id-type="doi">10.35366/109776</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso del bloqueo del plano transverso del abdomen para drenaje de absceso intraabdominal: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of transversus abdominis plane block in drainage of intraabdominal abscess: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Ramírez]]></surname>
<given-names><![CDATA[Alan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bizueto-Monroy]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuéllar Valencia]]></surname>
<given-names><![CDATA[Said]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 3 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 3 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>145</fpage>
<lpage>149</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992022000300145&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992022000300145&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992022000300145&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El bloqueo del plano transverso del abdomen (TAPB, por sus siglas en inglés) es una técnica de anestesia local que implica la infiltración del plano fascial localizado entre los músculos transverso y oblicuo interno del abdomen e involucra los segmentos nerviosos de T6 a L1. Las primeras aplicaciones en el contexto quirúrgico se hicieron en la primera década del siglo, descritas durante cesáreas y cirugía colorrectal como adyuvante en el control del dolor postquirúrgico, aunque se han descrito casos en los que se usó como terapia analgésica única. Se presenta el caso de paciente femenino de 40 años con antecedente de estenosis valvular aórtica tratada con prótesis valvular y antitrombóticos, quien cursa cuarta gesta complicada con preeclampsia, requiriendo resolución quirúrgica del embarazo. Su periodo postquirúrgico se complica con absceso intraabdominal, ameritando tratamiento quirúrgico. No obstante, el estado clínico de la paciente contraindicó el uso del bloqueo neuroaxial como anestésico, por lo que se optó por realizar un TAPB bilateral y sedación para luego ser intervenida. Presentó buena evolución postquirúrgica sin nuevas complicaciones. El TAPB es una alternativa útil en pacientes que necesitan cirugía abdominal y en quienes se considera riesgoso ser sometidos a anestesia general, epidural o espinal por la posibilidad de agravar sus condiciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The transverse abdominis plane block (TAPB) is a local anesthetic technique that involves the infiltration of the fascial plane between the transverse abdominal and the internal oblique muscles, it involves the segments T6 to L1. The first applications in the surgical context were described in the first decade of the century during caesarean sections and colorectal surgery looking for a better control of postoperative pain. Some cases have been described in which it was used as a sole analgesic therapy. We present the case of a 40 year old female with a history of aortic valve stenosis treated with valve prostheses and antithrombotics who had a complicated fourth pregnancy with preeclampsia, requiring surgical resolution. Her post-surgery period got complicated by an intra-abdominal abscess, requiring surgical treatment. Besides, the clinical condition of the patient contraindicated the use of neuraxial block as an anesthetic technique, so it was decided to perform a bilateral TAPB and sedation for surgical resolution. The patient coursed a good postoperative evolution without new complications. TAPB is a useful alternative in patients who require urgent surgical intervention in those who are considered risky to undergo epidural or spinal anesthesia due to the risk of associated complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bloqueo]]></kwd>
<kwd lng="es"><![CDATA[plano transverso abdominal]]></kwd>
<kwd lng="es"><![CDATA[cirugía abdominal]]></kwd>
<kwd lng="en"><![CDATA[block]]></kwd>
<kwd lng="en"><![CDATA[transverse abdominis plane]]></kwd>
<kwd lng="en"><![CDATA[abdominal surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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