<?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>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922020000100006</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922020000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prótesis mamarias en plano submuscular con bloqueo anestésico intraoperatorio de ramas del plexo braquial a cielo abierto y con cánula]]></article-title>
<article-title xml:lang="en"><![CDATA[Mammary implants in submuscular plane through intraoperatory anesthesic blocking of brachial plexus using open access and cannula]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ballivián Rico]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ballivian Rico]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Cucchiaro]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2b"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Santa Cruz de la Sierra  ]]></institution>
<addr-line><![CDATA[Santa Cruz de la Sierra ]]></addr-line>
<country>Bolivia</country>
</aff>
<aff id="A2a">
<institution><![CDATA[,Salta  ]]></institution>
<addr-line><![CDATA[Salta ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A2b">
<institution><![CDATA[,Federación Ibero-Latinoamericana de Cirugía Plástica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Santa Cruz de la Sierra  ]]></institution>
<addr-line><![CDATA[Santa Cruz de la Sierra ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>37</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922020000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922020000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922020000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo La mamoplastia de aumento con prótesis es una de las cirugías más realizadas en Cirugía Plástica. El objetivo del presente trabajo es mostrar nuestra técnica anestésica para colocación de prótesis mamarias en plano submuscular, bloqueando de forma intraoperatoria ramos del plexo braquial y recoger nuestra experiencia con ella en una serie de casos.  Material y método Bajo sedación y anestesia local, realizamos una incisión en el borde periareolar inferior llegando por divulsión y corte transglandular hasta el plano de la aponeurosis del músculo pectoral mayor; apertura de 5 cm de la aponeurosis y divulsión de las fibras musculares siguiendo su dirección; identificamos el plano entre el músculo pectoral mayor y el pectoral menor; introducimos una cánula de Klein en ese plano hasta el punto anatómico donde están las ramas lateral y medial del plexo braquial (2 cm por debajo de la clavícula y en su tercio lateral); inyección en ese punto del preparado de solución anestésica. Analizamos 172 pacientes operadas entre enero de 2014 y abril del 2018 en las que empleamos el procedimiento anestésico descrito.  Resultados En todas las pacientes el acto anestésico fue exitoso, llegando el procedimiento quirúrgico a término sin necesidad de recurrir a la anestesia general.  Conclusiones En nuestra experiencia, la seguridad, facilidad de ejecución y el efecto anestésico conseguido, nos permitieron utilizarla de forma rutinaria en mamoplastias con indicación de inserción de implantes en plano submuscular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective Breast augmentation is one of the most performed surgeries in Plastic Surgery. Our aim is to show an anesthetic technique for placement of breast implants in a submuscular plane, using intraoperative blocking of the brachial plexus branches, and to present our experience in a clinical series.  Methods Technique consists on a lower peri-areolar skin incision under sedation and local anesthesia, reaching by transglandular dissection and cut to the plane of the pectoral muscle aponeurosis; we open a 5 cm incision on the aponeurosis and divide the muscle fibers following their direction; we identify the plane between the pectoralis major and the pectoralis minor and insert a Klein cannula in that plane to the anatomical point where the lateral and medial branches of the brachial plexus are located (2 cm below the clavicle and in its lateral third), where the anesthetic solution preparation is injected. A series of 172 patients undergoing surgery from January 2014 to April 2018 with this anesthetic procedure was analyzed.  Results Anesthetic procedure was successful in all patients, ending surgery without needing general anesthesia.  Conclusions In our experience, the safety and ease execution of the proposed technique, allowed it to be used routinely in all our submuscular augmentation mamoplasties.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mamoplastia aumento]]></kwd>
<kwd lng="es"><![CDATA[Prótesis mamarias]]></kwd>
<kwd lng="es"><![CDATA[Implantes mamarios]]></kwd>
<kwd lng="es"><![CDATA[Bloqueo anestésico]]></kwd>
<kwd lng="es"><![CDATA[Plexo braquial]]></kwd>
<kwd lng="en"><![CDATA[Augmentation mamoplasty]]></kwd>
<kwd lng="en"><![CDATA[Breast implants]]></kwd>
<kwd lng="en"><![CDATA[Breast prosthesis]]></kwd>
<kwd lng="en"><![CDATA[Block anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Brachial plexus]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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