Tissue sparing technique using partial skin transplantation: Meek technique versus conventional mesh technique. A case report
DOI:
https://doi.org/10.24265/horizmed.2018.v18n4.13Keywords:
Transplantation, Tissue donors, Necrotizing fasciitis, Skin transplantation, Tissue expansion, Surgical meshAbstract
The Meek technique is useful in patients with limited donor sites. It is a relatively efficient technique due to its ability to expand the skin up to nine times its original size. Scarring was assessed using two tissue expansion techniques, i.e. the Meek technique and the conventional mesh technique, which achieved an expansion ratio of 1:3. It should be noted that, with advances in bioengineering, the Meek technique is integrated as a complete method for autografting.1,2 We present the case of a 34-year-old male patient with a polymicrobial infectious disease called "necrotizing fasciitis". He had lost tissues of the thorax, abdomen and inguinal-perineal region, affecting 14% of his total body surface area. A qualitative assessment using the Vancouver scale and the Patient Objective Scar Assessment Scale (POSAS) showed better scarring results with the Meek technique.
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Piñeros J, Roa R, Cuadra A, Mora C, Guler K, Pereira N, et al. Cobertura con injerto dermoepidérmicos mediante técnica MEEK en el tratamiento de grandes quemados. Rev Chil Cir. 2010; 62 (4): 415-418.
Munasinghe N, Wasiak J, Ives A,Cleland H, Lo C. Retrospective review of a tertiary adult burn centre’s experience with modified Meek grafting. Burns Trauma. 2016; 4: 6: 2-7
Chua AW, Khoo YC, Tan BK, Tan KC, Foo CL, Chong SJ. Skin tissue engineering advances in severe burns: review and therapeutic applications. Burns Trauma. 2016 ;4: 3
Rodríguez E. Técnica de micro injertos Meek A propósito de un caso. Revista Multidisciplinar de Insuficiencia Cutanea Agua. 2017;14: 58-66
Almodumeegh A, Heidekrueger PI, Ninkovic M, Rubenbauer J, Hadjipanayi E, Broer PN. The MEEK technique: 10- year experience at a tertiary burn centre. Int Wound J. 2017;14(4):601-605.
Lumenta DB, Kamolz LP, Frey M. Adult burn patients with more than 60% TBSA involved-Meek and other techniques to overcome restricted skin harvest availability--the Viennese Concept. J Burn Care Res. 2009 ;30(2):231-42.
Tempelman FRH, Vloemans AFPM, Middelkoop E, Kreis RW. The Meek-Wall Micrograft Technique. In: Surgery In Wounds. Téot L, Banwell PE, Ziegler UE. (eds). Springer-Verlag Berlin Heidelberg, 2004
Culnan DM, Craft-Coffman B, Bitz G, Mullins RF. Rapid Communication: Solution for the MEEK Glue Transfer Problem. J Burn Care Res. 2018; 39(2):274-277.
Cuenca J, Álvarez C. Injertos en malla 1:6 cubiertos con aloinjertos de Epidermis cultivada en áreas cruentas por quemadura. Cirugía plástica.2003; 13(1):13-17
Kopp J, Magnus N, Rubben A, Merk H, Pallua N. Radical Resection of Giant Congenital Melanocytic Nevus and Reconstruction With Meek-Graft Covered Integra Dermal Template. 2003; 29(6):653-657.
Sosa-Serrano AFJ, Álvarez-Díaz CJ, Cuenca-Pardo J, Juárez- Aguilar E, Kuri-Harcuc W. Tratamiento de quemaduras de espesor total mediante autoinjertos mallados cubiertos con aloinjertos criopreservados de epidermis humana cultivada in vitro. Reporte de un caso. Cir Plast 1999;9(3):126-129
Jacobus D. Experience with the Meek micrografting technique in Major Burns.2016, Master of Medicine (MMed) in Plastic and Reconstructive Surgery, University of Cape Town Faculty of Health Sciences
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