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Use of the Meek Micrografting Technique for Coverage of Extensive Burns

A Case Report

Sánchez-García, Alberto MD; Vanaclocha, Nieves MD; García-Vilariño, Elena MD; Salmerón-González, Enrique MD; Vicente-Pardo, Andrea MD; Pérez-del Caz, María D. MD

doi: 10.1097/PSN.0000000000000262
Departments: Wound Care Department
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Traditional mechanical meshing methods have generally been the first-choice treatment of patients with extensive burns (>20% total body surface area). The limited availability of donor areas has sparked the development of resources such as the Meek micrografting technique. We present the case of a 43-year-old male patient with an 85% total body surface area third-degree flame burn. After the initial stabilization, there was a need for rapid and effective coverage of as much burned surface as possible. Thus, Meek micrografting was chosen. Its results in this patient are presented and discussed. The Meek technique is a useful method of skin expansion. It is indicated in patients with extensive burns, where donor areas are limited. The high rates of graft take and quality of the coverage attained make this technique appealing, albeit at a greater economic cost than with traditional mechanical meshing methods.

Alberto Sánchez-García, MD, is a plastic surgeon at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Nieves Vanaclocha, MD, is a plastic surgeon at Plastic and Reconstructive Sur-gery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Elena García-Vilariño, MD, is a plastic surgeon at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Enrique Salmerón-González, MD, is a plastic surgeon at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Andrea Vicente-Pardo, MD, is a plastic surgeon at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

María D Pérez-del Caz, MD, is at the head of the Burn Care Unit at University and Polytechnic Hospital La Fe, Valencia, Spain.

Address correspondence to Nieves Vanaclocha, MD, Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Carrer La Safor 12, p 6, 46015 Valencia, Spain (e-mail: nievesvanaclocha@gmail.com).

The authors declare no conflicts of interest.

Copyright © 2019 by American Society of Plastic Surgical Nurses