Artikel
Retrospective review of a 5-year adult burn center’s experience with Meek grafting in the management of extensive burns
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Autoren
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Khosrow Houschyar
- BG Klinikum Bergmannstrost Halle, Plastische und Handchirurgie / Verbrennungszentrum, Halle (Saale), Deutschland
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Frank Siemers
- BG Klinikum Bergmannstrost Halle, Plastische und Handchirurgie / Verbrennungszentrum, Halle (Saale), Deutschland
| Veröffentlicht: | 9. Januar 2018 |
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Gliederung
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Background: The Meek technique constitutes a rapid and efficient surgical approach for coverage of extensive full-thickness burn injuries. The aim of this retrospective study is to present our experience with the Meek technique of grafting, including our outcomes and recommendations.
Methods: We performed a retrospective analysis of patients from our burn center who underwent Meek grafting between 2012 and 2016. Patient records were reviewed individually and patient demographics, mechanism of injury and surgical management were recorded. Outcome measures, including graft take rate, complications and need for further surgery, were also recorded.
Results: Twelve patients had Meek grafting procedures. The average age was 38 years (range 15–66). The average total burn surface area was 54.3% (range 31–77%). 83% of grafted areas healed well and did not require re-grafting. In the remaining 17%, infection and hematoma were the leading cause of graft failure.
Conclusions: Meek grafting is a useful method of skin expansion in patients with large burn wounds. Management is simple and more efficient when a scheme comprising topographical division of body surface and a well-coordinated interplay of wound care and coverage is incorporated.
