Application of Meek micro-grafting technique in severe burn injury: a case report

Benjamin Choo Wee Keat; Salmi Binti Mohamed Sukur

doi:10.18203/2349-2902.isj20240578

Authors

Benjamin Choo Wee Keat Faculty of Medicine, Universiti Kebangsaan Malaysia, Malaysia
Salmi Binti Mohamed Sukur Hospital Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.18203/2349-2902.isj20240578

Keywords:

Meek micrografting, Burn injuries, Wound healing, Skin grafts, Donor site morbidity

Abstract

Wound closure is often a challenge in patients with major burns due to the limited amount of healthy skin available for harvesting and grafting. As a result, this often yields severe morbidity and mortality amongst said patients. This case report presents the successful use of the Meek micro-grafting technique on a patient with extensive major deep dermal to full-thickness burn injuries in the Burn Unit of the Kuala Lumpur Hospital of Malaysia. The Meek micro-grafting method, involves the creation of micro-grafts from a small and limited donor site, and proved to be effective in promoting wound healing and minimizing donor site morbidity.

Metrics

Metrics Loading ...

References

Mishra A, Rabiee S, Opel S, Jones I. Applying the modified Meek technique to heal smaller burns: a retrospective review. Burns Open. 2022;6(3):120-4.

Ottomann C, Hartmann B, Branski L, Krohn C. A tribute to Cicero Parker Meek. Burns. 2015;41(8):1660-3.

Kreis RW, Mackie DP, Vloemans AW, Hermans RP, Hoekstra MJ. Widely expanded postage stamp skin grafts using a modified Meek technique in combination with an allograft overlay. Burns. 1993;19(2):142-5.

Henderson J, Arya R, Gillespie P. Skin graft meshing, over-meshing and cross-meshing. Int J Surg. 2012;10(9):547-50.

Meek CP. Successful microdermagrafting using the Meek-Wall microdermatome. Am J Surg. 1958;96(4):557-8.

Meek CP. Extensive severe burn treated with enzymatic debridement and microdermagrafting: case report. Am Surg. 1963;29:61-4.

Tempelman FRH, Vloemans AFPM, Middelkoop E, Kreis RW. The Meek-Wall Micrograft Technique. Surgery. In: Téot L, Banwell PE, Ziegler UE, eds. Heidelberg: Springer-Verlag Berlin; 2004.

Kok YO, Chong SJ, Liang WH. Revolutionizing major burns management with micrografting – improved healthcare costs, time and burns resources. Plast Reconstr Surg. 2015;136(4):64.

Hackl F, Kiwanuka E, Philip J, Gerner P, Aflaki P, Diaz-Siso JR, et al. Moist dressing coverage supports proliferation and migration of transplanted skin micrografts in full-thickness porcine wounds. Burns. 2014;40(2):274-80.

Hackl F, Bergmann J, Granter SR, Koyama T, Kiwanuka E, Zuhaili B, et al. Epidermal regeneration by micrograft transplantation with immediate 100-fold expansion. Plast Reconstr Surg. 2012;129(3):443-52.

Tanner JC, Vandeput J, Olley JF. The mesh skin graft. Plast Reconstr Surg. 1964;34:287-92.

Peeters R, Hubens A. The mesh skin graft--true expansion rate. Burns Incl Therm Inj. 1988;14(3):239-40.

Lumenta DB, Kamolz LP, Keck M, Frey M. Comparison of meshed versus MEEK micrografted skin expansion rate: claimed, achieved, and polled results. Plast Reconstr Surg. 2011;128(1):40-1.

Ye SJ, Pang SG, Azhang WZ. Application experience of meek skin-piece making technique on large area deep burning. Chinese J Inj Rep Wound Heal. 2007;2(1):10-3.

Hsieh CS, Schuong JY, Huang WS, Huang TT. Five years' experience of the modified Meek technique in the management of extensive burns. Burns. 2008;34(3):350-4.