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The Meek micrograft technique for burns; review on its outcomes: Searching for the superior skin grafting technique.
- Source :
-
Burns (03054179) . Sep2022, Vol. 48 Issue 6, p1287-1300. 14p. - Publication Year :
- 2022
-
Abstract
- <bold>Introduction: </bold>Autologous split thickness skin grafting is the standard-of-care for the majority of deep dermal and full thickness burns: Meshed grafting is most commonly used. Patients with extensive burn injuries have limited donor site availability. Meek micrografting is a well-known technique to enable larger expansions. A review was conducted on the outcomes of the Meek micrograft technique.<bold>Method: </bold>A database search in PubMed, Web of Science, Google Scholar and the Cochrane Library was conducted from the first Meek micrografting report in 1958 until 2021, including terms 'burns', 'micrografting' and/or 'Meek'. Original papers reporting outcomes of Meek micrografting were included.<bold>Results: </bold>1529 papers were identified and eventually 15 articles were included, the majority classified as poor quality according to Chambers criteria. 310 patients with 56% mean TBSA were described. Weighted averages were calculated for 'graft take' 82 ± 7%, 'time to wound closure' 53 ± 20 days and 'length of hospital stay' 61 ± 31 days. Scar quality was minimally described and often poorly assessed. Limited data were available on outcomes 'donor site size', 'number of operations', 'cost effectiveness' and 'bacterial load/wound infection rate'.<bold>Conclusion: </bold>Overall poor study quality and the specific lack of data on scar quality, made it impossible to draw conclusions on the outcomes of Meek micrografting. A randomized controlled trial is required to further investigate the performance of the Meek micrograft technique. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SKIN grafting
*BURNS & scalds
*SCARS
*SKIN
*AUTOGRAFTS
Subjects
Details
- Language :
- English
- ISSN :
- 03054179
- Volume :
- 48
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Burns (03054179)
- Publication Type :
- Academic Journal
- Accession number :
- 158889876
- Full Text :
- https://doi.org/10.1016/j.burns.2022.05.011