[Clinical application of Meek micrograft technique].
OBJECTIVE
To explore the clinical application of the transplantation of the Meek autograft.


METHODS
Meek autografts were transplanted on the full-thickness wounds of 10 patients, including 9 cases of burn and 1 case of necrofascitis, with the area of 8.6% (2% - 28%) of the total body surface, and the average of the area was. Meek skin graft was placed on the wounds immediately after escharectomy (in 4 cases), 4 - 16 days after tangential excision (in 4 cases), or on the clean wound granulation 35 - 45 days after the injury (in 2 cases). 108 pieces of extending gauze of different rates were used. As comparison, Stamp-like grafts, micrografts, or net-like graft were used in different places of the same bodies in 5, 4, and 1 case respectively.


RESULTS
The operation time of Meek micrograft technique was 9 - 60 minutes. The survival rate of the Meek graft was 93% (100% in 8 cases for, 80% in 1 case, and 50% in 1 case). The operation time of the other operation techniques was 30 - 240 minutes. The average survival rate of the other operation techniques was 86% (100% in 2 cases, 90% - 98% in 4 cases, 80% in 3 cases, and 50% in 1 case).


CONCLUSIONS
Meek autograft is suitable for all of the full-thickness wound except bone-exposure wound, including the wound of major burns. This technique uses less skin to repair the wound and the time for epithelization is shorter than that of the traditional methods. The staff and time needed for the operation are less. The outcome is good and the healed wound is fine-looking.
Yang
Ding-Wen
DW
Department of Plastic Surgery, Drum Tower Hospital Affiliated to Medical College of Nanjing University, Nanjing 210008, China.
Tan
Qian
Q
Wu
Jie
J
Li
Ning-Sheng
NS
Zheng
Dong-Feng
DF
Li
Jun
J
Zhou
Hong-Reng
HR
Yang
Tao
T
Xu
Peng
P
Lv
Guo-Zhong
GZ
Chen
De-Hua
DH
Ye
Sheng-Jie
SJ
D000328:Adult; D002056:Burns / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors; D014945:Wound Healing