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Rapid Communication: Solution for the MEEK Glue Transfer Problem.

Derek M Culnan1, Beretta Craft-Coffman1, Genevieve Bitz1

  • 1JMS Burn and Reconstructive Center, Merit Health Central, Jackson, MS.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|May 31, 2017
PubMed
Summary

A new protocol, "The Rule of Sevens," enables effective Meek skin grafting using Mastisol® adhesive, overcoming previous limitations with alternative glues in American burn centers for improved skin transfer.

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Area of Science:

  • Dermatology
  • Wound Healing
  • Surgical Techniques

Background:

  • Meek micrografting allows significant skin graft expansion (3:1 to 9:1) and use of suboptimal donor sites.
  • The standard proprietary glue for Meek grafting is unavailable in the US, leading to poor outcomes with alternatives.
  • American burn centers face challenges with Meek grafting due to adhesive failures.

Purpose of the Study:

  • To present a novel protocol for effective Meek skin transfer using Mastisol® adhesive.
  • To provide a reliable method for utilizing the Meek technique in American clinical practice.
  • To address and overcome the limitations of previous adhesive failures in Meek micrografting.

Main Methods:

  • A standardized 7-step protocol,
  • The Rule of Sevens,
  • involving specific timings and application methods for Mastisol® and graft handling.

Main Results:

  • Effective Meek skin transfer was achieved using Mastisol® adhesive.
  • The protocol resulted in reliable skin graft take and consistent application of the modified Meek technique.
  • The method allows for successful skin transference, minimizing graft loss.

Conclusions:

  • The presented protocol enables consistent and effective Meek skin transfer using readily available Mastisol®.
  • This technique empowers other centers to implement modified Meek grafting without adhesive-related frustrations.
  • The
  • Rule of Sevens,
  • protocol offers a viable solution for skin grafting challenges in reconstructive surgery.