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Related Experiment Videos

Experience with the modified Meek technique

T Raff1, B Hartmann, H Wagner

  • 1Dept. of Plastic and Hand Surgery, Burn Centre, BG-Unfallklinik Ludwigshafen, Germany.

Acta Chirurgiae Plasticae
|January 1, 1996
PubMed
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The modified Meek technique offers reliable and simple skin grafting for extensive burns (over 45% TBSA), achieving good graft take and faster healing compared to mesh grafts. It

Area of Science:

  • Reconstructive surgery
  • Burn management
  • Dermatology

Background:

  • The Meek-Wall dermatome was an early method for postage stamp skin grafts.
  • Mesh skin grafts became the standard, eclipsing earlier techniques.
  • A modified Meek technique using compressed air was reintroduced in 1993.

Purpose of the Study:

  • To compare the modified Meek technique with the conventional mesh graft technique for skin grafting in burn patients.
  • To evaluate the efficacy, advantages, and disadvantages of the modified Meek technique.

Main Methods:

  • A comparative study involving 41 patients grafted with the modified Meek technique over 20 months.
  • Application of the modified Meek technique for trunk and extremity burns, with some cases using combination therapy with cultured epithelial autografts (CEA).

Related Experiment Videos

  • Analysis of graft take, epithelialization time, expansion ratio, and comparison with mesh graft outcomes.

    • Main Results:

    • The Meek technique provides a true expansion ratio (1:4 and 1:6) and allows utilization of small graft remnants.
    • It enables grafting of up to 75% TBSA full-thickness burns with a single donor site harvest.
    • Graft take reliability is equal or better than mesh grafts, with epithelialization in 3-4 weeks; it can be cost-effective for extensive burns, potentially avoiding CEA.

    Conclusions:

    • The modified Meek technique is a reliable and simple method for skin grafting, especially for burns exceeding 45% TBSA.
    • It offers sufficient expansion, enabling extensive coverage with minimal donor site harvesting and potentially avoiding cultured epithelial autografts.
    • For smaller burns, mesh grafts remain preferable due to lower costs and staff requirements.