• Burns · Sep 2022

    Review

    The Meek micrograft technique for burns; review on its outcomes: Searching for the superior skin grafting technique.

    • Danielle Rijpma, Karel Claes, Henk Hoeksema, Ignace de Decker, Jozef Verbelen, Stan Monstrey, Anouk Pijpe, Paul van Zuijlen, and Annebeth Meij-de Vries.
    • Burn Centre, Red Cross Hospital, Vondellaan 13, Beverwijk 1942 LE, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Science's Amsterdam UMC (Location VUmc), De Boelelaan 1117, Amsterdam 1007 MB, the Netherlands; Association of Dutch Burn Centres, Burn Centre, Rode Kruis Ziekenhuis, Beverwijk, the Netherlands.
    • Burns. 2022 Sep 1; 48 (6): 128713001287-1300.

    IntroductionAutologous 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.MethodA 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.Results1529 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'.ConclusionOverall 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.Copyright © 2022 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.

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