WORLD JOURNAL OF PLASTIC SURGERY
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Volume 9, Issue 3 (2020)
WJPS 2020, 9(3): 267-273 |
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Dahmardehei M, Vaghardoost R, Saboury M, Zarei H, Saboury S, Molaei M, et al . Comparison of Modified Meek Technique with Standard Mesh Method in Patients with Third Degree Burns. WJPS 2020; 9 (3) :267-273
URL: http://wjps.ir/article-1-622-en.html
URL: http://wjps.ir/article-1-622-en.html
Mostafa Dahmardehei1 
, Reza Vaghardoost2 , Mahdy Saboury *3 , Hamze Zarei4 , Shahriar Saboury5 , Mehdi Molaei6 , Jalal Seyyedi6 , Abdulbaset Maleknejad7
, Reza Vaghardoost2 , Mahdy Saboury *3 , Hamze Zarei4 , Shahriar Saboury5 , Mehdi Molaei6 , Jalal Seyyedi6 , Abdulbaset Maleknejad7
1- Burn Research Center, Iran University of Medical Sciences, Tehran, Iran
2- Department of Plastic and Reconstructive Surgery, St. Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
3- Department of Plastic and Reconstructive Surgery, St. Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran ,dr.mahdysaboury@yahoo.com
4- Department of Plastic and Reconstructive Surgery, Imam Ali Hospital, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
5- Firoozgar Hospital, IUMS, Tehran, Iran
6- Burn research center,Zahedan University of Medical Sciences,Zahedan,Iran
7- .Burn research center,Zahedan University of Medical Sciences,Zahedan,Iran
2- Department of Plastic and Reconstructive Surgery, St. Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
3- Department of Plastic and Reconstructive Surgery, St. Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran ,
4- Department of Plastic and Reconstructive Surgery, Imam Ali Hospital, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
5- Firoozgar Hospital, IUMS, Tehran, Iran
6- Burn research center,Zahedan University of Medical Sciences,Zahedan,Iran
7- .Burn research center,Zahedan University of Medical Sciences,Zahedan,Iran
Abstract: (3809 Views)
BACKGROUND
Covering burn wounds, especially high surface area burns has been always a challenge for surgeons. The Meek technique has been introduced to increase the covering area. There is paucity of clinical trials comparing the Meek technique and mesh in the same individuals to assess it efficacy.
METHODS
In a case-control study, 20 patients with grade III burns who underwent the Meek technique and mesh in different areas/limbs were enrolled. Expansion rate, re-epithelization, operation time, wound infection, graft failure, etc. were compared between the two groups.
RESULTS
Among patients, 18 were males and 2 were females. The mean of total body surface area (TBSA) was 36.9±16.6%. Mean time of re-epithelialization in the Meek group was 2.8±2.5 months and in the mesh group was 5.0±2.1 months (p=0.01). Operation time was shorter in modified Meek technique (p=0.04). Expansion ratio was higher in modified Meek technique (p=0.04). Local wound infection rates were slightly different without a statistically significant difference.
CONCLUSION
Meek technique provided higher surface area coverage in comparison to mesh; in addition to faster re-epithelization. Therefore, it is recommended to consider the Meek technique as a routine procedure, especially those with high surface area burns.
Covering burn wounds, especially high surface area burns has been always a challenge for surgeons. The Meek technique has been introduced to increase the covering area. There is paucity of clinical trials comparing the Meek technique and mesh in the same individuals to assess it efficacy.
METHODS
In a case-control study, 20 patients with grade III burns who underwent the Meek technique and mesh in different areas/limbs were enrolled. Expansion rate, re-epithelization, operation time, wound infection, graft failure, etc. were compared between the two groups.
RESULTS
Among patients, 18 were males and 2 were females. The mean of total body surface area (TBSA) was 36.9±16.6%. Mean time of re-epithelialization in the Meek group was 2.8±2.5 months and in the mesh group was 5.0±2.1 months (p=0.01). Operation time was shorter in modified Meek technique (p=0.04). Expansion ratio was higher in modified Meek technique (p=0.04). Local wound infection rates were slightly different without a statistically significant difference.
CONCLUSION
Meek technique provided higher surface area coverage in comparison to mesh; in addition to faster re-epithelization. Therefore, it is recommended to consider the Meek technique as a routine procedure, especially those with high surface area burns.
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