Cinq ans d’expérience de la technique Meek pour prendre en charge des brûlures étendues dans un centre pour grands brûlés adultes

Translated title of the contribution: Five Years Experience With Meek Grafting in the Management of Extensive Burns in an Adult Burn Center

Khosrow Siamak Houschyar, Christian Tapking, Ina Nietzschmann, Susanne Rein, Kristian Weissenberg, Malcolm Pyles Chelliah, Dominik Duscher, Zeshaan Naeem Maan, Hubertus Maria Philipps, Clifford Charles Sheckter, Beate Reichelt, Ludwik Branski, Frank Siemers

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: In extensive burn injuries with lack of donor sites for skin grafting, the Meek technique of skin expansion can be an efficient and effective method in covering extensive wounds. The aim of this retrospective study was to present our experience with the Meek technique of grafting. Methods: We performed a retrospective analysis of patients from our burn center who underwent Meek grafting between 2012 and 2016. Demographics, burn details, clinical course, operative management, and outcomes were collected and analyzed from patient records and operative notes. Outcome measures, including graft take rate, complications and need for further surgery, were recorded. Results: Twelve patients had Meek grafting. The average age was 38 years (range: 15-66). The average percent total body surface area burned was 54.3% (range: 31%-77%). Eighty-three percent of grafted areas healed well, and no regrafting was necessary. In the remaining 17%, infection and hematoma were the leading cause of graft failure. Conclusions: Meek grafting constitutes a rapid and efficient surgical approach for the skin coverage of extensive full-thickness burn injuries with limited autograft donor sites.

Original languageFrench
JournalPlastic Surgery
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Burn Units
Burns
Wounds and Injuries
Tissue Donors
Transplants
Skin
Skin Transplantation
Body Surface Area
Autografts
Hematoma
Retrospective Studies
Demography
Outcome Assessment (Health Care)
Infection

Keywords

  • burn
  • meek grafting
  • wound repair

ASJC Scopus subject areas

  • Surgery

Cite this

Houschyar, K. S., Tapking, C., Nietzschmann, I., Rein, S., Weissenberg, K., Chelliah, M. P., ... Siemers, F. (Accepted/In press). Cinq ans d’expérience de la technique Meek pour prendre en charge des brûlures étendues dans un centre pour grands brûlés adultes. Plastic Surgery. https://doi.org/10.1177/2292550318800331

Cinq ans d’expérience de la technique Meek pour prendre en charge des brûlures étendues dans un centre pour grands brûlés adultes. / Houschyar, Khosrow Siamak; Tapking, Christian; Nietzschmann, Ina; Rein, Susanne; Weissenberg, Kristian; Chelliah, Malcolm Pyles; Duscher, Dominik; Maan, Zeshaan Naeem; Philipps, Hubertus Maria; Sheckter, Clifford Charles; Reichelt, Beate; Branski, Ludwik; Siemers, Frank.

In: Plastic Surgery, 01.01.2018.

Research output: Contribution to journalArticle

Houschyar, KS, Tapking, C, Nietzschmann, I, Rein, S, Weissenberg, K, Chelliah, MP, Duscher, D, Maan, ZN, Philipps, HM, Sheckter, CC, Reichelt, B, Branski, L & Siemers, F 2018, 'Cinq ans d’expérience de la technique Meek pour prendre en charge des brûlures étendues dans un centre pour grands brûlés adultes', Plastic Surgery. https://doi.org/10.1177/2292550318800331
Houschyar, Khosrow Siamak ; Tapking, Christian ; Nietzschmann, Ina ; Rein, Susanne ; Weissenberg, Kristian ; Chelliah, Malcolm Pyles ; Duscher, Dominik ; Maan, Zeshaan Naeem ; Philipps, Hubertus Maria ; Sheckter, Clifford Charles ; Reichelt, Beate ; Branski, Ludwik ; Siemers, Frank. / Cinq ans d’expérience de la technique Meek pour prendre en charge des brûlures étendues dans un centre pour grands brûlés adultes. In: Plastic Surgery. 2018.
@article{dc5152848a3241b09c9d05605e3f428c,
title = "Cinq ans d’exp{\'e}rience de la technique Meek pour prendre en charge des br{\^u}lures {\'e}tendues dans un centre pour grands br{\^u}l{\'e}s adultes",
abstract = "Background: In extensive burn injuries with lack of donor sites for skin grafting, the Meek technique of skin expansion can be an efficient and effective method in covering extensive wounds. The aim of this retrospective study was to present our experience with the Meek technique of grafting. Methods: We performed a retrospective analysis of patients from our burn center who underwent Meek grafting between 2012 and 2016. Demographics, burn details, clinical course, operative management, and outcomes were collected and analyzed from patient records and operative notes. Outcome measures, including graft take rate, complications and need for further surgery, were recorded. Results: Twelve patients had Meek grafting. The average age was 38 years (range: 15-66). The average percent total body surface area burned was 54.3{\%} (range: 31{\%}-77{\%}). Eighty-three percent of grafted areas healed well, and no regrafting was necessary. In the remaining 17{\%}, infection and hematoma were the leading cause of graft failure. Conclusions: Meek grafting constitutes a rapid and efficient surgical approach for the skin coverage of extensive full-thickness burn injuries with limited autograft donor sites.",
keywords = "burn, meek grafting, wound repair",
author = "Houschyar, {Khosrow Siamak} and Christian Tapking and Ina Nietzschmann and Susanne Rein and Kristian Weissenberg and Chelliah, {Malcolm Pyles} and Dominik Duscher and Maan, {Zeshaan Naeem} and Philipps, {Hubertus Maria} and Sheckter, {Clifford Charles} and Beate Reichelt and Ludwik Branski and Frank Siemers",
year = "2018",
month = "1",
day = "1",
doi = "10.1177/2292550318800331",
language = "French",
journal = "Plastic Surgery",
issn = "2292-5503",
publisher = "Sage Publications",

}

TY - JOUR

T1 - Cinq ans d’expérience de la technique Meek pour prendre en charge des brûlures étendues dans un centre pour grands brûlés adultes

AU - Houschyar, Khosrow Siamak

AU - Tapking, Christian

AU - Nietzschmann, Ina

AU - Rein, Susanne

AU - Weissenberg, Kristian

AU - Chelliah, Malcolm Pyles

AU - Duscher, Dominik

AU - Maan, Zeshaan Naeem

AU - Philipps, Hubertus Maria

AU - Sheckter, Clifford Charles

AU - Reichelt, Beate

AU - Branski, Ludwik

AU - Siemers, Frank

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: In extensive burn injuries with lack of donor sites for skin grafting, the Meek technique of skin expansion can be an efficient and effective method in covering extensive wounds. The aim of this retrospective study was to present our experience with the Meek technique of grafting. Methods: We performed a retrospective analysis of patients from our burn center who underwent Meek grafting between 2012 and 2016. Demographics, burn details, clinical course, operative management, and outcomes were collected and analyzed from patient records and operative notes. Outcome measures, including graft take rate, complications and need for further surgery, were recorded. Results: Twelve patients had Meek grafting. The average age was 38 years (range: 15-66). The average percent total body surface area burned was 54.3% (range: 31%-77%). Eighty-three percent of grafted areas healed well, and no regrafting was necessary. In the remaining 17%, infection and hematoma were the leading cause of graft failure. Conclusions: Meek grafting constitutes a rapid and efficient surgical approach for the skin coverage of extensive full-thickness burn injuries with limited autograft donor sites.

AB - Background: In extensive burn injuries with lack of donor sites for skin grafting, the Meek technique of skin expansion can be an efficient and effective method in covering extensive wounds. The aim of this retrospective study was to present our experience with the Meek technique of grafting. Methods: We performed a retrospective analysis of patients from our burn center who underwent Meek grafting between 2012 and 2016. Demographics, burn details, clinical course, operative management, and outcomes were collected and analyzed from patient records and operative notes. Outcome measures, including graft take rate, complications and need for further surgery, were recorded. Results: Twelve patients had Meek grafting. The average age was 38 years (range: 15-66). The average percent total body surface area burned was 54.3% (range: 31%-77%). Eighty-three percent of grafted areas healed well, and no regrafting was necessary. In the remaining 17%, infection and hematoma were the leading cause of graft failure. Conclusions: Meek grafting constitutes a rapid and efficient surgical approach for the skin coverage of extensive full-thickness burn injuries with limited autograft donor sites.

KW - burn

KW - meek grafting

KW - wound repair

UR - http://www.scopus.com/inward/record.url?scp=85058470242&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058470242&partnerID=8YFLogxK

U2 - 10.1177/2292550318800331

DO - 10.1177/2292550318800331

M3 - Article

JO - Plastic Surgery

JF - Plastic Surgery

SN - 2292-5503

ER -