Tissue sparing technique using partial skin transplantation: Meek technique versus conventional mesh technique. A case report

• Autores: Chau Ramos, Enrique Antonio, Jiménez Díaz, Rosario, Chau Ramos, Carlos
• Formato: artículo
• Fecha de Publicación: 2018
• Institución: Universidad de San Martín de Porres
• Repositorio: Horizonte médico
• Lenguaje: español
• OAI Identifier: oai:horizontemedico.usmp.edu.pe:article/701
• Enlace del recurso: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/701
• Nivel de acceso: acceso abierto
• Materia: Injerto; Donante de tejidos; Fascitis necrotizante; Injertos de piel; Expansión de tejido; Mallas quirúrgicas; Transplantation; Tissue donors; Necrotizing fasciitis; Skin transplantation; Tissue expansion; Surgical mesh

The Meek technique is useful in patients with limited donor sites. It is a relatively efficient technique due to its ability to expand the skin up to nine times its original size. Scarring was assessed using two tissue expansion techniques, i.e. the Meek technique and the conventional mesh technique, which achieved an expansion ratio of 1:3. It should be noted that, with advances in bioengineering, the Meek technique is integrated as a complete method for autografting.1,2 We present the case of a 34-year-old male patient with a polymicrobial infectious disease called "necrotizing fasciitis". He had lost tissues of the thorax, abdomen and inguinal-perineal region, affecting 14% of his total body surface area. A qualitative assessment using the Vancouver scale and the Patient Objective Scar Assessment Scale (POSAS) showed better scarring results with the Meek technique.