Navigation überspringen
Universitätsbibliothek Heidelberg
Status: Bibliographieeintrag

Verfügbarkeit
Standort: ---
Exemplare: ---
heiBIB
 Online-Ressource
Verfasst von:Tapking, Christian [VerfasserIn]   i
 Panayi, A. [VerfasserIn]   i
 Haug, V. [VerfasserIn]   i
 Palackic, A. [VerfasserIn]   i
 Houschyar, K. S. [VerfasserIn]   i
 Claes, K. E. Y. [VerfasserIn]   i
 Kuepper, S. [VerfasserIn]   i
 Vollbach, F. [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Hundeshagen, Gabriel [VerfasserIn]   i
Titel:Use of the modified meek technique for the coverage of extensive burn wounds
Verf.angabe:C. Tapking, A. Panayi, V. Haug, A. Palackic, K.S. Houschyar, K.E.Y. Claes, S. Kuepper, F. Vollbach, U. Kneser, G. Hundeshagen
E-Jahr:2024
Jahr:May 2024
Umfang:8 S.
Fussnoten:Online verfügbar: 15. Januar 2024, Version des Artikels: 24. April 2024 ; Gesehen am 13.11.2024
Titel Quelle:Enthalten in: Burns
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1974
Jahr Quelle:2024
Band/Heft Quelle:50(2024), 4 vom: Mai, Seite 1003-1010
ISSN Quelle:1879-1409
Abstract:Introduction - Autologous split thickness skin grafting using meshing technique remains the preferred option for the management of deep dermal and full thickness burns. The limited donor site availability seen in patients with extensive burns, however, restricts use of the mesh grafting technique for skin expansion. Meek micrografting was developed to allow for greater expansion, and, therefore, more reliable treatment of extensive burns. This study aimed to present our outcomes using the Meek micrografting technique and identify risk factors for graft failure. - Methods - A retrospective review of patients admitted to our large academic hospital who were treated with the Meek micrografting technique from 2013 to 2022 was conducted. Patient demographics, surgical characteristics and outcomes were reported. Regression analyses were performed to identify factors that influence graft take and reoperation rate. - Results - A total of 73 patients with a mean age of 45.7 ± 19.9 years and mean burn size of 60.0 ± 17.8%TBSA, with 45.3 ± 14.9% TBSA being third degree burns, received Meek transplantation. The mean graft take after removal of the pre-folded polyamide gauze at the tenth post-operative day was 75.8 ± 14.7%. Pre-treatment with use of an allograft, longer waiting time between admission and Meek grafting and transplantation over a dermal matrix were identified as positive predictors for graft take, while age was established as a negative predictor. - Conclusion - By examining the outcomes of the Meek micrografting technique in extensive burn wounds we identified that preconditioning of the wound bed, through allograft or negative pressure wound therapy application, positively correlates with improved outcomes, including higher graft take. At the same time, older age was seen to negatively correlate with graft take. Overall, Meek transplantation displays a favorable safety profile with promising outcomes. Future prospective studies and clinical trials can optimize the procedure and help establish it as the golden standard for extensive and complex burns.
DOI:doi:10.1016/j.burns.2024.01.005
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.burns.2024.01.005
 Volltext: https://www.sciencedirect.com/science/article/pii/S0305417924000111
 DOI: https://doi.org/10.1016/j.burns.2024.01.005
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Burn
 Meek micrografting
 Skin graft
 Wound healing
K10plus-PPN:1908397586
Verknüpfungen:→ Zeitschrift

Permanenter Link auf diesen Titel (bookmarkfähig):  https://katalog.ub.uni-heidelberg.de/titel/69273131   QR-Code
zum Seitenanfang