Comparison of Modified Meek Technique with Standard Mesh Method in Patients with Third Degree Burns
Mostafa Dahmardehei, Reza Vaghardoost, Mahdy Saboury, Hamze Zarei, Shahriar Saboury, Mehdi Molaei, Jalal Seyyedi, Abdulbaset Maleknejad
Abstract
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: =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.