Background and objective

In patients with extensive burns (greater tan 30%) and limited donor areas, skin coverage with the Meek modified microexpansión technique offers to be an efficient and effective technique.

The objetive of this paper is to describe the technique, review the publications and highliht its advantages over the traditional grafting mesh technique.

Methods

We update the historical facts, description of the surgical technique of the Meek modified microexpansion and review the English and Spanish literature betwen 1958 and 2019 serarching with keywords: (mesh) 'micrograft', 'micrograft tenchnique', Meek ', 'Meek technique, 'major burn treatment', y 'mesh skin graft'. Finally we compare results with our local experience.

Results

In our experience, between 2008-2010, 4 patients with extensive burns and limited donor areas were treated with the Meek modified microexpansion technique for skin coverage, with an average age of 47 years and average of total burned body surface (SCQT) of 63%. Microexpansion was used at a rate of 1: 6, and definitive closure of his injuries was achieve at 4 weeks. When comparing with the published literature, benefits are shown with the decrease in hospital stay, number of surgical procedures and low morbidity and mortality

Conclusions

The use of the Meek modified microexpansion tech- nique in the skin coverage of patients with extensive burns and limited graft donor areas is an efficient and effective method, compared to the dermoepidermic graft mesh technique.

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