<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922020000200010</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922020000200010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Técnica de microinjerto Meek modificada para la cobertura de grandes quemados]]></article-title>
<article-title xml:lang="en"><![CDATA[Modified Meek micrograft technique for coverage of large burns]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñeros Barragán]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña Martínez]]></surname>
<given-names><![CDATA[Verónica A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mangeldorff Galeb]]></surname>
<given-names><![CDATA[Gunther W.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parada Matus]]></surname>
<given-names><![CDATA[Leonardo A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roa Gutiérrez]]></surname>
<given-names><![CDATA[Ricardo E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital del Trabajador Departamento de Cirugía Plástica y Quemados ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital del Trabajador Departamento de Cirugía Plástica y Quemados ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<fpage>47</fpage>
<lpage>52</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922020000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922020000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922020000200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo Ante un quemado de gran extensión (más del 30%) con zonas donantes limitadas, la cobertura cutánea con la técnica de microexpansión modificada Meek es eficiente y eficaz. El objetivo de este trabajo es describir dicha técnica, revisar las publicaciones al respecto y destacar sus ventajas sobre la técnica de mallado tradicional de injertos.  Material y método Hacemos una puesta al día de los hechos históricos, descripción de la técnica quirúrgica de la microexpansión modificada Meek y revisión de la literatura con busquedas bibiografícas en inglés y español entre 1958 y 2019 empleando como palabras claves: (mesh) 'micrograft', 'micrograft tenchnique', Meek ', 'Meek technique, 'major burn treatment', y 'mesh skin graft'. Hacemos también una comparación de resultados con nuestra experiencia local.  Resultados En nuestra experiencia, entre 2008 y 2010 tratamos 4 pacientes con quemaduras extensas y zonas dadoras limitadas, todos producto de accidentes laborales, con edad media de 47 años y promedio de superficie corporal quemada total (SCQT) del 63%. Empleamos microexpansión en tasa de 1:6 logrando cierre definitivo de las lesiones a las 4 semanas. Al comparar con la literatura publicada, observamos beneficios como disminución de estancia hospitalaria, número de procedimientos quirúrgicos realizados y baja morbimortalidad.  Conclusiones La microexpansión modificada Meek en la cobertura cutánea de pacientes con quemaduras extensas y zonas dadoras de injertos limitadas constituye una herramienta eficiente y eficaz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quemados]]></kwd>
<kwd lng="es"><![CDATA[Grandes quemados]]></kwd>
<kwd lng="es"><![CDATA[Microinjertos]]></kwd>
<kwd lng="es"><![CDATA[Técnica Meek]]></kwd>
<kwd lng="en"><![CDATA[Burns]]></kwd>
<kwd lng="en"><![CDATA[Extensive burns]]></kwd>
<kwd lng="en"><![CDATA[Micrografts]]></kwd>
<kwd lng="en"><![CDATA[Meek technique]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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