Use of amniotic membrane and meek graft in a child with severe burns

Authors

Keywords:

burns, amniotic membrane, skin graft

Abstract

Early debridement followed by coverage with autologous skin has been shown to reduce mortality in burn patients. In patients with extensive burns, the lack of areas of donor skin is a limiting factor at the time of treatment. The fact that a complete debridement and coverage cannot be achieved in the first stage favors the infection of the burn and septicemia, which can have dire consequences. Therefore, it is necessary to have other options than partial skin mesh grafts, the standard treatment today. We present the clinical case of a child with severe burns and describe the results obtained with the use of the amniotic membrane as temporary covering and the MEEK-type mesh graft.

Downloads

Download data is not yet available.

References

Rode H, Martinez R, Potgieter D, et al. Expe¬rience and outcomes of micrografting for ma¬jor paediatric burns. Burns. 2017 Mar 15. pii: S0305-4179(17)30111-0. doi: 10.1016/j. burns.2017.02.008.

Davis JW. Skin transplantation with a review of 550 cases at Johns Hopkins Hospital. Johns Hopkins Med. J. 1910,15:307.

Stern M. The grafting of preserved amniotic membrane to burned and ulcerated surfaces, substituting skin grafts. JAMA 1913, 60:973

Sabella N. Use of the fetal membrana in skin grafting Med. Rec. NY 1913, 83:478

Sistani F, Erb C, Brockmann D et al. Human amniotic membrane after different cryopreservation methods. Invest Ophthalmol Vis Sci 2001; 42: S269.

Koizumi N, Fullwood NJ, Bairaktaris G et al. Cultivation of corneal epithelial cells on intact and denuded human amniotic membrane. Invest Ophthalmol Vis Sci 2000; 41:2506-2513.

Hsieh CS, Schuong JY, Huang WS, et al. Five years’ experience of the modified Meek tech¬nique in the management of extensive burns. Burns. 2008; 34:350-4.

Munasinghe N, Wasiak J, Ives A, et al. Retros¬pective review of a tertiary adult burn centre’s experience with modified Meek grafting. Burns Trauma. 2016 Feb 26; 4:6. doi: 10.1186/ s41038-016-0031-2.

Chong SJ, Choke A, Tan BK. Technical tips to enhance micrografting results in burn surgery. Burns. 2017 Apr 22. pii: S0305- 4179(17)30058-X.

Cerizola M, Fossati G. Diferentes aplicaciones del amnios en cirugía. Cir Urug 1984; 54:224-9

Van Herendael BJ, Oberti C, Brosens I. Microanatomy of the human amniotic membranes. A light microscopic, transmission, and scanning electron microscopic study. Am J Obstet Gynecol 1978; 131: 872-880.

Choi, Tae Hoon. Antiinflammatory effects of amniotic membrane transplantation in ocular surface disorders cornea 2001; 20(4): 408-413.

Kreis RW, Mackie DP, Vloemans AW, Hermans RP, Hoekstra MJ. Widely expanded postage stamp skin grafts using a modified Meek technique in combination with an allograft overlay. Burns 1993; 19: 142-145.

Lari AR, Gang RK. Expansion technique for skin grafts (MEEK technique) in the treatment of severely burned patients. Burns 2001; 27: 61-66.

Atiyeh BS, Hayek SN, Gunn SW. New technologies for burn wound closure and healing--review of the literature. Burns 2005; 8: 944-956.

Lee SS, Tsai CC, Lai CS, Lin SD. An easy method for preparation of postage stamp autografts. Burns 2000; 26: 741-749.

Published

2023-05-19

How to Cite

Sandoval, J. H., Balmelli Forno, B., & Zaputovich, S. (2023). Use of amniotic membrane and meek graft in a child with severe burns. Anales of the Faculty of Medical Sciences, 54(1), 137–142. Retrieved from https://revistascientificas.una.py/index.php/RP/article/view/3419

Issue

Section

Case reports