Evaluación de cicatrización en zonas donantes usando técnica Meek vs. curación convencional en adultos mayores
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Vive Rev. Salud
Abstract
La gestión de la zona donante tras la obtención de injertos de piel representa un desafío significativo en la práctica quirúrgica, especialmente en adultos mayores, donde la capacidad de regeneración cutánea se ve disminuida. Objetivo: Realizar una evaluación de cicatrización de los tejidos resultantes de la zona donante entre la técnica de expansión de injertos con sistema "Meek" versus la cura convencional en pacientes adultos mayores. Descripción del caso: Se presentó el reporte de veinte pacientes entre 65 y 98 años de la unidad de cirugía plástica de una clínica de Lima-Perú; entre octubre 2022 y junio 2024, donde se emplearon la técnica convencional y el uso del sistema "Meek" para cubrir la zona donante, mismo grosor de piel, mismo dermatomo. Se evaluaron las características de la cicatrización en la zona donante utilizando la escala de cicatrización Vancouver y Posas a los 30 días. Es un estudio comparativo, intervención, analítico, prospectivo y longitudinal. Discusión: Se apreció un mejor resultado de cicatrización empleando la técnica de injertos de piel parcial de sistema "Meek" en comparación con la curación continua o convencional, además de ser significativo (p<0,05). La cicatrización resultante en la zona donante utilizando el sistema "Meek" tuvo características similares a la piel adyacente. Se pudo evidenciar que la técnica Meek es más eficiente al lograr cobertura temprana, efectiva y segura en las zonas donantes en pacientes adultos mayores mientras que en la cura convencional un proceso lento de cicatrización.
The management of the donor site after skin graft procurement represents a significant challenge in surgical practice, especially in older adults, where the capacity for skin regeneration is diminished. Objective: To perform an evaluation of donor site tissue healing between the Meek graft expansion technique versus conventional healing in older adult patients. Case description: Twenty patients between 65 and 98 years old from the plastic surgery unit of a clinic in Lima-Peru; between October 2022 and June 2024, where the conventional technique and the use of the "Meek" system were used to cover the donor area, same skin thickness, same dermatome. The characteristics of healing in the donor area were evaluated using the Vancouver and Posas healing scale at 30 days. It is a comparative, interventional, analytical, prospective and longitudinal study. Discussion: There was a better healing result using the partial skin grafting technique of the "Meek" system compared to continuous or conventional healing, and it was significant (p<0.05). The resulting healing in the donor area using the "Meek" system had similar characteristics to the adjacent skin. It could be evidenced that the Meek technique is more efficient in achieving early, effective and safe coverage in the donor areas in older adult patients, while the conventional healing process is slower.
The management of the donor site after skin graft procurement represents a significant challenge in surgical practice, especially in older adults, where the capacity for skin regeneration is diminished. Objective: To perform an evaluation of donor site tissue healing between the Meek graft expansion technique versus conventional healing in older adult patients. Case description: Twenty patients between 65 and 98 years old from the plastic surgery unit of a clinic in Lima-Peru; between October 2022 and June 2024, where the conventional technique and the use of the "Meek" system were used to cover the donor area, same skin thickness, same dermatome. The characteristics of healing in the donor area were evaluated using the Vancouver and Posas healing scale at 30 days. It is a comparative, interventional, analytical, prospective and longitudinal study. Discussion: There was a better healing result using the partial skin grafting technique of the "Meek" system compared to continuous or conventional healing, and it was significant (p<0.05). The resulting healing in the donor area using the "Meek" system had similar characteristics to the adjacent skin. It could be evidenced that the Meek technique is more efficient in achieving early, effective and safe coverage in the donor areas in older adult patients, while the conventional healing process is slower.
Description
Vol. 8, No. 22