Abstract

CHAU RAMOS, Crhistian Alexander; SALCEDO MOLINA, Gustavo René  and  CHAU RAMOS, Enrique Antonio. Evaluation of wound healing in donor sites using Meek technique vs. conventional dressing in elderly. Vive Rev. Salud [online]. 2025, vol.8, n.22, pp.326-341.  Epub Jan 22, 2025. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v8i22.379.

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.

Keywords : Adults Major; Scarring; Donors; Zones; Meek Technique.

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