Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Meek Micrografting Technique for Reconstruction of Extensive Necrotizing Fasciitis of the Anterior Abdomen and Bilateral Femoral Region: A Case Report

  • Jyi Cheng Ng (Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Ahmad Ibrahim Ahmad Zaidi (Department of Surgery, Universiti Putra Malaysia Teaching Hospital) ;
  • Jun De Lee (Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Mohd Faisal Jabar (Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia)
  • Received : 2022.10.19
  • Accepted : 2023.03.28
  • Published : 2023.11.15
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Abstract

Necrotizing fasciitis is an uncommon yet fatal soft tissue infection. Current recommended treatment includes antibiotics with repeat surgical exploration and wound debridement followed by reconstruction. In burn patients, the Meek micrograft has demonstrated a higher true expansion ratio, faster reepithelialization rate, more resilient toward infection, and reduced risk of graft failure as compared with meshed graft. To our best knowledge, the use of Meek micrografting technique in reconstruction of postdebridement wounds of necrotizing fasciitis has not been reported. Hereby, we present a case of a 57-year-old gentleman who was referred to us for wound reconstruction after surgical debridement of Fournier's gangrene and extensive necrotizing fasciitis involving the anterior abdomen and bilateral femoral region. Meek micrografting technique was used to reconstruct the anterior abdomen as the wound bed was large. Although the graft was complicated with a small area of localized infection, it did not spread across the entire graft and was successfully treated with topical antibiotics and regular wound dressing. In our case, wound reconstruction using Meek micrografting technique in a patient with extensive necrotizing fasciitis was successful and showed positive outcome. Therefore, we suggest further studies to be conducted to investigate the applications and outcomes of the Meek micrografting technique, especially in patients with extensive wound bed and limited donor site availability.

Keywords

Acknowledgement

The authors gratefully acknowledge technical support from the Department of Surgery of Serdang Hospital and Universiti Putra Malaysia Teaching Hospital.

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