{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T12:50:12Z","timestamp":1778849412545,"version":"3.51.4"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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.<\/jats:p>","DOI":"10.1055\/a-2077-5745","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T23:03:57Z","timestamp":1681945437000},"page":"610-614","source":"Crossref","is-referenced-by-count":2,"title":["Meek Micrografting Technique for Reconstruction of Extensive Necrotizing Fasciitis of the Anterior Abdomen and Bilateral Femoral Region: A Case Report"],"prefix":"10.1055","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3531-5558","authenticated-orcid":false,"given":"Jyi Cheng","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7780-6123","authenticated-orcid":false,"given":"Ahmad Ibrahim","family":"Ahmad Zaidi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universiti Putra Malaysia Teaching Hospital, Serdang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5667-3454","authenticated-orcid":false,"given":"Jun De","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Faisal","family":"Jabar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1046\/j.1464-410x.1998.00532.x","article-title":"Fournier's gangrene","volume":"81","author":"G L Smith","year":"1998","journal-title":"Br J Urol"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1111\/bju.14998","article-title":"Mortality associated with Fournier's gangrene remains unchanged over 25 years","volume":"125","author":"R S Radcliffe","year":"2020","journal-title":"BJU Int"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.12968\/jowc.2018.27.Sup2.S12","article-title":"Meek micrografting history, indications, technique, physiology and experience: a review article","volume":"27","author":"E C Quintero","year":"2018","journal-title":"J Wound 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A clinical review","volume":"88","author":"A Singh","year":"2016","journal-title":"Arch Ital Urol Androl"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s13017-021-00384-x","article-title":"Anorectal emergencies: WSES-AAST guidelines","volume":"16","author":"A Tarasconi","year":"2021","journal-title":"World J Emerg Surg"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/S0302-2838(03)00102-7","article-title":"Fournier's gangrene: an analysis of repeated surgical debridement","volume":"43","author":"S N Chawla","year":"2003","journal-title":"Eur Urol"},{"issue":"01","key":"ref15","first-page":"26","article-title":"The real expansion rate of meshers and micrografts: things we should keep in mind","volume":"26","author":"L P Kamolz","year":"2013","journal-title":"Ann Burns Fire Disasters"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.29252\/wjps.9.3.267","article-title":"Comparison of modified Meek technique with standard mesh method in patients with third degree burns","volume":"9","author":"M Dahmardehei","year":"2020","journal-title":"World J Plast Surg"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1097\/01.sap.0000164531.23770.60","article-title":"Analysis of skin-graft loss due to infection: infection-related graft loss","volume":"55","author":"S Unal","year":"2005","journal-title":"Ann Plast Surg"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1016\/j.burns.2017.02.008","article-title":"Experience and outcomes of micrografting for major paediatric burns","volume":"43","author":"H Rode","year":"2017","journal-title":"Burns"},{"issue":"05","key":"ref19","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/BCR.0000000000000244","article-title":"Modified Meek micrografting technique for wound coverage in extensive burn injuries","volume":"37","author":"A Medina","year":"2016","journal-title":"J Burn Care Res"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.burns.2014.07.023","article-title":"Comparing outcomes of sheet grafting with 1:1 mesh grafting in patients with thermal burns: a randomized trial","volume":"41","author":"D Nikkhah","year":"2015","journal-title":"Burns"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2077-5745.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T23:51:06Z","timestamp":1703202666000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2077-5745"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,19]]},"references-count":20,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2023,12,21]]},"published-print":{"date-parts":[[2023,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2077-5745","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,4,19]]},"published":{"date-parts":[[2023,4,19]]}}}