The symmetrical V-shaped groove
pattern of these carriers prevents unwanted sideward movement of the carrier
in the mesher during cutting. The standard length of these carriers is
280mm (11,0 inches), which is more than the standard length of existing
carriers. Furthermore care has been taken to ensure that the groove pattern
of a carrier connects exactly to that of another one. This enables cutting
of extra long graft strips without any disturbance of the mesh pattern
in the graft.
All V-carriers are compatible
with the newly developed Humeca skin graft mesher. V10-type carriers are
also compatible with Zimmer meshers and V15-type carriers are compatible
with Aesculap /B.Braun meshers.
V-carriers are available for
expansions 1:1.5 and 1:3, used for conventional skin meshing, where the
expansion of the graft surface is the main goal.
For larger expansion ratios
Humeca developed the modified MEEK technique, described elsewhere in this
brochure. Especially in severe burns (large total burned surface area)
the MEEK technique should be the method of choice because of faster epithelialization,
more efficient use of skin (better graft take and smaller donorsites),
easier handling of the graft and better final results.
In addition to the V-carriers
for expansion, Humeca introduces a new type of a meshgraft carrier that
only perforates the graft without the intention of expanding it: the 1:1
V-carrier. Perforations in a graft are intended to achieve sufficient
drainage of the wound bed in case full sheet grafts are used, in order
to prevent the occurrence of seroma or haematoma under the graft. Full
sheet grafts are frequently applied when skin grafting is required in
cosmetically sensitive body parts, such as the face, the neck and the
dorsal aspect of the hands, in order to avoid the appearance of an unaesthetic
mesh pattern.
The development of the Humeca V-carriers of skin grafting was sponsored
by the Dutch Burns Research Institute (BRI) in Beverwijk, The Netherlands.
The 1:1 perforation V-carrier
was developed and clinically tested in cooperation with the burn centre
of the University Hospital of Gent, Belgium.