Plastic Surgery & Hernia · NEET PG Preparation Surgery

A 28-year-old male sustains a deep partial-thickness burn over 35% of his total body surface area. When is the optimal time for surgical excision and…

Practice question from Plastic Surgery & Hernia (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.

medium · MCQ · Q-FB17B8

A 28-year-old male sustains a deep partial-thickness burn over 35% of his total body surface area. When is the optimal time for surgical excision and immediate autografting of deep dermal or full-thickness burn wounds to minimize infection and systemic complications?

  1. A.Within the first 24 hours
  2. B.Between days 3 and 7 post-burnCorrect answer
  3. C.After 2 weeks, once granulation tissue appears
  4. D.After 4 to 6 weeks, following complete epithelialization

Solution

Early tangential excision and immediate autografting are ideally performed between 3 to 7 days post-burn, once the patient is hemodynamically stable. This significantly reduces burn wound sepsis, hospital stay, and mortality compared to delayed removal after granulation tissue formation.

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