Alyanak A, Cakici OU, Turkmen YA. Skin-sparing approach in the management of Fournier's gangrene: the initial histological evidence and results of a tertiary health-care center.
ANZ J Surg 2021;
92:128-131. [PMID:
34825439 DOI:
10.1111/ans.17387]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 11/14/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND
To report the initial histological evidence on the feasibility of the skin-sparing approach in the treatment of Fournier's gangrene.
METHODS
We retrospectively reviewed the clinical data and the tissue blocks obtained from patients who had undergone debridement in a tertiary healthcare center by a urologist and a general surgeon.
RESULTS
The histological review revealed the prevalence of the intact epidermal layers in the debrided tissues involving necrosed subcutaneous parts. Clinical results of our cohort were compatible with the contemporary series.
CONCLUSION
We can propose that the skin parts without macroscopic necrosis can be spared in the initial debridement in the treatment of Fournier's gangrene, at least in the first debridement. The skin-sparing approach may provide easier and primary closure of the wound without compromising surgical safety in Fournier's gangrene treatment.
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