Skin‐sparing approach in the management of Fournier's gangrene: the initial histological evidence and results of a tertiary health‐care center
| Autor: | Ahmet Alyanak, Yesim Atak Turkmen, Ozer Ural Cakici |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Gangrene
medicine.medical_specialty Debridement Necrosis integumentary system business.industry medicine.medical_treatment General Medicine medicine.disease Surgery Tertiary Care Centers Fournier s gangrene Surgical safety Health care medicine Humans medicine.symptom business Fournier Gangrene Tertiary healthcare Retrospective Studies |
| Zdroj: | ANZ Journal of Surgery. 92:128-131 |
| ISSN: | 1445-2197 1445-1433 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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