{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T14:01:02Z","timestamp":1779112862922,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To report the initial histological evidence on the feasibility of the skin\u2010sparing approach in the treatment of Fournier's gangrene.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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\u2010sparing approach may provide easier and primary closure of the wound without compromising surgical safety in Fournier's gangrene treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17387","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T06:54:09Z","timestamp":1637909649000},"page":"128-131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["<scp>Skin\u2010sparing<\/scp> approach in the management of Fournier's gangrene: the initial histological evidence and results of a tertiary <scp>health\u2010care<\/scp> center"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6614-4785","authenticated-orcid":false,"given":"Ahmet","family":"Alyanak","sequence":"first","affiliation":[{"name":"Department of General Surgery Yuksek Ihtisas University Affiliated Medical Park Ankara Private Hospital  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7942-2748","authenticated-orcid":false,"given":"Ozer Ural","family":"Cakici","sequence":"additional","affiliation":[{"name":"Department of Urology. Ankara Yuksek Ihtisas University Affiliated Medical Park Ankara Private Hospital  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8282-2195","authenticated-orcid":false,"given":"Yesim Atak","family":"Turkmen","sequence":"additional","affiliation":[{"name":"Department of Pathology, Yenimahalle Training and Research Hospital Yildirim Beyazit University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,25]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"72","article-title":"Fournier's gangrene: a historical vignette","volume":"41","author":"Nathan B","year":"1998","journal-title":"Can. J. 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