Skin-sparing approach in the management of Fournier's gangrene: the initial histological evidence and results of a tertiary health-care center.

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.