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2025, Vol: 50, Issue: 1
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Review Article 


Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines

Mohamed Daffalla Awadalla Gismalla.


Abstract
Objective: To describe a framework for surgical excision of mycetoma based on the experiences reported in Sudanese studies.
Methodology: This systematic retrieved relevant manuscripts, which were assessed, tabulated, and analyzed for patient demographics and surgical techniques employed.
Results: Search yielded seven studies, including four observational hospital-based studies and three case reports, encompassing 2,009 patients. Wide surgical excision was the most common intervention performed in 880 patients, while amputations were necessary in 85 cases. Based on the reviewed data a preliminary surgical algorithm was developed.
Conclusion: Surgical management for mycetoma varied from wide excision, excision, and reconstruction in addition to limb amputations. The review highlights the importance of initiating antifungal therapy before and after surgery. Additionally, it emphasizes the need for clearer criteria to guide the selection of surgical approaches for mycetoma treatment.

Key words: Mycetoma, wide surgical excision, amputation, reconstruction, algorithm.


 
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How to Cite this Article
Pubmed Style

Mohamed Daffalla Awadalla Gismalla. Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. RMJ. 2025; 50(1): 246-250. doi:10.5455/rmj.20241108053200

Web Style

Mohamed Daffalla Awadalla Gismalla. Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. https://www.rmj.org.pk/?mno=227810 [Access: March 13, 2025]. doi:10.5455/rmj.20241108053200

AMA (American Medical Association) Style

Mohamed Daffalla Awadalla Gismalla. Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. RMJ. 2025; 50(1): 246-250. doi:10.5455/rmj.20241108053200


Vancouver/ICMJE Style

Mohamed Daffalla Awadalla Gismalla. Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. RMJ. (2025), [cited March 13, 2025]; 50(1): 246-250. doi:10.5455/rmj.20241108053200


Harvard Style

Mohamed Daffalla Awadalla Gismalla (2025) Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. RMJ, 50 (1), 246-250. doi:10.5455/rmj.20241108053200


Turabian Style

Mohamed Daffalla Awadalla Gismalla. 2025. Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. Rawal Medical Journal, 50 (1), 246-250. doi:10.5455/rmj.20241108053200


Chicago Style

Mohamed Daffalla Awadalla Gismalla. "Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines." Rawal Medical Journal 50 (2025), 246-250. doi:10.5455/rmj.20241108053200


MLA (The Modern Language Association) Style

Mohamed Daffalla Awadalla Gismalla. "Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines." Rawal Medical Journal 50.1 (2025), 246-250. Print. doi:10.5455/rmj.20241108053200


APA (American Psychological Association) Style

Mohamed Daffalla Awadalla Gismalla (2025) Surgical treatment of mycetoma in a developing country; a systematic review and preliminary treatment algorithm guidelines. Rawal Medical Journal, 50 (1), 246-250. doi:10.5455/rmj.20241108053200


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