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.