Mohamed Daffalla A. Gismalla

University of Gezira · Department of Surgery

Background In Sudan, there is limited knowledge on the epidemiology, clinical characteristics and pathological patterns of thyroid cancer. To address this shortcoming, we studied the clinical, pathological and treatment patterns of thyroid cancer at the National Cancer Institute ‒ University of Gezira (NCI-UG), Sudan. Methods We performed a retros...

Introduction and importance: Neoplasms of the Kidney are rarely caused by actinomycetoma or other mycetoma species. Actinomycetoma is a neglected tropical disease which is not uncommon in Sudan. Usually, it is presented as skin and subcutaneous tissue lesions or mass and can affect the bone and other soft tissue. Sites of the lesion are found in l...

Background: Plastic and reconstructive surgery in developing countries and underserved areas are significantly limited and face changes to start a proper service. This study presents a review of plastic surgery services and experiences in a district hospital located in an underserved area.Methods: This descriptive, retrospective, hospital-based stu...

Background: Gunshot injuries are considered a health burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital setting in a sub-Saharan African country.Methods: This is a retrospective, hospital-based study conducted be...

Background: Worldwide, renal cell carcinoma comprises 2.2% and 1.8% of global cancer incidence and mortality, respectively. Studies of epidemiology, treatment modalities and outcomes of renal cell carcinoma (RCC) in Sudan are scarce. To address this shortcoming, we evaluated baseline information on the epidemiology, types of treatment and outcomes...

Burns are considered the fourth most common type of traumatic injury worldwide with significant morbidity and mortality. The aim of this study is to disclose the incidence, etiological factors, treatment, and outcome of pediatric burns in Sudan. This is a retrospective hospital-based study, conducted during 2016- 2019. Patients who presented with b...

Background Polydactyly (extra digits) is a common congenital anomaly which has familial tendency and its incidence vary widely a according to many factors including race, geographical distribution and familial tendency. It's commonly affect the hands but also can be found in the foot. We report a case of mirror foot polydactyly with late presentati...

Background/purpose This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context. Methods This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stric...

Abstract Background In High-income countries, many academic institutions are using E-learning during COVID 19 Pandemic. However, in limited-resource countries, like Sudan, shifting towards E-learning requires many adjustments to be made to make sure the E-learning is held in a proper manner, as best as possible. This study was undertaken to assess...

Background Gunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country. Methods This is a retrospective, descriptive, hospital-based study conducted between Janua...

Eumycetoma (mycotic mycetoma) is the fungal form of mycetoma, a subcutaneous infection occurring in individuals living in endemic areas of the disease. The Sudan is hyperendemic for mycetoma, with the highest incidence being reported from Gezira State, Central Sudan. The present study was conducted at the Gezira Mycetoma Center and aimed to determi...

Background Gunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country. Methods This is a retrospective, hospital-based study conducted between January 2015- Decem...

Background Gunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study, we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country. Methods This is a retrospective, descriptive, hospital-based study conducted between Janua...

Background Gunshot injuries are considered a burden as well as one of the intricate emergencies in civilian medical practice. In this study we aim to determine the pattern of presentation and management outcome in a general hospital in a sub-Saharan country. Methods This is a retrospective, hospital-based study conducted between January 2015- Decem...

Background After World Health organization declaration of COVID-19 as a worldwide pandemic. Medical education, as well as general education, was stopped and ceased in developing countries which affect the education process, while in developed countries it was changed to E-learning models. This study aimed to highlight challenges and difficulties of...

Background: Data on factors predicting axillary lymph node (ALN) metastasis among Sudanese patients with breast cancer are rare. Aim: The aim of this study is to provide baseline information of the clinical and pathological factors predicting ALN metastasis in patients who underwent modifid radical mastectomy or breast conserving surgery at Wad-Mad...

Background: In this study, we share our experience of different operative techniques undertaken on 584 eumycetoma patients in the Gezira Mycetoma Center. Methods: This is a retrospective, descriptive, hospital-based study, conducted to review the surgical treatment of eumycetoma patients. We included all patients diagnosed with eumycetoma who under...

Background: Data on factors predicting axillary lymph node (ALN) metastasis among Sudanese patients with breast cancer are rare. Aim: The aim of this study is to provide baseline information of the clinical and pathological factors predicting ALN metastasis in patients who underwent modified radical mastectomy or breast conserving surgery at Wad-M...

Background: Inguinal hernia is one of the most common surgical diseases, and is more unusual and significantly challenging in terms of surgical management. The aim was to study the clinical presentation, outcome of treatment, and perioperative complications of huge inguinal repair. Methods: The study was prospective, cohort multicenter based study,...

Purpose: Axillary lymph node dissection (ALND) frequently is performed as part of the surgical management of breast cancer as a therapeutic and prognostic index, but increasingly has been perceived as associated with significant complications. Data on efficacy and complications of ALND in Sudan are lacking. The aim of this study was to assess the...

Background: The aim of this study was to know the level of awareness of non-medical university students of risk factors and symptoms of colorectal cancer.Methods: This is a cross-sectional study conducted at Al Baha University among non-medical students between 1st of May and 30th of June 2017.Results: The study comprised (n=463) students. Smoking...

Sarcomas of the testis are extremely rare tumors, their incidence being difficult to assess accurately. The authors report a case of a 21-year-old male, presented with painless scrotal swelling that increased in size insidiously within three months. The examination revealed a 10 cm right testicular swelling—hard, not tender and oval in shape. Testi...

Background: The present teaching model for undergraduate medical students is predominantly followed by many medical schools in our sub-continent. With the intention of analyzing whether this method is appropriate for bring out a skillful future generation of doctors, we correlated the perception regarding usefulness of training parameters with the...

The efficacy of clinical fellowships to produce experts in any focused surgical sub-speciality is undeniable. To substantiate and emphasize the importance of clinical fellowships, we conducted a survey among twenty specialist surgeons who completed their clinical fellowships in various surgical sub-specialities. We analysed the correlation between...

Background: Teaching emergencies has the ability to provide medical students with an important knowledge and skills. In this study, we assessed the perception of Faculty of Medicine, University of Gezira graduates regarding instructional methods of emergencies and their performance in emergency departments. Materials and Methods: This is a cross-se...

Background: The aim of this study was to assess the indications, complications and outcome of management of obstructed kidney using ultrasound guided percutaneous nephrostomy. Materials and Methods: In total, 104 patients who underwent ultrasound guided percutaneous nephrostomy for treatment of obstructed kidney at Gezira Hospital for Renal Disease...

Backgrounds: Commonly, doctors migrate for postgraduate study in African and Middle-east countries to western countries. In this study, we would like to know the percentage of graduates who intended to study abroad and determine the factors of their traveling.Material and methods: This is cross-sectional questionnaire survey. Medical students were...

There is deficiency and gaps among medical graduates in performing certain procedures and skills. Till recent years, some school used an apprenticeship model for teaching procedures. The way of teaching skills should be revised and reinforced. Medical schools showed adopt formal curricula based training for teaching procedure. In this letter, we wo...

Background: Obstructive nephropathy which caused by stones is a burden problem in developing countries associated with late presentation and a lot of complications. Objective: This study was done to evaluate the outcome of management of obstructed kidney due to stones at Gezira hospital for renal disease & surgery. Material and Methods: This is pro...

Background: Mycetoma is a neglected tropical disease characterised by deformity and disabilities with various medical, health, and socioeconomic impacts on the affected communities. It is a common health problem in Gezira state in Sudan. Objective: This study was conducted to review the clinical presentation and management of mycetoma in Gezira Myc...

A 32 year-old woman was referred to our outpatient clinic with a diagnosis of chronic swelling on the whole right forearm. Her past history included an accidental injury to the right wrist as he was working in a farm in Sudan 10 years before. At the beginning of the illness, she developed a single firm, painless nodule on the wrist which increased...

Introduction: Surgical excision and antifungal chemotherapy are definitive treatment of eumycetoma. To show wide surgical excision plus reconstruction as a surgical modality for big size eumycetoma. Methods: This is prospective, centred based study. Patients who underwent wide surgical excision and reconstructions after surgery were selected. We c...

The skeletal muscles are rarely affected by tuberculosis because they are not a favorable site for the survival and multiplication of Mycobacterium tuberculosis. A case of tuberculous abscess in rectus abdominis muscle is described in a 20-year-old female in an apparently healthy individual without any past history of tuberculosis. The diagnosis wa...

Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome is a Müllerian abnormality, characterized by the absence of the vagina, associated with abnormal or absent uterus and the presence of apparently normal tubes and ovaries. Physical growth development and secondary sexual characters as well as the external genitalia are also normal. These patients usuall...

Local recurrence (LR) of breast cancer in the ipsilateral thoracic wall after mastectomy is considered to be associated with an aggressive clinical course and dismal survival. There are no reports about the incidence or factors associated with LR of breast cancer in Sudan. To assess the incidence of local recurrence (LR) and factors associated with...