Excision of a Ganglion

A ganglion is a type of non-cancerous lump that can develop on the wrist, hand, or foot. It is a fluid-filled sac that forms under the skin, often near a joint or tendon. Excision of a ganglion is a surgical procedure to remove the lump.

Indications for Surgery

The main indications for excision of a ganglion include:

• Persistent pain or discomfort
• Cosmetic concerns
• Interference with daily activities
• Numbness or tingling in the surrounding area
• Failure of non-surgical treatments, such as aspiration or observation

Surgical Procedure

The excision of a ganglion is typically performed under local anesthesia, which numbs the area around the lump. The procedure involves:

• Making a small incision in the skin over the ganglion
• Dissecting the tissue to locate the ganglion
• Removing the entire ganglion, including its stalk and any associated cysts
• Closing the incision with sutures or staples

Risks and Complications

As with any surgical procedure, there are potential risks and complications associated with excision of a ganglion, including:

• Infection
• Bleeding or hematoma
• Nerve damage or numbness
• Recurrence of the ganglion
• Scarring or keloid formation
• Allergic reactions to anesthesia or medications

Post-Operative Care

After the procedure, patients are typically advised to:

• Elevate the affected area to reduce swelling
• Apply ice packs to minimize pain and inflammation
• Take pain medication as directed by the doctor
• Avoid heavy lifting or strenuous activities for several weeks
• Keep the wound clean and dry to promote healing
• Follow up with the doctor for suture removal and wound check

Recovery Time

The recovery time for excision of a ganglion varies depending on the individual and the extent of the procedure. Generally, patients can expect:

• Several days to a week of rest and limited activity
• 2-4 weeks of gradual return to normal activities
• 6-8 weeks for full recovery and resolution of any swelling or stiffness

Success Rate

The success rate for excision of a ganglion is generally high, with:

• A reported success rate of 80-90% in removing the ganglion and alleviating symptoms
• A recurrence rate of around 10-20%

Frequently Asked Questions (FAQs)

What is a ganglion?
A non-cancerous lump that typically occurs on the wrist or hand.

Why is excision of a ganglion performed?
To remove the lump and relieve symptoms such as pain or discomfort.

Is excision of a ganglion an outpatient procedure?
Often, but may require hospital stay depending on individual circumstances.

What type of anesthesia is used for excision of a ganglion?
Local or general anesthesia, depending on the patient and surgeon's preference.

How long does the procedure take to perform?
Typically around 20-30 minutes, but can vary.

Are there risks associated with excision of a ganglion?
Yes, including infection, nerve damage, and recurrence of the ganglion.

What is the typical recovery time after excision of a ganglion?
Several weeks, during which time the wound must be kept clean and dry.

Can a ganglion return after excision?
Yes, in some cases, the ganglion can recur.

Are there alternative treatments to excision of a ganglion?
Yes, including observation, aspiration, or immobilization, depending on the individual case.

Should I stop taking medications before undergoing excision of a ganglion?
Possibly, it is generally recommended to follow the surgeon's instructions regarding medication use before surgery.