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 forms under the skin, often near joints.

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

How is the procedure typically performed?
Under local anesthesia, with an incision made to remove the ganglion.

What are the risks of the procedure?
Infection, nerve damage, and recurrence of the ganglion.

How long does the procedure take?
Usually 20-30 minutes.

Is the procedure painful?
Typically not, due to local anesthesia.

Can the procedure be done on an outpatient basis?
Yes, often in a doctor's office or clinic.

How long is the recovery time?
Usually several days to a week.

Will I have a scar after the procedure?
Yes, but it is usually small and fades over time.

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