Ganglion cyst removal is a surgical procedure performed to remove a ganglion cyst, which is a fluid-filled lump that typically forms near joints or tendons in the hand or wrist. Ganglion cysts are usually benign and often appear as a visible or palpable lump that can cause pain, discomfort, or limited range of motion.

Here is an overview of the ganglion cyst removal procedure:

1. Anesthesia:

Ganglion cyst removal can be performed using different types of anesthesia, depending on the patient’s preference and the surgeon’s recommendation. It may involve local anesthesia, regional anesthesia, or sometimes general anesthesia. Local anesthesia numbs the area around the cyst, while regional anesthesia may involve blocking nerves to the entire hand and arm.

2. Incision or Aspiration:

There are two primary methods for ganglion cyst removal:

- Incision and Excision: With this method, the surgeon makes a small incision over the ganglion cyst. The cyst and its associated stalk are carefully dissected and removed. In some cases, the surgeon may also remove a portion of the joint capsule or tendon sheath to prevent recurrence.

- Aspiration and Injection: In certain cases, if the ganglion cyst is small and not causing significant symptoms, the surgeon may choose to aspirate the cyst using a needle. The cyst fluid is withdrawn, and sometimes a corticosteroid solution is injected into the cyst cavity to reduce inflammation and promote healing.

3. Closure and Dressing:

After the cyst removal or aspiration, the incision is closed with sutures, adhesive strips, or surgical glue. The hand may be bandaged or splinted to provide support and protect the surgical site during the initial healing phase.

4. Postoperative Care:

Following ganglion cyst removal, the hand and wrist will require some recovery time. The surgeon may provide specific instructions on wound care, such as keeping the incision clean and dry. Pain medication may be prescribed to manage postoperative discomfort, and ice application can help reduce swelling. Hand therapy or gentle exercises may be recommended to promote healing and restore hand function.

5. Return to Activities:

The time it takes to recover and resume normal activities varies among individuals. Most patients can resume light activities soon after surgery, while more strenuous activities or heavy lifting may need to be avoided for a few weeks.

While ganglion cyst removal is generally considered safe and effective, there are potential risks and complications, including infection, bleeding, nerve or blood vessel injury, scarring, and cyst recurrence.

It’s important to consult with an experienced hand surgeon who can evaluate your specific condition, discuss the best surgical approach, and provide personalized recommendations for ganglion cyst removal. They will guide you through the procedure, postoperative care, and address any concerns you may have. At Alabama Bone and Joint Clinic our specialists are able to guide you through your treatment options. Call today to schedule an appointment with one of our experts in orthopedic care.