It is the collection of jelly like colorless thick fluid deep under the skin from the bone mostly on posterior surface the wrist joint 

SYMPTOMS 

Initially it begins with a small painless swelling over the wrist joint nearby inline of 2nd and 3rd digit. As it enlarges it limits wrist movement of the wrist due to pain and tenderness. 

OPERATIVE PROCEDURE

It is excised under general anesthesia. Swelling is marked and excised completely from the wrist then skin is closed in layers. Mild Pressure Dressing is applied later. 

FAQS

1. What are the most common complications?

Recurrence after draining the ganglion is the most common complication. Rare tendon or vascular injury can occur while draining or excising it. Skin infection after surgery can be a suspected complication. 

2. What are the outcomes of surgical repair?

Outcomes are better if it is excised rather than draining it.

3. What is the approximate duration of the procedure?

Few minutes to one hour.

4. What setup is required for the procedure?

Day care set up or one day admission.

 

Written by :  Dr. Afaq Saleem

Copyrights: Pakistan association of Plastic Surgeons