Treatment of dorsal wrist ganglia by transfixation technique using a syringe needle

Abstract

Background: Ganglion is one lesion that is frequently seen in minor surgical practice. Treatment of dorsal wrist ganglia begins from basic reassurance to advanced endoscopic excision. Many a time’s treatment not often necessary, but patients seek consultation asking for some form of definitive treatment. Recurrence is frequently seen with cyst aspiration/injection or after surgical excision. Recurrence is the common problem, whatever is the treatment modality. Materials and Methods: In this study we evaluate results of 30 dorsal wrist ganglia treated by the transfixation technique using a syringe needle. Results: Out of 30 cases included in this study 28 were completely cured of the symptoms giving a success rate of 93.33%, One patient (3.33%) had recurrence at 4 months and was painful and he had to undergo excision, One patient (3.33%) had recurrence at the end of 6 months. Discussion: Compared to various other modalities this method is cost-effective, time consumption is less, low invasion, recurrence rate is low, and can be performed under local anaesthesia, and does not require any complicated instrument and an easy-to-master technique.