The initial treatment for ganglion cysts is non-operative. However, if the ganglion is still present or symptoms are not relieved from non-operative treatment methods, the cyst may need to be removed surgically. This procedure is called an excision. Even after surgical excision of the ganglion, there is a chance that the cyst could return.
Ganglion Cyst Surgery
- If the cyst continues to be present after aspiration or if you symptoms do not improve from non-surgical treatment methods, the doctor may remove it surgically (excision).
- Small incision is made over the ganglion
- To help prevent another cyst from forming, a section of the tissue that lines the tendon or joint is also removed along with the cyst. This section of tissue is considered the ganglion root.
- The incisions are closed with sutures.
- Sutures are wrapped in a sterile dressing or bandage.
- During this procedure, usually only the hand or arm is numbed, and the patient is free to return home a few hours after surgery.
- However, the hand may be in a splint for several weeks to allow time for healing.
Goal of surgery
Remove ganglion and ganglion root to prevent another cyst from forming in its place.
Benefits
Outpatient procedure, patient is able to return home a few hours after surgery.
Who qualifies for surgery? If the cyst is still present or returns, and symptoms do not improve from non-surgical treatment.
Recovery
- Tenderness, discomfort and swelling may be present after surgery
- Normal activities can be resumed 2-6 weeks after surgery.
Complications
- Damage to an artery or nerve
- Prolonged soreness or aching
- Cyst returns despite excision
Outcomes
- Even after surgical excision of the ganglion, there is a chance that the ganglion could return.
