Ganglion Removal Surgery

A ganglion cyst can be a source of discomfort or worry for many people. This lump, often found on the hand or wrist, might seem puzzling or unsettling. You’re not alone if you’ve noticed one on your body. Fortunately, there’s a solution at hand, termed as ‘Ganglion Removal Surgery’.

A ganglion cyst, though usually benign, can bring unwanted pain or inconvenience. It forms when fluid leaks from a joint or tendon, pooling and solidifying into a non-cancerous lump. These cysts can grow or shrink over time, and while some may disappear entirely on their own, others persist, causing discomfort or limiting movement. That’s where Ganglion Removal comes into the picture.

Chester Consultant Plastic Surgeon Anca Breahna performs ganglion removal surgery, as well as other face, body and skin procedures.

What is Ganglion Removal Surgery?

Ganglion Removal is a surgical process designed to treat ganglion cysts. The main aim of the is to remove the cyst and alleviate any associated symptoms.

In some cases, a cyst may reduce in size or disappear entirely without treatment. However, when it causes pain, limits mobility, or is a cause of concern due to its appearance, Ganglion removal might be considered. The operation aims to excise the cyst and the part of the tendon sheath or joint capsule (the root) from where it originated.

This procedure is generally regarded as safe and effective, with the ultimate goal being the complete and permanent removal of the cyst, thus relieving the patient of discomfort and improving the range of motion.

Who Needs Ganglion Removal?

While a ganglion cyst is generally harmless, certain individuals might benefit more from a Ganglion removal. Here are a few pointers to help identify if you might be a suitable candidate for this surgery:

• Pain or discomfort: The most common reason to consider this procedure is if the cyst is causing you significant pain or discomfort. This might be a constant dull ache or sharp pains when using the affected joint
• Limitation of movement: If the cyst is located in such a way that it restricts movement of a joint or tendon, this can impact your daily life. The procedure can help restore your range of motion
• Aesthetic concerns: Although less common, some people choose to have a ganglion cyst removed due to dissatisfaction with its appearance
• Failure of non-surgical treatments: If other methods of treatment, such as aspiration or using a splint or brace, have failed to provide relief, surgery may be considered

Remember, the decision to undergo surgery should always be made in consultation with a plastic surgeon, taking into account your personal circumstances and health history.

Benefits of the Ganglion Removal Procedure

There are several advantages to undergoing a Ganglion removal procedure. Here are a few to consider:

• Pain Relief: The primary benefit of the procedure is the relief from discomfort. If the cyst has been causing pain, having it removed should alleviate this
• Improved mobility: If the cyst has been limiting the use of a joint or tendon, surgery can restore your range of motion
• Permanent Solution: While some cysts can disappear on their own or through non-surgical treatment, these methods don’t guarantee that the cyst won’t return. In contrast, surgical removal of the cyst and its root can offer a permanent solution
• Aesthetic Improvement: For those who are dissatisfied with the appearance of the cyst, having it surgically removed can result in aesthetic improvement

While these benefits may be appealing, it’s always important to discuss the risks and potential complications with Anca before making a decision.

Types of Ganglion Removal Procedures

There are two main approaches to Ganglion removal, each with its own techniques and considerations:

Open Surgery

• Procedure: A larger incision is made over the cyst, allowing your plastic surgeon full view of the cyst and the surrounding area
• Removal: The cyst and part of the joint capsule or tendon sheath (the root) are removed entirely
• Recovery: Open surgery may require a slightly longer recovery period as compared to other methods
• Effectiveness: This method is generally considered to be more definitive in treating the ganglion cyst

Arthroscopic Surgery

• Procedure: A smaller incision is made, and a tiny camera (arthroscope) is inserted to guide your plastic surgeon in removing the cyst
• Removal: The cyst is removed in a similar fashion to open surgery but through a smaller incision
• Recovery: Typically, arthroscopic surgery has a faster recovery time
• Effectiveness: This method can be as effective as open surgery but may be preferred for cysts in certain locations

The choice between these two approaches often depends on factors such as the size and location of the cyst and the patient’s preferences. Anca will guide you in selecting the best approach for your individual situation.

How Is the Ganglion Removal Procedure Performed?

Here’s a general outline of how the Ganglion removal procedure is usually performed:

• Consultation and Evaluation: Initially, a thorough examination and sometimes imaging tests (like an X-ray or MRI) are conducted to understand the cyst’s size, location, and connection to nearby structures
• Anaesthesia: Depending on the type of surgery and the patient’s preferences, local or general anaesthesia may be administered to ensure comfort during the procedure
• Incision: A cut is made over the cyst. In open surgery, this will be larger, while in arthroscopic surgery, it will be smaller
• Removal of the Cyst: Your plastic surgeon will carefully dissect the cyst and its root from the surrounding tissues, ensuring that all parts are removed to minimise the chance of recurrence
• Closure: The incision will be stitched up, and a bandage applied
• Post-operative Care: Specific instructions will be provided for care at home, including pain management, wound care, and activity restrictions

The entire procedure usually takes less than an hour and can often be performed as an outpatient surgery, meaning you can go home the same day.

Recovery after Ganglion Removal Procedure

Recovering from a Ganglion removal procedure involves several stages and factors that contribute to a successful healing process. Let’s explore them in detail:

Immediate Post-Operative Period

• Right after surgery, it’s normal to experience some pain and swelling at the site of operation
• Anca will likely prescribe painkillers to help manage any discomfort
• Elevating the affected area and applying a cold pack can also help reduce swelling

Wound Care

• After the procedure, it’s crucial to keep the surgical area clean and dry to prevent infection
• You should follow your plastic surgeon’s instructions for changing dressings, if needed
• You will need to avoid getting the area wet until it has sufficiently healed, usually a few days after the operation

Activity Restrictions

• During the initial recovery period, you will likely need to limit movement of the affected area
• Using a sling or splint can help protect the surgery site and limit movement, particularly for wrist or hand cysts
• You should avoid heavy lifting or strenuous activities until your plastic surgeon gives you the go-ahead

Physical Therapy and Exercise

• Gentle exercises or physiotherapy may be recommended to help restore strength and mobility in the affected area
• This usually starts with simple movement exercises and progresses to strengthening exercises as healing continues

Follow-up Appointments

• Regular check-ups are part of the recovery process
• During these visits, Anca will check the healing progress, remove stitches if necessary, and address any concerns or complications
• This is also when you can discuss returning to normal activities or work

Long-Term Recovery

• Most people make a full recovery within a few weeks to a couple of months
• During this time, you should notice gradual improvement in pain, swelling, and mobility
• It’s essential to continue following your plastic surgeon’s advice, even as symptoms improve, to ensure optimal healing and prevent complications

Medical References about Ganglion Removal

• Ganglion Cyst: Symptoms, Causes, Diagnosis – WebMD
• Excision of Ganglion Cysts – Oxford Academic
• Ganglion Cysts – Cleveland Clinic
• Ganglion Cyst – Mayo Clinic
• Ganglion Cyst – NCBI