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Surgical treatment may be needed for a
ganglion that has not responded to nonsurgical
The goal of surgery is to remove the ganglion sac and the connecting
tissue that allows the fluid to collect.
Surgical removal of a ganglion is an outpatient procedure.
Infection and injury to other tissues are rare, but
possible, risks of surgery.
Ganglions return in about 5% to 10% of people after surgery.1 This may happen if the connecting tissue is not completely
removed. New ganglions may also form in the area.
In a mucous cyst ganglion, bone spurs (small, bony growths that form
joint) are often present in the joint next to the
cyst, and removing bone spurs makes it less likely that the cyst will return.
The chance of infection is higher in mucous cysts.
American Academy of Orthopaedic Surgeons and American Academy of Pediatrics (2005). Ganglia of the wrist and hand.
In LY Griffin, ed., Essentials of Musculoskeletal Care, 3rd ed., pp.
362–367. Rosemont, IL: American Academy of Orthopaedic
August 27, 2012
William H. Blahd, Jr., MD, FACEP - Emergency Medicine & Herbert von Schroeder, MD, MSc, FRCSC - Hand and Microvascular Surgery
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