Comparative Study between Surgical Excision Verses Aspiration and Injection of Sclerosant in Wrist Ganglion Cyst
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Background: The entity Ganglion cysts are best described as benign soft tissue tumors, which are most commonly encountered in the wrist, but they may occur in any joint. No conservative treatment is beneficial, intervention is must. Aim: To compare and analyze different outcome between surgical excision and aspiration followed by sclerosant injection for the management of ganglion. Objectives: To assess, firstly the rate of recurrence between two methods of management, Secondly the intra operative and post operative complications and thirdly the cost involved in performing the procedure. Methods: From Feb 2017 to March 2018, 50 patients underwent surgical excision and 50 patients underwent aspiration and injection of sclerosant. Results were collected and statistical analysis was done to reach the final conclusion. Results: Maximum prevalence was seen in the age group of 29-38 years and almost no cases seen below 10 years, there was female predominance, location was more on dorsal surface, majority of the patients presented within 3 months of occurrence and when size of the cyst was between 1-2 cm, mostly cysts were not fixed, 86% patients were normal after surgery but only 52% showed normal features in a/i of sclerosant and the recurrence rate was much higher in a/i of sclerosant group than surgery group. Conclusions: The excision surgery as a treatment modality for wrist ganglion was found to be statistically and significantly better than aspiration and injection of sclerosant as a treatment modality for ganglion cyst related to the wrist. The various parameters included in this study also concluded that the rate of complications, Reoccurrence, overall cost, etc in the patients of surgical excision group, were relatively less and uncommon than the patients of aspiration and injection of sclerosant group.
Authors and Affiliations
Dr. Ayon Sharma, Dr. M. M. Mudgal, Dr. Naveen Kushwah, Dr. Neha Singh
Keywords
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- EP ID EP572496
- DOI 10.9790/0853-1804063640.
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