MANAGEMENT OF WRIST GANGLIA BY TRANSFIXATION TECHNIQUE: OUR EXPERIENCE IN A RURAL TEACHING INSTITUTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 24
Abstract
[b]BACKGROUND: [/b]Ganglion is one of the commonly seen lesions in minor surgical practice. Treatment of wrist ganglia includes simple reassurance, watchful waiting, non-operative aspiration, injection, surgical excision and even sometimes advanced endoscopic excision. Although treatment is not often necessary, many patients seeking consultation ask for some form of definitive treatment. High incidence of recurrence is seen with cyst aspiration/injection or after surgical excision. Recurrence is the common problem, irrespective of the treatment modality. [b]MATERIALS AND [/b] [b]METHODS:[/b] This study evaluates results of a modified minimally invasive surgical technique used for the management of ganglia of the wrist. Thirty six wrist ganglia have been treated by using the transfixation technique. [b]RESULTS: [/b] The successful results for the procedure were seen in 94.44% patients. Consequent to the procedure, an average of 2days off work were lost. Recurrence in the 2 year follow-up was seen in two patients. [b]DISCUSSION:[/b] On comparing with other modalities this method is minimally invasive, cost-effective, less time consuming, low rate of recurrence and at the same time can be carried out under local anesthesia as a day case procedure and even not requiring any specific instrument and further this technique can be easily learned.[i][/i]
Authors and Affiliations
Sharma Mohan, Batra Mohan, Kakria Lal, Sharma Mohan
Keywords
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- EP ID EP101091
- DOI 10.14260/jemds/2014/2819
- Views 77
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