Ganglion Evacuation
Ganglion Evacuation
The ganglion is a space with very thick gelatinous contents.
Ganglions are formed around the joints, especially often around the wrist. They have a connection with a joint cavity or a tendon sheath. They often occur in IT specialists, secretaries and people actively using their fingers to perform professional work. A ganglion may spontaneously change its volume and periodically even become inflamed. A ganglion can also give symptoms of pressure on surrounding structures causing unpleasant sensations. Reccurence rate after the ganglion evacuation is 50%.
Preparation for intervention:
Before the procedure the patient should inform the doctor about the medications he takes and the general state of health.
What does the procedure entail?
The injection site is disinfected. A thick needle is inserted inside the ganglion and the ganlion’s volume is aspirated. After aspiration it is recommended to inject a small dose of steroid into the ganglion space. A dressing is then applied at the puncture site. The procedure can be performed under ultrasound control. After the procedure, it is recommended to put on a tourniquet.
Indications:
- aesthetic considerations,
- ganglion coppressing the surrounding structures,
- ganglion of considerable size.
Contraindications:
- lack of cooperation between the patient and the doctor,
- patient’s poor general condition,
- skin infection at the injection site,
- coagulation disorders.
After the procedure the patient should follow the doctor’s individual recommendations.
Complications are rare. At the injection site, temporary symptoms of inflammation may occur.
Dr. Marcin Goczewski performs ganglion evacuation only under ultrasound guidance in order to increase the chance of successful therapy and reduce the risk of complications.
