Ganglion (cyst) removal

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Ganglion surgery is a procedure designed to remove ganglion cysts, which are non-cancerous lumps typically found on the wrists and hands.

These cysts are filled with a jelly-like fluid and can cause pain, discomfort, or interfere with joint movement. Ganglion surgery aims to alleviate symptoms and prevent recurrence by removing the cyst and its root.

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Procedure overview

Type of anaesthetic

  • Local or General

Length of operation

  • 1 hour

Length of hospital stay

  • Same day discharge

Recovery period

  • 1-2 weeks off work

  • 6 weeks before strenuous exercise

What you need to know

Suitability

Ganglion surgery is suitable for individuals who experience significant pain, discomfort, or reduced mobility due to a ganglion cyst.

It is also considered when the cyst is cosmetically unappealing or if other treatments, such as aspiration, have failed to provide relief.

Long-Term Outcomes

The long-term outcomes of ganglion cyst removal are generally positive, with most patients experiencing significant relief from symptoms and improved joint function. However, there is a small risk of the cyst recurring. Maintaining good joint health and following your surgeon’s recommendations can help reduce the likelihood of recurrence and ensure the longevity of the procedure’s benefits.

Procedure details

Ganglion surgery, also known as ganglion excision, is typically performed under local or general anesthesia. The procedure involves making an incision over the cyst, carefully removing it along with its stalk (the part connecting it to the joint or tendon). The surgeon takes care to remove the entire cyst to minimise the risk of recurrence. The incision is then closed with sutures, and a sterile dressing is applied to protect the area during the initial healing period. The entire procedure usually takes about 30 to 60 minutes, depending on the cyst's size and location.

Types of Ganglions

There are three common types of hand and wrist ganglion:

Dorsal Wrist Ganglions: These are the most common type and appear on the back of the wrist.

Volar Wrist Ganglions: Found on the palm side of the wrist.

Flexor Tendon Sheath Ganglions: Located at the base of the fingers.

Recovery

Recovery from ganglion surgery involves rest and limited use of the affected area to promote healing. Most patients can return to light activities within a few days, although strenuous activities and heavy lifting should be avoided for several weeks. Wearing a splint or bandage may be recommended to support the area during recovery. Full recovery typically takes 2 to 6 weeks.

Potential complications

As with any surgical procedure, liposuction carries certain risks, including infection, bleeding, and adverse reactions to anesthesia.

Ganglion cysts can occasionally recur even after surgical removal. There is also a small risk of nerve damage, which can cause numbness or tingling.

Mrs Teo will discuss all possible risks and complications during your consultation to ensure you make an informed decision.

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 FAQs

  • Ganglion surgery, also known as ganglion excision, is a procedure to remove ganglion cysts, which are non-cancerous lumps typically found on the wrists, hands, ankles, or feet. The surgery involves removing the cyst and its root to alleviate symptoms and prevent recurrence.

  • Good candidates for ganglion surgery are individuals experiencing significant pain, discomfort, or reduced mobility due to a ganglion cyst. It is also suitable for those whose cysts are cosmetically unappealing or have not responded to other treatments like aspiration.

  • Common types of ganglions treated with surgery include:

    • Dorsal Wrist Ganglions: Located on the back of the wrist.

    • Volar Wrist Ganglions: Found on the palm side of the wrist.

    • Flexor Tendon Sheath Ganglions: Located at the base of the fingers.

  • While surgery aims to remove the cyst and prevent recurrence, there is still a small risk that the cyst could return.

  • Post-operative care includes keeping the incision site clean and dry, following Ms Teo’s  instructions for wound care, and attending follow-up appointments to monitor healing. You may also be advised to wear a splint or bandage to support the area during recovery.

  • Physical therapy may be recommended to help strengthen the affected area and improve flexibility after surgery. Your surgeon will advise you on the need for physical therapy based on your individual recovery progress

  • Ganglion cyst removal is often covered by insurance, especially if it is deemed medically necessary to relieve symptoms and improve joint function. It's important to check with your insurance provider to understand your coverage and any associated costs.

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Take the first step of your cosmetic surgery journey by requestion a personalised consultation with Isabel, where you can ask detailed questions, discuss your specific goals, and receive expert guidance tailored to your unique needs.

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