Ganglion Cyst Removal

(Resection)

Edited by Marcus Coe, MD 

 

If the ganglion cyst is painful and does not resolve with non-surgical management, then surgical removal (resection) may be indicated. Surgical resection of the ganglion cyst can be successful, provided the origin of the cyst is removed. Surgery involves making an incision over the mass and gently dissecting around the fluid-filled mass. It is important that the stalk of the ganglion be resected. The stalk is the area that communicates with the joint or tendon sheath where the ganglion cyst originates from. Following removal of the ganglion cyst, the surgical incision is closed. Even with surgery, recurrence rates can approach 25%.

Potential Complications

Surgical resection of ganglion cysts can be associated wound complications, as there is a tendency for synovial fluid to continue to drain from the wound. Other risks of surgery include:

• Nerve injury
• Wound infection
• Nearby sensory nerves may be stretched or irritated leading to localized numbness or burning
• Recurrence of the cyst. Recurrence can occur, especially when the cyst is deep or multi-lobulated

 

 

Edited April 1, 2018

mf/ 4.2.18