A surgical procedure to remove ganglion cysts from the wrist to relieve pain and discomfort.
Through a small incision over the cyst, the surgeon removes the fluid-filled sac along with its stalk of attachment to the underlying joint capsule or tendon sheath, which helps reduce the chance of the cyst returning. The procedure typically takes thirty to sixty minutes and is usually day surgery.
Assessment usually confirms the diagnosis clinically, sometimes supported by an ultrasound if there is any uncertainty. Standard preoperative preparation applies, including fasting and arranging transport home.
A supportive dressing or light splint is worn for the first week or so. Most people can resume light activities within days, with more strenuous wrist use reintroduced gradually as the wound heals and any swelling settles.
Gentle wrist movement is encouraged early to prevent stiffness, with strengthening introduced as comfort allows over the following weeks. Formal hand therapy is not always needed but can help if stiffness or discomfort persists.
Risks include infection, stiffness, and, despite thorough removal, a chance of the cyst recurring. There is also a small risk of irritation to nearby nerves or tendons, given their proximity to common ganglion sites.
The aim is to remove the cyst and relieve any associated discomfort or pressure symptoms. Most patients experience good relief, with a lower chance of the cyst returning compared with simple needle aspiration, though recurrence is still possible.
Ganglion cyst excision removes the cyst along with its stalk connecting to the underlying joint or tendon sheath, aiming to relieve symptoms and reduce the chance of recurrence compared with simple drainage. Most patients experience good relief with a straightforward recovery.
