What is it?

A ganglion (plural is ganglia or ganglions) is thought to be an out-pouching of a joint or any space containing synovia l
fluid (joints, tendon sheaths, bursae). Symptoms relate to their physical presence. They cause pressure effects when coming
from the end joint of the fingers or thumb thus grooving the nail (these ganglia are referred to as “mucous cysts”), or
discomfort from the pressure. They are thought to fill from the synovial space, but the fluid seems to go one way only. The y
often occur around the wrist, on the front of the fingers, or in the end joint of the finger. They can occur inside wrist bones,
and in other parts of the body.

How is it treated?

Ganglia can be aspirated (sucked out) to relieve symptoms but often recur. Usually no treatment is required or advised
unless they become troublesome from pain or due to the pressure effect. If aspiration is inadequate, opening the space
between the ganglion and joint is sufficient. With mucous cysts opening the space and removing some irritating bony
spikes usually cures them. The cysts themselves do not need to be removed. They disappear when the space is opened.

Is Mr Callan experienced at this procedure?

Mr Callan has over 20 years experience at this procedure. He performs mucous cyst removal regularly but normally advises
against removal or surgery of other ganglia. As a fully trained plastic surgeon, Mr Callan performs this procedure to the
highest standard available.

What are the results of surgery?

Usually very good for mucous cysts with minimal recurrence. However as mucous cysts are usually symptomatic of
osteoarthritis in the joint a new one may occur. With other ganglia we prefer to wait as they often resolve themselves .
Surgery for these has a definite recurrence rate so is often best avoided.

What happens after surgery?

After surgery the hand is rested in a bandage. It is very important to elevate the hand to minimise swelling.

And the future?

Recurrence is possible as stated above.

Will I need to be seen after surgery?

Yes. We will keep in close contact with you by telephone for the first few days, then will see you about ten days after
surgery, then at three weeks and at three months. You are of course welcome to call or visit any time with any concerns