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Excision of a Ganglion

This webpage will give you information about an excision of a ganglion. If you have any questions, you should ask your GP or other relevant health professional.

What is a ganglion?

A ganglion is a lump under the skin that contains fluid.

Most ganglions form near the wrist joint (see figure 1).

 

Typical position and appearance of a ganglion

 

They are also found on the ankle and foot. The fluid in the ganglion comes from the joint through a narrow channel.

What are the benefits of surgery?

The lump and any discomfort from it should disappear. Surgery gives the best chance of stopping the ganglion coming back.

Are there any alternatives to surgery?

A ganglion will often disappear on its own after a year or two. If your ganglion is not causing much trouble, it is best to leave it alone.

The fluid can be taken out of the ganglion using a needle. This improves any discomfort for a while. Your doctor may also inject the ganglion with a steroid (cortisone). These treatments may help for a short time.

What does the operation involve?

A variety of anaesthetic techniques are possible.

Your surgeon will make a cut over the ganglion and separate the ganglion from the nearby tendons, nerves and blood vessels. They will then remove the ganglion from where it comes out of the joint.

What complications can happen?

1 General complications of any operation

  • Pain
  • Bleeding
  • Infection in the wound
  • Unsightly scarring

2 Specific complications of this operation

  • Damage to small nerves near the ganglion

How soon will I recover?

You should be able to go home the same day. The joint where the ganglion was can continue to ache but any joint stiffness should get better fairly quickly. Some ganglions come back after a few months or years.

Summary

A ganglion is not serious. If it is causing trouble, your surgeon can remove it.

Acknowledgements

Author: Mr Stephen Milner DM FRCS (Tr. & Orth.)

 

Illustrations: Hannah Ravenscroft RM

 

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

 

Copyright © 2008 EIDO Healthcare Limited

 

The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by Ramsay Health Care UK.

 

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited.

 

You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use.

 

The information should not replace advice that your relevant health professional would give you.

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