DOI: 10.36347/sjams.2016.v04i04.048

Pages: 1366-1370

Ganglion is one of the commonly seen lesions in minor surgical practice. Treatment of wrist ganglia includes simple reassurance, watchful waiting, non-operative aspiration, injection, surgical excision and even sometimes advanced endoscopic excision. Recurrence is the common problem, irrespective of the treatment modality. The aim of the study was to assess the effectiveness of cyst aspiration and methyl prednisolone acetate injection using two IV cannula rather than using sharp pointed needle, a relatively new technique in the treatment of wrist ganglia. The method in this study evaluates the results of sixteen wrist ganglia patients presenting to our rural teaching institute who were treated by the two IV cannula techniques used for aspiration and methyl prednisolone injection into the cavity. The patient`s age, sex, site of the cyst, any previous treatment taken, adjacency to the artery and the nerves and recurrence were recorded. The Results in The study involved 16 patients that received aspiration treatment for wrist ganglion cysts between January 2012 and August 2015. There were 10 (62.5%) female and 6 (37.5%) male patients with wrist ganglia with ages varying from 15 to 42 years and a median age of 20.64±5.4 years. We didn‟t detect any complication associated to methyl prednisolone injection. Recurrence was observed in three (18.75%) patients. In Conclusion the Inspired by the lower recurrence rate as compared to other aspiration therapy with sharp pointed needle and at the same time because it is simple, noninvasive, less time consuming, safe and cost effective method, we recommend this method as a better option before any surgical intervention.