Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery
INTRODUCTION: We aimed to evaluate surgical treatment results of hand and wrist ganglions those seen frequently in clinical practice. METHODS: Patients who were diagnosed with ganglion cysts clinically and radiologically in the hand and wrist region and treated with surgical excision between 2011 an...
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| Format: | Article |
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Van Yuzuncu Yil University, School of Medicine
2022-04-01
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| Series: | Van Tıp Dergisi |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-54037 |
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| author | Ahmet Oztermeli Barış Yılmaz Guzelali Ozdemir Evrim Şirin ilyas Arslan Baran Komur Ahder İrem Demir |
| author_facet | Ahmet Oztermeli Barış Yılmaz Guzelali Ozdemir Evrim Şirin ilyas Arslan Baran Komur Ahder İrem Demir |
| author_sort | Ahmet Oztermeli |
| collection | DOAJ |
| description | INTRODUCTION: We aimed to evaluate surgical treatment results of hand and wrist ganglions those seen frequently in clinical practice. METHODS: Patients who were diagnosed with ganglion cysts clinically and radiologically in the hand and wrist region and treated with surgical excision between 2011 and 2014 were retrospectively analyzed. A total of 102 patients, 69 (67.6%) female and 33 (32.4%) male, who had a regular follow-up period of 12 months, had no additional injuries in the hand and wrist region, were included in the study. All cases were evaluated in terms of age, gender, region of ganglion cyst, treatment method and local recurrence. RESULTS: Mean age was 37.73+-9.5 (20-61) years. Local recurrence was seen in 5 (%83.3) patients whom have volar ganglion cyst and 1 (%16.7) in dorsal localized. There was no significant difference in treatment of localization of cysts (p>0.05). In addition, there was significant difference in presence of recurrence (p: 0.005; p<0.05). There was %20.8 local recurrence in volar cysts and it is higher than other localizations, this finding was statistically significant (p<0.05). There wasn't statistically significant difference in ratio of local recurrence (p>0.05). DISCUSSION AND CONCLUSION: The reason of high incidence in local recurrence in volar ganglion cysts can be insufficient excision of sac and pedicle of ganglion cyst because of anatomical relations in this region. It can be assumed that, if the surgeon has a high knowledge of anatomy of this area and develop his/her experience in this surgery local recurrence incidence can be decreased. |
| first_indexed | 2024-03-09T07:13:42Z |
| format | Article |
| id | doaj.art-d1c51c5b47604f0e84ce594489f00b5c |
| institution | Directory Open Access Journal |
| issn | 2587-0351 |
| language | English |
| last_indexed | 2024-03-09T07:13:42Z |
| publishDate | 2022-04-01 |
| publisher | Van Yuzuncu Yil University, School of Medicine |
| record_format | Article |
| series | Van Tıp Dergisi |
| spelling | doaj.art-d1c51c5b47604f0e84ce594489f00b5c2023-12-03T08:55:13ZengVan Yuzuncu Yil University, School of MedicineVan Tıp Dergisi2587-03512022-04-0129222422810.5505/vtd.2022.54037VTD-54037Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst SurgeryAhmet Oztermeli0Barış Yılmaz1Guzelali Ozdemir2Evrim Şirin3ilyas Arslan4Baran Komur5Ahder İrem Demir6Gebze Fatih State Hospital, Orthopedics and Traumatology DepartmentFatih Sultan Mehmet Education and Research Hospital, Department of Orthopaedic Surgery and TraumatologyAnkara Numune Training and Research Hospital, Orthopedics and Traumatology DepartmentMarmara University Medical School, Orthopedics and Traumatology DepartmentSancaktepe Şehit Prof.Dr. İlhan Varank Training and Research Hospital, Orthopedics and Traumatology DepartmentKanuni Sultan Süleyman Training and Research Hospital, Orthopedics and Traumatology DepartmentFatih Sultan Mehmet Education and Research Hospital, Department of Orthopaedic Surgery and TraumatologyINTRODUCTION: We aimed to evaluate surgical treatment results of hand and wrist ganglions those seen frequently in clinical practice. METHODS: Patients who were diagnosed with ganglion cysts clinically and radiologically in the hand and wrist region and treated with surgical excision between 2011 and 2014 were retrospectively analyzed. A total of 102 patients, 69 (67.6%) female and 33 (32.4%) male, who had a regular follow-up period of 12 months, had no additional injuries in the hand and wrist region, were included in the study. All cases were evaluated in terms of age, gender, region of ganglion cyst, treatment method and local recurrence. RESULTS: Mean age was 37.73+-9.5 (20-61) years. Local recurrence was seen in 5 (%83.3) patients whom have volar ganglion cyst and 1 (%16.7) in dorsal localized. There was no significant difference in treatment of localization of cysts (p>0.05). In addition, there was significant difference in presence of recurrence (p: 0.005; p<0.05). There was %20.8 local recurrence in volar cysts and it is higher than other localizations, this finding was statistically significant (p<0.05). There wasn't statistically significant difference in ratio of local recurrence (p>0.05). DISCUSSION AND CONCLUSION: The reason of high incidence in local recurrence in volar ganglion cysts can be insufficient excision of sac and pedicle of ganglion cyst because of anatomical relations in this region. It can be assumed that, if the surgeon has a high knowledge of anatomy of this area and develop his/her experience in this surgery local recurrence incidence can be decreased.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-54037injurieshandganglionic cystsganglionsinjurieswrist |
| spellingShingle | Ahmet Oztermeli Barış Yılmaz Guzelali Ozdemir Evrim Şirin ilyas Arslan Baran Komur Ahder İrem Demir Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery Van Tıp Dergisi injuries hand ganglionic cysts ganglions injuries wrist |
| title | Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery |
| title_full | Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery |
| title_fullStr | Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery |
| title_full_unstemmed | Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery |
| title_short | Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery |
| title_sort | recurrence is unavoidable in hand and wrist ganglion cyst surgery |
| topic | injuries hand ganglionic cysts ganglions injuries wrist |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=vtd&un=VTD-54037 |
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