Aspiration combined with seton insertion for treatment of wrist ganglions

ABSTRACT

To evaluate the results of Aspiration combined with Seton insertion in the treatment of wrist Ganglions. Prospective, quasi experimental study from Jan. 2004 to Dec. 2006. Surgical Unit V, Civil Hospital, Karachi. Fifty five patients who presented with wrist Ganglia. All patients were assessed in detail clinically, and treated by aspiration with 14 gauge IV cannula and 10cc syringe followed b Seton [Silk No. 1 on straight needle] insertion through the cavity. Seton was removed on the 12th day. The average follow-up time was one year. Out of 55 patients, 51 [92.7%] had a Dorsal Carpal Ganglion and 4 [7.3%] a Volar Ganglion. Twenty nine [52.7%] cases were males and 26 [47.3%] females, with an age range from 17-35 years. All patients complained of a localized swelling, while 12 [21%] had pain during activity. Fifty two [95%] cases had a smooth recovery, while two had residual swellings requiring re-aspiration and on developed signs of inflammation which subsided on conservative management. No recurrence of the ganglion occurred in any case. Aspiration combined with seton insertion for treating Ganglions of wrist is a simple, economic, cosmetic, uncomplicated procedure which can be done in the out-patient department. It is a reliable and safe alternative to open resection for successful eradication of the wrist Ganglion