Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Ganglions are the most common benign cystic swellings found around the wrist, they can be treated conservatively or by different surgical techniques. Our surgical modality (excision of ganglion complex with fat graft) has given encouraging results.
OBJECTIVE:
To compare the efficacy of excising dorsal wrist ganglions and fat graft and excision alone .
PATIENTS AND METHODS:
A prospective study was conducted on patients with dorsal wrist ganglions. Surgical procedure in 25 cases was excision of the cysts and its neck , while for the rest 25 cases, excision of the cysts followed by fat graft, then an immobilization for 7-10 days.12-18 months period of follow-up was adopted for detection any recurrence.
RESULTS:
Most of the patients were females. Most of the patients presented mainly because of cosmetic reasons. Recurrence was the most frequent complication encountered and involved 16 % in those of group A and only 4% in those of group B.
CONCLUSION:
The technique of excision of dorsal wrist ganglions and fat graft is simple and effective.