COMPARISON OF ASPIRATION FOLLOWED BY INTRALESIONAL STEROID INJECTION AND SURGICAL EXCISION IN MANAGEMENT OF DORSAL WRIST GANGLION

Abstract

Background: About 60-70% of ganglion cysts are found in dorsal part of the wrist. Dorsal carpal ganglion is one of the most common benign tumours of the hand .Many treatment modalities had been proposed and yielded the same success rate.This study compared aspiration followed by intra-lesional steroid (triamcinolone acetate) injection and surgical excision in the management of dorsal wrist ganglion. Methods: From June 2019 to June 2020 in Department of General Surgery, King George Hospital, Visakhapatnam, India, 86 Patients with dorsal wrist ganglions were considered. Of them 62 patients underwent surgical excision and 24 patients underwent aspiration followed by intralesional triamcinolone injection. Results: Subjects ranged between 16-48 years with mean age of 24.8 yrs. Females(68) outnumbered males(18) by ratio 3.78:1.The most common presenting symptom was pain in 52(60.46%),cosmetic in 49(56.98%),apprehension of tumor In 34(39.53%).Recurrence was the most common complication of treatment of ganglions. The success by excision was 85.4% and by aspiration combined triamcinolone was 75%. Conclusion: Surgery is the most successful form of treatment when considering the cure rate of dorsal wrist ganglion in comparison to aspiration with intralesional steroid.