There are many lumps and bumps that can arise in your hand. The majority are benign but some can be more sinister.
There is no need to operate on a ganglion if it is not causing you any concerns or is not symptomatic. However, if it is large or troublesome, then surgery can be performed to excise the ganglion.
Ganglion (Ganglion Cyst)
Ganglions (ganglion cysts) are the most common lumps seen in the hand. They usually appear on the wrist, but also at the base of the the finger and finger tip. The joint lubricating fluid or the fluid around tendons herniate through a defect which is acting as a one-way valve. Though not usually painful they can enlarge to stretch nerves or tendons or distort the nail and this can result in varying levels of discomfort. Ganglions sometimes rupture spontaneously and shrink away only to reappear again down the track.
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The procedure is done under general anaesthetic as a day-case. There may be some mild discomfort, dependent on the degree of dissection, but this is usually controlled by simple analgesia. Your hand will be wrapped in a bandage and occasionally a splint is also applied. You will be discharged with a sling to elevate your hand to help with swelling and pain management. You are reviewed at the 2 week mark and any non-dissolving sutures are removed. You should be able to return to most gentle activities within a week of the procedure.
plastic surgery PROCEDURES
Meet the Experts
Dr Rohit Kumar is an Australian trained and fully certified cosmetic plastic and reconstructive surgeon.
Dr Kumar completed his Bachelor of Medicine and Bachelor of Surgery (MBBS) degree in 1995 at the University of Queensland. He subsequently went on to successfully complete a Masters Degree in the field of Burns Surgery in 2004 – MMedSci (Burns)
His advanced surgical training commenced in the specialty of General Surgery in which he trained for four years. This gave him a solid foundation of technical knowledge and surgical perspective upon which he then built his considerable skills, once he commenced his advanced training in Plastic and Reconstructive Surgery. The Australasian training scheme in Plastic and Reconstructive Surgery is one of the most thorough and rigorous in the world and upon successful completion of this training, over a period of ten years, Dr Kumar was awarded his Fellowship in Plastic and Reconstructive Surgery – FRACS (Plas).
He thus brings over 15 years of surgical experience to his practice having been involved in over ten thousand procedures in that time.
If you require surgery for a ganglion cyst, then it is important that you are informed of the potential risks, complications and side effects of this surgery.
While all care is taken to minimise or totally avoid these complications and side effects, complications may and do occur despite the best medical care. It is important that you carefully read and understand the risk factors and they will be discussed in more detail when you have your consultation with your surgeon.
The Risks include…
- Damage to the surrounding arteries/nerves or soft tissue
- Chronic pain