J Korean Soc Surg Hand.
2011 Mar;16(1):29-34.
Treatment of Wrist Ganglion Using Nd: YAG Laser
- Affiliations
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- 1Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. yrrtyr@naver.com
- 2Department of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 3Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
- 4Department of Mechanical Engineering, Korea University, Seoul, Korea.
Abstract
- PURPOSE
We evaluated the results of treatment for a ganglion with catheterized Nd: YAG laser assisted arthrotomy.
MATERIALS AND METHODS
Twenty-five patients with a ganglion underwent laser assisted arthrotomyt. The first procedure was the puncturing and aspiration of the ganglion using an 18 G needle under local anesthesia. The joint capsule and ligament near the origin of the ganglion were cauterized using a catheterized laser instrument (ACCUSCULPT(R), Lutronic Inc.). The patients was observed clinically and evaluated by ultrasonography.
RESULTS
The average period of follow-up was 12.3 months. Among the 25 patients presented during follow-up period, 22 patients (88%) had no recurrence. Two patients had partial recurrence and 1 patient had complete recurrence.
CONCLUSION
Catheterized Nd: YAG laser assisted arthrotomy is considered to be an effective non-invasive method with a relatively low recurrence rate for the treatment of wrist ganglion.
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