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J Korean Soc Surg Hand. 2011 Mar;16(1):29-34. Korean. Original Article.
Kim E , Park SJ , Yoon JW , Kim WS , Yoon JO , Park SS .
Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. yrrtyr@naver.com
Department of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
Department 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.

Copyright © 2019. Korean Association of Medical Journal Editors.