Ganglion Cyst of the Wrist Excision

Ganglion cyst excision is a surgical procedure performed to remove a ganglion cyst, a fluid-filled sac that typically develops near joints or tendons, most commonly on the wrist or hand. The cyst is often benign but can cause pain, discomfort, and limited mobility. Ganglion cyst excision aims to alleviate symptoms and prevent recurrence. Here’s a comprehensive and simplified breakdown of ganglion cyst excision:

What is a Ganglion Cyst?

A ganglion cyst is a non-cancerous lump filled with a jelly-like fluid that forms near a joint or tendon, most frequently on the wrist or hand. The exact cause of ganglion cysts is not always clear, but they are often associated with irritation or inflammation of the joint or tendon.

Indications for Ganglion Cyst Excision:

Ganglion cyst excision is considered when conservative treatments (such as rest, immobilization, and aspiration) fail to provide relief from pain or if the cyst is causing functional limitations.


The surgical procedure typically involves the following steps:

  • Anesthesia: Local or regional anesthesia is administered to numb the hand and wrist.
  • Incision: A small incision is made over the cyst to access the cyst wall and its connection to the joint or tendon.
  • Cyst Removal: The cyst and its associated tissue are carefully dissected and removed.
  • Closure: The incision is closed with sutures or adhesive strips, and a bandage is applied.

Recovery and Rehabilitation:

After ganglion cyst excision:

  • Pain and discomfort are managed with prescribed medications.
  • Physical therapy exercises may be recommended to improve wrist strength and mobility.
  • Gradual return to normal activities, with restrictions based on the surgeon’s guidance.

Advantages of Surgery:

  • Relief from pain and discomfort caused by the ganglion cyst.
  • Improved hand and wrist function.
  • Prevention of recurrence in some cases.

Risks and Complications:

While ganglion cyst excision is generally safe, potential risks include infection, bleeding, nerve or blood vessel damage, scarring, and cyst recurrence.


Ganglion cyst excision is a surgical option for individuals with symptomatic ganglion cysts that cause pain or functional limitations. By removing the cyst and its associated tissue, the surgery can provide relief from pain and improve hand and wrist function. Consulting with a healthcare provider and discussing the benefits, risks, and expectations of the surgery is essential for making informed decisions about treatment.