What happens during a ganglion cyst excision?

Published

2:43 Transcript on this page

On the channel as “GANGLION CYST SURGERY”

In this video Dr. Knight narrates a volar ganglion excision, the cyst on the palm side of the wrist. He shows the radial artery stuck to the cyst wall and the stalk running down into the joint.

This is a transcript of a recorded talk from 2016. Any figures mentioned are from the recording and are not statements about current results or the practice.

Read the transcript 129 words

The transcript below is what Dr. Knight says in the video. We corrected the anatomy, drug and device names the automatic captions got wrong and added the punctuation and paragraph breaks. No words were changed, added or taken out. The uncorrected machine transcript is kept on file.

Transcript

A volar ganglion excision begins with a skin incision localized directly over the mass. You can see I'm dividing the skin and fat, exposing the cyst beneath. Now I'm carefully exposing the radial artery, which is adherent to the cyst wall. I'm going to carefully retract the radial artery away from the cyst.

Now I'm going to carefully dissect around the periphery of this large multilobulated ganglion cyst. Now you can see a nice stalk or root of the cyst going down into the radiocarpal joint. You can see here where I penetrate the stalk and will suction all of the gelatinous or very thick contents from the cyst. Now you can see where I divide the stalk of the cyst as deep as possible and remove the cyst.

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