Treatment of ganglion on hand

Journal of the Korean Society for Surgery of the Hand 2001;6(1):75-78.
Published online January 1, 2001.

Woo Nam Moon, In Cheol Kim

수부에서의 결절종의 치료

문우남, 김인철

Abstract

Purpose
: To determine the cost effectiveness of treatment modalities of ganglia on the hand and wrist in Korea. Materials and Methods : The ninety-six patients(98 cases) who were visited with ganglia on hand and wrist were reviewed, between Feb, 1995 and Mar. 1999. The lesions were 70 on wrist and 28 on hand. The 55 cases were treated with operation, 47 under general anesthesia and 8 under local anesthesia. The 15 cases were treated conservatively. The 28 cases were observed. The recurrence and cost were analysed according to the treatment. Results : The recurrences were 6 cases(13%) under brachial plexus block or general anesthesia, 2 cases(25%) under local anesthesia in surgical treatment and 7 cases(47%) in conservative treatment. On observation cases, the 15 cases(54%) did not disappeared. The cost of surgical treatment under general anesthesia was about 31,938 won and that of conservative treatment was about 21,760 won with medical insurance in Korea. The cost of surgical treatment was 1.5 times higher than conservative treatment, but recurrence of surgical treatment was 3.5 times lower than conservative treatment. Conclusion : To consider recurrence and cost, the total excision under brachial plexus block or general anesthesia might be the most effective and economical treatment.