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Journal of the Korean Society for Surgery of the Hand 2011;16(1):29-34.
Published online March 1, 2011.
Treatment of Wrist Ganglion Using Nd: YAG Laser
Eugene Kim, Se Jin Park, Ji Woong Yoon, Won Serk Kim, Jun O Yoon, Shin suk Park
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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