15 April 2011

Surgical Removal Of Foot and Ankle Ganglion Cysts

Ganglion cysts are the most common masses in the foot and the ankle and can often be difficult to eradicate because drainage usually translates into a possible filling of the cyst. Surgery is often necessary for permanent removal of these pieces compressible. This article will discuss treatment of ganglion cyst, especially surgical ablation.A ganglion cyst is essentially benign, fluid-filled mass that develops near joints and tendons. While the exact cause is unknown, it is thought that forms a defect in the tissue surrounding a tendon or a spouse that allows fluid from one of these fields to enter through the surrounding tissue. This fluid becomes fortified offshore of fibrous tissue that surrounds it and the shapes of cyst. It is essentially a ball of thick and gelatinous fluid which becomes thicker than the mixed liquid or tendon where it originates. Cysts can start small and then grow rapidly. Also, it is rare step of cysts of wax and wane in size. These cysts are usually benign and cause some questions on their own. However, the location and/or the size of these cysts may become problematic, particularly in the foot and ankle.Cysts can sometimes be located near sensitive structures, such as the nervous tissue, and the mere presence of the expansion against this tissue cyst can cause pain. In addition, if the cyst is particularly important or of irregular shape, or if it is wrapped around joints or tendons, the function of the foot may be affected. This can lead to difficulties in walking, or pain. It is these reasons that the feet and ankle ganglion cysts are usually treated.Diagnose the ganglion cyst is usually performed by an external review, as they are visible through the skin or can be felt under the skin surface. Ganglion cysts are usually quite distinct, and most physicians can make a confident diagnosis feel alone. However, if the cyst has several bumps in it, feels unusual or is dark or in a unusual place far a spouse or a tendon, the doctor may prefer a MRI study or ultrasound to assess its size and its appearance better.The initial treatment of ganglion cysts may involve an attempt to drainage. The cysts can usually be drained, but smaller are sometimes hard to find precisely through the skin. The old technique of hitting the cyst with a heavy book, as a Bible, is very traumatic cyst ruptures, and can create an inflammation in the entire region. This treatment is not recommended in modern medicine. The best technique for drainage is drainage needles and syringes by a physician. Drainage is usually followed by an injection of a drug cortisone-like (corticosteroids) which can reduce local inflammation and scar at the root of cyst to prevent regrowth. Unfortunately, this technique is not a great chance to retain the cyst of return, that the wall and the origin of cyst remain in the body. The cysts usually rebuilds its fluid shortly after drainage. Drainage and corticosteroid injection is safe and works in some cases, particularly for small cysts, and that is why he is tried in the first place.When the cyst returns and creates the pain or functional limitation, which is the point where surgery is considered. Surgical ablation of cysts can be simple, or can be complex if the cyst is large or integrated in the surrounding tissues. Surgery to remove a ganglion cyst is an incision directly above the area where the cyst and careful separation of the cyst of the surrounding tissues, without rupture of the cyst. Once the cyst breaks, the liquid that rest can potentially become fortified offshore again, and find the exact final margin of the wall will become more difficult, once it is "deflated". Cyst must be removed in its entirety, including all wall and original connecting fabric. If this is not done, cyst can simply reform. The complete withdrawal of all the fabric is not always easy, and sometimes even the slightest tissue remaining not visible to the surgeon can allow a return.The removal of cysts often requires the identification of several different lobes or branches of the cyst, if it is not in a smooth piece. This exploration often requires that the surgeon to move slightly surrounding vital tissues, which may have materials of cyst wrapped around them. This can result in a process of