COMPARATIVE STUDY BETWEEN ASPIRATION FOLLOWED BY INTRA-LESIONAL STEROID INJECTION AND SURGICAL EXCISION FOR THE MANAGEMENT OF DORSAL WRIST GANGLION IN A TERTIARY CARE HOSPITAL
Dr. Ajaz Ahmad Shah*, Dr. Ashiq Hussain Raina, Dr. Mudasir Ahmad Ganie and Dr. Irshad Ahmad Kumar
ABSTRACT
Objective- To compare aspiration followed by intra-lesional steroid (triamcinolone acetate) injection and surgical excision in the management of dorsal wrist ganglion. Method – This was a prospective study conducted from Aug 2016 to Aug 2018 in department of general surgery Government Medical college Srinagar, a total number of 86 Patients with dorsal wrist ganglions were offered treatment in two groups: A- aspiration with Intralesional Triamcinolone Acetonide Injection into the cyst in 68 patients, B-surgical excision in 18 patients. Follow up was done at 1, 3, 6 and 12 months. Result- Successful treatment in group A was seen in 59 patients (86.76%), and in group B in 15 patients (83.33%). Conclusion- Aspiration followed by intra-lesional steroid (triamcinolone acetate) injection is a better mode of management than surgical excision.
[Full Text Article] [Download Certificate]