Post-operative outcomes following the excision of dorsal wrist ganglions with/without the use of Methylene Blue
Suleyman Tas, Rustu Kose, Ahmet Sen, Sabri Balik.
Abstract
Objective: To compare the success and recurrence rates of surgical excision of the dorsal wrist ganglions depending on methylene blue injection usage.
Methods: Dorsal wrist ganglions of a total of 64 patients were excised between the years 2009 and 2014. All procedures were open surgical excisions and were performed under regional intravenous anaesthesia and tourniquet. Patients were randomly allocated to the use of methylene blue during surgery. In group 1 (n=32), 0.2 mL of 1% methylene blue solution was injected into each cyst before excision. In group 2 (n=32), cysts were treated as in group 1, but methylene blue was not utilized. The Chi-square test was employed for statistical analysis.
Results: Patients were followed up for a mean of 2 years. All patients were satisfied with the aesthetic outcomes and status of the scars. In group 1, recurrence was not observed. In five patients of group 2, the cysts ruptured intraoperatively. In these patients, recurrence was observed postoperatively. The difference between the success rates of the two groups was statistically significant (P = 0.02). Methylene blue-related complications were not observed in patients.
Conclusions: The recurrence of cysts is rare after complete excision, particularly when rupture is prevented. Methylene blue injection is useful for ensuring complete excision and, therefore, to prevent recurrence.
scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.
The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
We use cookies and other tracking technologies to work properly, to analyze our website traffic, and to understand where our visitors are coming from. More InfoGot It!
