Ganglion: a traditional surgical excision or percutaneous laser obliteration under ultrasound control?
https://doi.org/10.37895/2071-8004-2019-23-3-32-37
Abstract
Purpose. To make a comparative analysis of outcomes in patients with hygroma (ganglion) treated with percutaneous intracavital laser obliteration under ultrasound control and with traditional surgical excision. Material and methods. 142 cases of hygroma of different locations were analyzed. Patients were divided into two groups. In Group 1 (98 patients), hygroma percutaneous laser obliteration under ultrasound control was made out-patiently; in Group 2 (44 patients), surgical ganglionectomy was made in-patiently. Laser surgical apparatus LSP «IRE-Pole» with wavelength 1.56 μm was used. Irradiation power was 2–3 W, operating mode was continuous. Exposure time from 20 seconds to 3–4 minutes. Power level and exposure time depended on the size of hygroma cavity. A portable ultrasound scanner controlled navigation and effectiveness of laser irradiation. Results. All patients from Group 1 had no pain in the postoperative period; excellent cosmetic and functional results were seen in 90.8% (n = 89) of them after a single laser procedure. 9.2% (n = 9) of patients required a repeated session of ganglion laser obliteration. Patients from Group 2 had their ganglion excision in the hospital; they needed analgesics in the postoperative period. A postoperative scar was formed in these patients too. Average terms of temporary disability in them was 6 times longer than in patients from Group 1. Recurrence rate – 3.2%. Conclusion. Percutaneous hygroma laser obliteration under ultrasound control is a little-traumatic and effective out-patient treatment with good outcomes.
About the Authors
I. I. Shumilin
South-Ural State Medical University
Russian Federation
Russian Federation
I. V. Krochek
South-Ural State Medical University
Russian Federation
Russian Federation
S. V. Sergiyko
South-Ural State Medical University
Russian Federation
Russian Federation
V. A. Privalov
South-Ural State Medical University
Russian Federation
Russian Federation
N. V. Noskov
South-Ural State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Shumilin I.I., Krochek I.V., Sergiyko S.V., Privalov V.A., Noskov N.V. Ganglion: a traditional surgical excision or percutaneous laser obliteration under ultrasound control? Laser Medicine. 2019;23(3):32-37. (In Russ.) https://doi.org/10.37895/2071-8004-2019-23-3-32-37
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