Volume : 7, Issue : 6, June - 2018

INTRALESIONAL SCLEROSANT INJECTION FOR WRIST GANGLIA- A CASE SERIES

G. Santhi Vardhani, Mohd Abdul Rehman, Bushra Nishat

Abstract :

<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp;</span>Background: </span></i></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Wrist ganglion cases commonly present to a general surgeon with cosmosis and or with symptoms which can be managed by various modes including to wait &amp; watch, surgical and conservative, of which sclerosant therapy is a popular choice. Potential advances in sclerosing agents specific to the treatment of ganglion cysts may lead to a definitive medical treatment of ganglions, which would avoid surgery.<b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><o:p></o:p></i></b></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;background:white"><span style="mso-spacerun:yes">&nbsp;</span>Methods: </span></i></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">This study was carried out in Department of General surgery, Osmania Medical college, Hyderabad, Telangana between June, 2017 to December, 2017.</span><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">Fifteen patients with clinical diagnosis of wrist ganglion;</span><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">whose</span><span style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;"> age, sex, site of the cyst, any previous treatment taken were recorded. </span><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">All patients were explained about the lesion and their treatment plan. Three follow-up visitswere performed for upto three months after treatment. Treatment failure being defined as persistence ofswelling at final visitand orpresence of burning sensation and pain.</span><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Result</span></i></b><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">:</span></b><span style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">73%(n=11) ganglion cysts disappeared in single session ofsclerotherapy and rest of 27%(n=4) underwent additonal sclerotherapy session. All ganglion cysts had disappeared by final followup at 3 months. One patients had complications with local pain for 1 month after injection.<b style="mso-bidi-font-weight:normal"><o:p></o:p></b></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:&#10;200%"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:</span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">Intralesional injection of sclerosant (sodium tetradecyl sulphate), may be considered as a economical, convenient, less invasive and safer alternative to surgical excision of wrist ganglion cysts.<o:p></o:p></span></p>