Also known as: Flexor tendon sheath ganglion cyst excision
Flexor Sheath Ganglion Excision is a surgical procedure used to remove a flexor sheath ganglion. A flexor sheath ganglion is a small, benign tumour that forms on the sheath surrounding the flexor tendons in hand. This tumour can cause pain, stiffness, and swelling in hand.
OVERVIEW
30 mins
From £3500
Yes
Local anaesthetic
2 week
10 days
WHY US
WHO WE ARE
Consultant Plastic Surgeon (Head & Neck Surgery)
MBChB, BSc, MRCS Eng, MD, PhD, FRCS(Plast)
Consultant Plastic Surgeon (Hand & Plastic Surgery)
MBBS, FCPS(Surg), FRCS(Glasg), FRCS(Plast), DipEBOHS
Consultant Plastic Surgeon (Hand & Plastic Surgery)
MBBS, FRCS (Plast)
Consultant Orthopaedic Surgeon
MBBS, FRCS (Orth)
Consultant Anaesthetist
BSc (Hons), MBChB, FRCA
Consultant Plastic Surgeon (Hand & Plastic Surgery)
MBBS, MS, MRCSEd, FRCSEd(Plast), Dip in Hand Surgery(Eur)
Consultant Plastic Surgeon (Hand & Plastic Surgery)
MBChB (Hons), FRCS (Plast)
Consultant Orthopaedic Surgeon
MBBS, FRCS (Orth)
Senior Hand Therapist
BSc (Hons) Occupational therapy
Senior Hand Therapist
BSc (Hons) Physiotherapy
Patient Care Co-ordinator
BSc, MSc
Theatre Sister & Senior OPD
Theatre Sister & Senior OPD
Senior ODP & Anaesthetic Associate
Senior ODP & Anaesthetic Assoicate
Theatre Sister
Find answers to our frequently asked questions
Patients can typically have the Flexor Sheath Ganglion Excision performed and go home the same day.
Patients have the procedure under local anaesthetic.
An incision is made near the swelling on the palm side of the hand.
This allows for the cyst to be identified and removed without damaging the tendon underneath.
The skin is closed with non-dissolving stitches and the hand dressed to protect the wound, but free enough to use when absolutely needed.
Young adults with a swelling in the palm near the base of the affected finger. This swelling similar in size to a dried pea stays in place but can cause a clicking sensation.
There may be associated discomfort due to pressure of the swelling on the skin with direct pressure.
When patients come into the clinic, our UK-trained plastic surgeon makes a full assessment of the patient.
This includes any relevant history, including reasons for surgery and a thorough examination including both hands.
Part of this process is explaining to the patients what can be done, why, and what to expect, based on each patients’ anatomy and suitability for surgery.
The swelling will have been removed as a result of surgery, so the area will be flatter than before.
However, there will be a degree of swelling due to the operating and the local anaesthetic injection which will settle.
Immediately after surgery, each patient is seen by the senior physiotherapist who specialises in hand surgery patients, where they are given advice for what to look out for, what to expect and what can be done including exercise to help with rehabilitation.
Patients can contact their team if they have any questions.
Patients are seen 10 days after surgery when the wounds are checked and stitches removed when the same physiotherapist will go through the exercises to help with rehabilitation after surgery.
Some patients may have been used treatments including needle aspiration, where the fluid is drawn out with ultrasound guidance to create multiple holes to allow the fluid to leak out of the capsule.
However, these methods tend to have quite a high recurrence rate, meaning the swelling can come back.
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