Comparative research for surgical excision and lay-open maneuver in treatment of hand and wrist ganglion cyst

Target: The goal of the study was to compare the outcomes of two different approaches to treating hand and wrist ganglia:
the lay-open procedure and typical surgical excision.
Patients and Methods: This study was conducted at the surgery department of the Alqureen General Hospital in Sharkia,
Egypt, between January and December of 2023. This survey was completed by 40 individuals who had wrist or hand
ganglions. Patients were divided into two categories based on casual distribution. Traditional surgical excision was used
to treat one kind (group A), whereas a lay-open technique was used to treat the other kind (group B). Recurrences were
noted during the 6-month proceedings for both.
Results: The typical surgical excision took much longer to complete (61.2 vs. 23.7 min; P<0.001) than the lay-open
procedure. There was a considerable variance between the two sorts with relation to the operating maneuver complexity
(P<0.001). Group A experienced more satisfied postoperative complications. However, when it came to wound infection
and the appearance of minor postoperative discomfort, the difference between the two types was not statistically significant
(P=0.3). Patients in type B reported higher levels of satisfaction (90 vs. 45%; P<0.001).
Conclusion: When compared with typical surgical excision for the treatment of hand and wrist ganglion cysts, the layopen
procedure appears to be preferable.