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KMID : 0621520110160010029
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Journal of the Korean Society for Surgery of the Hand
2011 Volume.16 No. 1 p.29 ~ p.34
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Treatment of Wrist Ganglion Using Nd: YAG Laser
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Kim Eu-Gene
Park Se-Jin
Yoon Ji-Woong
Kim Won-Serk
Yoon Jun-O
Park Shin-Suk
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Abstract
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Purpose: We evaluated the results of treatment for a ganglion with catheterized Nd: YAG laser assisted arthrotomy.
Materials and Methods : Twenty-five patients with a ganglion underwent laser assisted arthrotomyt. The first procedure was the puncturing and aspiration of the ganglion using an 18 G needle under local anesthesia. The joint capsule and ligament near the origin of the ganglion were cauterized using a catheterized laser instrument (ACCUSCULPT ?, Lutronic Inc.). The patients was observed clinically and evaluated by ultrasonography.
Results: The average period of follow-up was 12.3 months. Among the 25 patients presented during follow-up period, 22 patients (88%) had no recurrence. Two patients had partial recurrence and 1 patient had complete recurrence.
Conclusion: Catheterized Nd: YAG laser assisted arthrotomy is considered to be an effective non-invasive method with a relatively low recurrence rate for the treatment of wrist ganglion.
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KEYWORD
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Wrist, Ganglion, Nd: YAG laser
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