The effect of tourniquet usage and anesthesia method on prognosis in the treatment of dorsal wrist ganglion cysts open surgery

dc.authorid0000-0001-6500-7260
dc.contributor.authorUludağ, Abuzer
dc.contributor.authorTosun, Hacı Bayram
dc.contributor.authorYaşar, Mehmet Mete
dc.contributor.authorGünay, Abdussamed
dc.contributor.authorTürk, Bilge Aydın
dc.contributor.authorUludağ, Öznur
dc.date.accessioned2019-12-23T10:00:05Z
dc.date.available2019-12-23T10:00:05Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractIntroduction:Ganglion cysts are the most common soft tissue masses seen on the wrist, which often cause pain or cosmetic complaints. The treatment of these masses includes intra-cystic injections or surgery. Recurrence rates are very high in surgical or non-surgical treatment. Inadequate excision for recurrence after surgery is blamed; however, the reasons for the recurrence still remain mysterious. Objectives:In this study, the effect of anesthesia selection and tourniquet use on the dorsal wrist ganglion cysts in open surgery was investigated. Materials and methods:Patients with dorsal wrist ganglion cysts, who were operated with open surgery between 2015 and 2018 and who had at least six months after the surgery, were examined. The patients were divided into two groups: patients who underwent surgery without tourniquet with local anesthesia and patients operated with tourniquet with general or regional anesthesia. Age, sex, cause of operation, visual analog scale (VAS) scores before and after surgery, limitation of movement, postoperative complications, and recurrence were compared. Results:There was no significant difference between the groups in terms of causes of surgery, recurrence rates, preoperative and postoperative limitations of movement, and complications. In terms of age, the group operated with local anesthesia and without tourniquet was significantly larger. There was also no significant difference between the groups in terms of preoperative pain. Postoperative pain was significantly less in the group operated by tourniquet with general-regional anesthesia. Conclusion:There is no significant difference in the recurrence and complications between patients operated under local anesthesia without tourniquets and patients operated with tourniquets under general or regional anesthesia during the open excision of the dorsal wrist ganglion cysts. However, it should be kept in mind that postoperative pain does not diminish in later ages, especially in cases of ganglion cysts, and other pathologies may also potentially cause pain in the wrist.
dc.identifier.citationUludağ, A., Tosun, H. B., Yaşar, M. M., Günay, A., Türk, B. A. ve Uludağ, Ö. (2019). The effect of tourniquet usage and anesthesia method on prognosis in the treatment of dorsal wrist ganglion cysts open surgery. Cureus, 11(10). https://doi.org/10.7759/cureus.5981
dc.identifier.doi10.7759/cureus.5981
dc.identifier.issn2168-8184
dc.identifier.issue10
dc.identifier.urihttps://doi.org/10.7759/cureus.5981
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4604
dc.identifier.volume11
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCureus Inc
dc.relation.ispartofCureusen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGanglion
dc.subjectRecurrence
dc.subjectTourniquet
dc.subjectAnesthesia
dc.titleThe effect of tourniquet usage and anesthesia method on prognosis in the treatment of dorsal wrist ganglion cysts open surgery
dc.typeArticle

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