Cost Minimization Analysis of Ganglion Cyst Excision

Pang, Eric Quan; Zhang, Steven; Harris, Alex H. S.; Kamal, Robin N.

doi:10.1016/j.jhsa.2017.05.012

Cited by 23 publications

(26 citation statements)

References 18 publications

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“…The use of arthroscopic techniques for the treatment of dorsal cysts is widespread. 1 4 5 6 13 18 19 20 21 22 The present work shows good results; in addition, compared to the classic open technique, this is also a good option for volar cysts. It is a reproducible and safe technique that leads to satisfactory results.…”

Section: Discussionsupporting

confidence: 53%

“…It is important to emphasize the cost of the procedure, since specific arthroscopy materials for small joints are required. Pang et al 5 compared the cost of the open and arthroscopic procedure for the resection of wrist synovial cysts, whether dorsal or volar, and found an average cost of US$ 1,821 for the open approach, and of US$ 3,668 for the arthroscopic approach. Therefore, the cost of the material used for arthroscopy should be considered at the moment of surgery indication.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment is predominantly conservative, but patients with symptomatic lesions following conservative procedures or those with esthetic complaints are candidates for surgical therapy. 3 4 5 The principle of the surgical treatment is decompression and drainage, resecting a portion of the joint capsule and cyst wall; complete tumor resection, however, is not required. 4…”

Section: Introductionmentioning

confidence: 99%

“…O tratamento é predominantemente conservador, mas pacientes com lesões sintomáticas após o tratamento conservador ou com queixas estéticas são candidatos ao tratamento cirúrgico. 3 4 5 O princípio do tratamento cirúrgico consiste na descompressão e drenagem, com ressecção de uma porção da cápsula articular e da parede do cisto, sem a necessidade da ressecção completa do tumor. 4…”

Section: Introductionunclassified

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Ressecção artroscópica do cisto sinovial volar do punho: Técnica cirúrgica e série de casos

et al. 2019

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Objectives To describe the technique and results of the arthroscopic surgical treatment of volar ganglion cyst of the wrist. Materials and Methods The present study comprised 21 patients submitted to the arthroscopic treatment of volar ganglion cysts of the wrist from January 2015 to May 2017, with a full evaluation for at least 6 months. The technique was indicated for patients presenting pain and functional impairment for more than four months, with no improvement with the conservative treatment, or for those with cosmetic complaints and cyst present for more than three months. Results The mean age of the patients was 43.6 years; 16 (76%) patients were female, and 5 (24%) were male. The mean follow-up time from surgery to the final assessment was of 10.9 months. A total of 2 (9.6%) patients complained of mild pain after the procedure, and another patient presented slight motion restrictions. The 18 (90.4%) remaining patients reported cosmetic improvement, complete functional recovery, and pain improvement. There were no recurrences or infections. No patient required further surgery. Conclusions The arthroscopic resection of volar ganglion cysts is a useful and safe technique. It is a minimally-invasive procedure, with low morbidity and very few complications, representing a good alternative to the open technique.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Ressecção artroscópica do cisto sinovial volar do punho: Técnica cirúrgica e série de casos

et al. 2019

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“…There is few report about the cost of the ganglion cysts treatment. One rearch [18]from Stanford University of America showed that the average total cost of an open excision was $1,821± $1,127 ,while an arthroscopic excision was $3,668 ± $872, Surgical costs from arthroscopic ganglion excision are signi cantly higher than open excision. In our hospital, open excision cost was only ¥3061.11 ± 474.72, which was much less than that in America.…”

Section: Discussionmentioning

confidence: 99%

The Treatment of Wrist Ganglion Cyst by the Chinese Acupotomy and Crisscross Thread

Zhang

Lao

et al. 2020

Preprint

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Background: The current treatments of wrist ganglion have considerable recurrence rate, we developed a new treatment for ganglion cysts in our clinical practice, which combined acupotomy with crisscross thread method, so we now to compare the clinical effectiveness of Chinese acupotomy and crisscross thread with aspiration followed by injection of steroid and open excision for ganglion cysts treatment. Methods: Recruited patients with wrist ganglion were divided into three groups according to the treatments. Among them, 27 patients who were treated by a new combined treatment of Chinese acupotomy and crisscross thread method in group A, 30 patients who were treated by aspiration followed by steroid injection in group B, and 28 patients who were treated by open excision in group C. The data of age, gender, weight, size of ganglion cysts, visual analogue scale (VAS) , cost were recorded and compared by One-way analysis of variance, followed by an LSD (Least Significant Difference)test. The recurrence rates were recorded were analysed by chi-square test.Results: At the first day and one week after treatment, VAS score of group A was similar to group B with no statistic difference. VAS score of group C was higher than group A and B with statistic difference. Six months later, there was no statistic difference among the three groups about VAS. The recurrence rate was 3.7% in group A and 36.7% in group B and 10.7% in group C. No patient infected in three groups. The cost of group A was more than group B with no statistic difference. The cost of group A was much less than group C with statistic difference.Conclusions: The combination of Chinese acupotomy and crisscross thread method was a simple, economical and effective procedure for wrist ganglion cysts.

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