Complications - Ganglionectomy for palmar wrist ganglion

• Lesion/Transection of the radial artery
• Lesion of the branches of the superficial branch of the radial nerve and the lateral antebrachial cutaneous nerve
• Incomplete removal of the ganglion

Management

• Primary microsurgical nerve or artery suture
• Careful exposure, especially of the ganglion stalk, with tracing to the joint capsule and resection there

Acute Complications

• Bleeding/Hematoma
• Infection/Wound healing disorder

Management

• In case of significant hematoma, surgical revision
• In case of infection, immediate surgical revision
• In case of wound healing disorder, surgical revision depending on the severity of the condition

Late Complications

• Ganglion recurrence
• Prolonged scar pain/neuroma pain
• Restriction of movement
• CRPS (Sudeck's disease)

Management

• In case of corresponding symptomatology, re-resection
• In case of scar pain/neuroma pain/neuropathic pain, wait-and-see approach, if necessary, desensitization therapy
• In case of neurodesis pain with adhesions, neurolysis, microsurgical reconstruction, and neuroma resection, as a last resort: high resection of the superficial branch of the radial nerve at the level of the proximal forearm
• In case of CRPS, appropriate treatment of the disease (see specialized literature)