Complications - Ganglionectomy for palmar wrist ganglion

• Lesion/Severance of the radial artery
• Lesion of the branches of the superficial branch of the radial nerve as well as the lateral antebrachial cutaneous nerve
• incomplete removal of the ganglion

Management

• primary microsurgical nerve or arterial suture 
• careful exposure especially of the ganglion stalk with tracing to the joint capsule and detachment there

Acute Complications

• Bleeding/Hematoma
• Infection/Wound Healing Disorder

Management

• for relevant hematoma surgical revision
• for infection immediate surgical revision
• for wound healing disorder surgical revision according to severity of findings

Late Complications

• Ganglion Recurrence
• Protracted Scar Pain/Neuroma Pain
• Range of Motion Restriction
• CRPS (Sudeck's Disease)

Management

• for corresponding complaint symptoms re-resection
• for scar pain/neuroma pain/neuropathic pain watchful waiting, possibly desensitization therapy
• for neuroma pain with adhesions neurolysis, microsurgical reconstruction and neuroma resection, ultima ratio: high resection of the R. superficialis N. radialis at the level of the proximal forearm
• for CRPS appropriate therapy of the disease (see specialist literature)