Gold Coast Wrist Surgeon Dr Michael Maguire performs wrist arthroscopic gangion excision.
Traditional ganglion excision requires a large incision. Open surgery involves finding the ganglion from the "outside" and sometime it is difficult to find the "stalk" of the ganglion. Failure to remove this tissue and the capsule or ligament from which it arises can lead to an unacceptable recurrence rate.
Finding and treating the ganglion from the joint side where it arises makes sense as you can address the source of the problem and any other pathology at the same time.
Traditional open excision requires a larger scar and can lead to high recurrence rates if the deep tissue which causes the ganglion is not removed.