Scar-less Day Surgery for Digital Mucus Cyst
List of contents on this page
Characteristics of our mucocyst surgery
Under high-definition echo guidance,Mucous cyst surgery without incisionThe procedure is performed using a surgical incision. Compared to the conventional method, which involves incisions, the scars are less noticeable and the surgery is less painful. Stitches are not required and water can be used on the same day. (Although minimally invasive, some pain and swelling may occur due to manipulation of the joint. It takes time for the tissue to repair and for a strong adhesion to occur.1~ (after a number N)2It will take about 3 months to complete the surgery, so take it easy as much as possible and do not do any strenuous or unnecessary labor or work after the surgery.1~ (after a number N)2Avoid for a period of months.)
*If you have blisters with severe skin damage, postoperative wound care will be required and you may not be able to perform water work on the same day.
What is a muccus cyst?
Mucus cysts are,Heberden's nodescauses the bag in the first joint of the finger to tear and leak joint fluid, near the nail.puddleHeberden's node is a disease that causes Heberden's nodes are triggered by age-related loosening of ligaments, which gradually leads to joint breakdown.osteoarthritisIt is one of the most common In osteoarthritisbone spurThis is thought to be partly due to the formation of bone spurs called "spurs," which pull on the bag of the joint and cause it to tear easily.
Once a mucous cyst occurs, the joint continues to leak fluid, and it does not heal well because the blisters keep popping and accumulating over and over again.
What is the usual treatment?
Mucous cysts are pools of water that leak from joints and are invariably connected to the joints. Therefore, even if the accumulated water is treated by injections or crushing, the water will still flow from the joint and in many casesrelapseThe first time I did it, I was not sure what to do.
The radical operation isMake a large incision and shave off the jutting bone.The only way was to sever the connection between the joint and the puddle. This is because the skin is removed from each puddle,Causing skin defects.The incision is larger,Water not available for about 2 weeks.This was inconvenient for the patient. In addition, the removal of the large osteophyte made the joint unstable, resulting in residual pain and progressive cartilage destruction.
Next-generation surgery bridges the gap between injections and surgery
Our clinic has introduced a next-generation surgery that uses ultra-high definition echocardiography to slightly separate the bone spur and destroy the joint fluid leakage opening, preventing recurrence without cutting. The surgical instruments use either an injection needle or an ultra-fine shaver. By using ultra-high definition echo, we operate while looking inside without incision and perform radical surgery to destroy the connection between the puddle and the joint with only a wound the size of a syringe needle.Surgery without cutting" is a new concept that bridges the gap between injection and surgery.It is.
Wound size is about the same as an injection.
To be performed only by needle manipulation,Pain is similar to injectionOf course. Of course.The size of the wound is the same as the injection.No scarring. It does not leave a mark.
- Characteristics of the "no-cut" mucocyst surgery
- day trip
- Less pain
- Leaves no scars
- Joint motion is preserved.
- Less bleeding.
- Low risk of infection
- You can take a bath from that day
- You can use your fingers from day one.
- No need for postoperative disinfection visits
- Safe because it is monitored by echo
- Easy reoperation in case of recurrence
Recommended for
(1) Those who cannot take time off work
(2) Those who are not comfortable with general anesthesia or anesthesia of the upper extremities
(iii) Those who are sensitive to pain
4) Water workers and housewives
(5) Those who do not want to leave scars
(6) Repeated recurrence of ganglion
(7) Musicians and musicians
How is the surgery performed?
The best way to prevent recurrence is to cut off the source of supply. If we think of the supply passage as an "ant's nest hole," the non-cutting surgery for mucous cyst is performed in the same way as "breaking the entrance to an ant's nest. That is, the entrance is broken with a needle or shaver and covered with blood, which hardens to form a strong adhesion that prevents recurrence. In addition, the pathway and pouch are also broken up so that the pouch will not swell if fluid leaks out.
Causes water leakage,(1) Bone spurs, ,(2) Site of Occurrence, ,(iii) Route, of puddles.(4) Bag(at sentence-end, falling tone) indicates a confident conclusion4The recurrence rate can be reduced because the exact location is broken.
Surgery is performed under local anesthesia. Therefore, it is a one-day procedure, and in all cases, patients are able to move their fingers lightly and take a bath on the same day. (Please note that excessive exercise should be avoided to ensure a firm fusion.)
- Transmission + local anesthetic injection.
- The position of bone spurs, tendons, and neurovasculature is confirmed by looking at the echoes.
- While viewing the echo, the needle is inserted and the bony spine is removed in small pieces, and the connection area of the puddle is also destroyed.
- If fluid remains in the bag, aspirate it.
- The needle is removed, pressure is applied to stop bleeding, and the procedure is completed.
Canon high-definition echo and 24 MHz high-frequency probe are used
It is essential for safe and reliable surgery,0.1Ultra-high definition echo with a resolution of mmWe believe that the most important thing is to check the images. Above all, we believe that confirmation with images is of the utmost importance. For this reason, our clinicNot the standard echocardiography used in regular orthopedics,Only adopted at the level of some university hospitals.Ultra-high definition echo specialized for hand and foot surgeryThe treatment is performed using equipment.
Standard resolution echo commonly used in orthopedics
Safe and best treatment by board-certified hand surgeons with expertise in hand surgery
The surgical operation is performed without looking inside and requires reliable knowledge and skill. Our clinic is among the orthopedic specialists,Board-certified hand surgeon with expertise in hand surgeryThe treatment will be performed by Our specialists, who have clinical experience both in Japan and overseas, provide the best and safest treatment methods with the least complications possible.
Day trip and can be wet from day one.
What is the age range of the patients?40They range from teenagers to middle-aged adults and are all busy socially. Compared to the usual incisional surgery, the non-surgical mucocystectomy allows for immediate bathing and water work. Also, as soon as possible.You can go back to work, back to your daily life.The following is a list of the most common problems with the
If blistering occurs
If blistering occurs and has been drained many times, cryotherapy, etc,Skin treatment due to severe skin damageis additionally required,Wound care is still needed after surgery.In such cases, it may be difficult to get wet immediately after the surgery and hospital visits are required to treat the wounds. In such cases, it may be difficult to get wet immediately after the surgery, and hospital visits may be necessary to treat the wounds.
Postoperative Precautions
This surgery closes the hole by crushing the puddle's opening (the joint capsule with its ligaments) and daring it to form a scab of blood, which is then used to cover it. It also destroys the pathway and the bag in which fluid accumulates. Therefore,May cause inflammation around joints, and pain persists for some timeThere may be Tissue repair (time for the ligaments and surrounding synovium at the site of origin to regenerate) and,Before a strong adhesion occurs.1~ (after a number N)2It'll take months.Therefore, take it as easy as possible,Heavy or unnecessary labor or work is postoperative.1~ (after a number N)2Avoid for a monthPlease do so.
To prevent recurrence to the greatest extent possible, postoperative1~ (after a number N)2 weekswears a finger immobilization braceWe recommend that you do the following
Also,Blister treatmentIf the skin treatment is added with a wound treatment, the wound treatment may take a while (see1~ (after a number N)3(weeks) will be required.
If it recurs, don't worry.
If you just aspirate with a needle, the recurrence rate is40~ (after a number N)70It is said to be about 1.5%, but even if this surgery is performed, the approximate10~ (after a number N)20It causes recurrence in about %.Even then, this treatment can be done again because it is as invasive as the injection treatment. If the disease inevitably recurs, another method may be tried. Please consult your doctor at the time of consultation for more details.
Difference from incisional mucus cyst surgery
Mucocyst surgery, which requires incision, infection, swelling and swelling, bleeding and hematoma, increased anesthetic fluid volume, resulting drug allergy, neurovascular damage, and pain,CRPSThe risk of complications is generally increased, such as Longer surgery time and longer tourniquet time may cause intraoperative pain. Stitches and disinfection visits are necessary because of the incision. Of course, scars will remain. Since the joints are touched, joint contracture due to adhesion is likely to occur, so a less invasive surgery is desirable.
Unfortunately, both incisional and nonincisional surgery sometimes recur. Therefore, we believe that surgery that is as minimally invasive as possible is easier to deal with reoperation in the event of recurrence.
Complications and Disadvantages of Surgery
Since this procedure does not involve an incision, it is considered to have many advantages because it places less stress on the finger. It is considered to be superior to the usual incisional surgery in terms of bleeding, infection, wound pain, progressive joint instability, prolonged inflammation, neurovascular damage, and skin problems.
However, because any surgery or procedure is invasive to the body, there is a risk of complications. Specifically, there are the following risks: (1) drug allergy; (2) complications due to swelling, bleeding, or hematoma; (3) infection; (4) nerve or blood vessel damage; (5) pain or impaired movement due to pain; (6) thrombus or embolism; (7) skin scars, keloids, or wound pain; (8) joint contracture or joint instability (in cases of joint manipulation); (9) osteonecrosis or bone fusion failure (in cases of bone manipulation); and (10) other complications (in cases of bone manipulation). ), ⑩Other complications (CRPS) and other unforeseen complications (e.g., problems not only in the affected area but in other parts of the body as well). Since the future can be unpredictable, we will take the best possible measures (administration of drugs, additional surgical procedures, additional treatment, resuscitation, emergency medical care, etc.) depending on the situation. In case of emergency, we may perform the surgery without your consent, but we ask that you understand this before accepting the surgery.
If you have any other questions regarding the surgery, please consult with the doctor or staff for a preoperative explanation.
Disadvantages of incisional mucocyst surgery
(Compare with non-surgical mucus cyst surgery)
risk | important point |
|---|---|
Hemorrhage/hematoma point | Tourniquet arm hurts during surgery. |
infection | Increased operating time |
Swelling, edema | Requires a visit to the hospital every 2 days for disinfection. |
Anesthesia solution volume | need to have stitches removed |
drug allergy | be left with scars |
neurovascular injury | 10-14 days, no water work allowed |
pain | Adhesions after incision, making it difficult to move the joint. |
CRPS | When it recurs, it recurs, even with incisional methods. |
Large incisions are made around the joints, which can cause joint contractures (poor movement) and a feeling of tightness. |
About the cost of treatment
Non-surgical mucocyst surgery is covered by insurance.
Finally.
The "no-cut" mukascist surgery is,Unique techniques developed at our clinicIt is the first clinic in Japan to introduce this technique. As a pioneer clinic in Japan that introduced this technique early on, we have evolved a delicate and precise method that is unmatched by other clinics, reducing the risk of recurrence of mucocyst and neurovascular damage, as well as safety and certainty.
Since this is a new technique, we explain the advantages and disadvantages of the surgery to the patient and let them choose for themselves. We will then do our best to provide the treatment that you have chosen.
At our clinic, we believe that a trusting relationship with our patients is of the utmost importance. Without mutual trust, we cannot provide treatment. Please feel free to contact us if you have any questions.
Responsibility: Dr. Yuki Toya, Orthopedic Surgeon, Hand Surgery Specialist/Supervisor
日本語 
English 