Post-Operative Concerns After Ganglion Cyst Surgery: What to Expect

Postoperative Issues of Ganglion Cyst Surgery

Hello Doctor: It has been six days since I had surgery to remove a cyst from the inner side of my right wrist (the side near the humerus).
The stitches used are absorbable sutures, and the incision was covered with adhesive strips after the surgery.
However, I thought that the wound should typically be covered for 7-10 days.
I gently removed the adhesive strips without pulling on the wound, but why does it still look a bit open? Is it possible that the incision was not done well, and that’s why I was advised to cover it quickly? Since the procedure was done under local anesthesia, I could hear the doctor and the assistant talking, mentioning that it was very deep and that there was a hole, and I felt that they were considering additional sutures.
When the doctor was writing the report after the surgery, he even asked the nurse whether it was the left or right hand.
Oh my...
I was still on the operating table, and it was just a moment ago...
Now, basic actions like lifting objects, writing, and turning on the gas stove cause pain.
Certain movements of my hand seem to pull on the internal stitches, causing discomfort.
Is this pain due to the depth of the incision and the internal sutures causing tension between the tissues? Could you please help me with my concerns? Thank you very much! 🙏

Elly, 30~39 year old female. Ask Date: 2021/01/12

Dr. Zhan Xian reply Orthopedics

Hello Elly, surgical wounds typically heal in 7 to 14 days.
Since it involves a tissue line, you can apply cosmetic adhesive to help the wound close more tightly, so you shouldn't remove the cosmetic adhesive.
The conversation between the doctor and the assistant doesn't sound too concerning; it's possible for the cyst root to be deeper, and the doctor is being diligent about the suturing.
Experiencing pain 6 days post-surgery is also within a reasonable range, and follow-up in the outpatient clinic is sufficient.

Reply Date: 2021/01/12

More Info

After ganglion cyst surgery, it's common to have concerns about the healing process and what to expect in the days and weeks following the procedure. Based on your description, it sounds like you are experiencing some typical post-operative symptoms, but let's break down your concerns more specifically.

1. Wound Healing and Appearance: It's not unusual for the surgical site to appear slightly open or not perfectly closed within the first week after surgery. The healing process can vary from person to person, and while many wounds do take about 7-10 days to fully close, some may take longer, especially if the incision was deep. The fact that you mentioned the use of a cosmetic adhesive (often referred to as "dermabond") is a good sign, as it helps to keep the edges of the wound together and promotes healing. However, if you notice any significant gaps or if the wound appears to be worsening, it would be wise to consult your surgeon or healthcare provider for an evaluation.

2. Pain and Discomfort: Experiencing pain when performing basic tasks such as lifting objects or turning your wrist is also common after this type of surgery. The pain you feel could be due to several factors:
- Surgical Trauma: The surgery involves cutting through skin, muscle, and possibly other tissues, which can lead to inflammation and pain as the body heals.

- Depth of the Surgery: If the cyst was deep, as indicated by the surgeon's comments during the procedure, it may take longer for the deeper tissues to heal, which can contribute to discomfort.

- Nerve Sensitivity: Sometimes, nerves can be irritated during surgery, leading to pain or a pulling sensation as you described. This is often temporary but can be uncomfortable.

3. Movement and Activity: It's crucial to listen to your body during the recovery phase. If certain movements cause pain, it may be a sign that you need to limit those activities for a while longer. Gradually increasing your range of motion and strength is essential, but it should be done carefully. Overexerting yourself too soon can lead to complications or prolonged discomfort.

4. Follow-Up Care: Make sure to attend any scheduled follow-up appointments with your surgeon. They can assess the healing process, check for any signs of infection, and provide guidance on when you can safely resume normal activities, including any physical therapy if needed.

5. Signs of Complications: While some pain and discomfort are expected, you should be on the lookout for signs of complications, such as:
- Increased redness or swelling around the incision site
- Discharge or pus from the wound
- Fever or chills
- Worsening pain that does not improve with rest or medication
If you experience any of these symptoms, it is essential to contact your healthcare provider immediately.

In summary, while your concerns are valid and reflect common post-operative experiences, it is always best to consult with your surgeon for personalized advice and reassurance. They can provide the most accurate information based on your specific situation and surgical details. Remember, healing takes time, and it's important to be patient with your body as it recovers.

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