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Ganglion cyst removal, also called ganglionectomy, is a surgical procedure to remove a cyst from your hand, wrist, foot, ankle, or other parts of your body.
A ganglion cyst is a fluid-filled noncancerous lump that commonly develops along the joints or tendons of your hands or wrists. In some cases, they may also occur in the feet and ankles. Ganglion cysts are often painless and require no treatment. However, depending on its location and its size, it can restrict movement. It can also be painful, especially when it presses on a nerve, vital organ, artery, or vein.
When a ganglion cyst is causing severe pain, pressing against other structures, or restricting your movements, your doctor may recommend you undergo surgical removal. Ganglion cyst removal may also be performed for cosmetic reasons if the cyst is located in a highly visible area, even though it does not cause any symptoms.
Before ganglion cyst removal, your doctor will mark the incision location by drawing a line above the cyst. You will then be given a local, regional, or general anesthetic to ensure you do not feel pain during the surgery. Local or regional anesthesia numbs the affected area, but you stay awake. To help you relax, your doctor may also give you a sedative. General anesthesia will cause you to “fall asleep” during the procedure, so you will not be aware of anything.
Once you are anesthetized, your doctor will cut along the marked line using a scalpel. Then, the doctor identifies the cyst and cuts it out. Its capsule or stalk will also be removed. Once the cyst is removed, the cut will be closed with stitches.
Ganglion cyst removal is an outpatient procedure. Therefore, you can leave the hospital the same day you have the surgery. You should plan to stay in Nepal for at least 7 days for ganglion cyst removal. During your stay, you will have to attend a follow-up checkup where your doctor monitors your condition and remove your stitches.
After surgery, you may experience some discomfort, tenderness, and swelling. Depending on the type of work you do, you may be able to go back to work within 1 or 2 days following your surgery. However, for 1 to 2 weeks after surgery, you will need to avoid activities that involve repeated hand movements, such as typing, using a computer mouse, carrying things in the affected hands, or vacuuming if the surgery is done on your hand or wrist. You should also avoid activities that make your hand vibrate, such as using power tools. If the surgery is done in your ankle or foot, you need to do less walking.
The total recovery time can take around 2 to 6 weeks until you can go back to your full normal routine.
Your doctor will give you detailed post-operative instructions that you need to follow closely. These instructions may include:
Avoid getting the surgical site wet until your doctor says it’s okay.
Do not swim, take a bath, use a hot tub, or soak the surgical site until your doctor allows you too.
You may be able to eat your normal diet once you feel well. However, you may need to try bland and low-fat foods if you experience an upset stomach, such as toast, broiled chicken, plain rice, and yogurt.
Your doctor may give you prescription pain medicine, make sure to take it as prescribed.
Talk to your doctor when you can restart your medicines (such as blood-thinners or other medicines you need to treat certain medical conditions).
Keep the area of the incision clean and dry.
Anytime you lie or sit down, try to keep the area above the level of your heart to reduce swelling.
You may need physical therapy after you heal to regain strength, movement, and grip in your hand and wrist.
Surgery is considered as the most effective technique to treat ganglion cyst. However, the ganglion cyst can still reoccur even after surgery. A study found a 29.7% recurrence rate in a sample of 52 people.
As with any surgical procedure, ganglion cyst removal have some possible risks and complications. These include:
Infection
Allergic reaction to the anesthesia
Sensitivity around scar tissue
Losing the ability to move your wrist normally
Injuries to surrounding ligaments, tendons, or nerves.
There are numerous alternatives to ganglion cyst removal, such as:
Aspiration – this procedure involves the use of a needle to drain the fluid from the cyst.
Before ganglion cyst removal, it may be hard to move the area where the cyst occurs. Ganglion cysts can also become painful. After the surgery, you will be able to use the area of your body that had the cyst without any pain and it will regain full strength. The area may also look and feel better.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Nepal is a country in South Asia, sandwiched between India and China. Home to the mighty Mount Everest, this incredible country has diverse landscapes, from the Himalayan Mountains in the north to the sprawling plains in the south. Towering mountains, charming hill villages, golden mountains, and jungle wildlife, Nepal is truly one of the world’s best travel destinations. Beyond its nature and culture, this country is also increasingly popular for its healthcare. With its affordable high-quality medical facilities, Nepal is considered to have immense potential for medical tourism, due to the availability of good infrastructure, highly trained specialists, modern medical equipment, and relatively cheaper medical treatment. In fact, it’s currently the fastest-growing segment of the country’s tourism. Medical tourists coming to Nepal are usually seeking exceptionally high medical treatment at competitive rates. Some of the most sought after procedures are dental treatments, cardiac services, and neurological treatments.
Kathmandu, the capital and largest city in Nepal, is historic, enticing, spiritual, and vibrant. One of the most famous attractions in the city is the old town, where tourists can find the most popular Tibetan pilgrimage site, the Kathesimbhu Stupa. Another top attraction is Kumari Bahal, which is the home of the Kumari, the girl who is selected to be the town’s living symbol of Devi. Tourists looking to relax in a more laid-back vibe usually go to Pokhara. Stretching along the shore of an idyllic lake, it offers spectacular scenery. It also boasts a thriving adventure-sports industry, from paragliding to paddle boats. Anyone who wants to experience an ancient way of life should visit Bhaktapur, which is filled with artisan weave cloths, amazing cuisine, and beautiful temples.
The main international airport in Nepal is Tribhuvan International Airport, which serves flights to and from numerous cities in Asia, such as Delhi, Hong Kong, and Dubai. Getting around the country can be a challenge, but public transportation is available. Buses are affordable, however, they tend to be overloaded. Tourist buses are the best way to travel around as they are in good condition.
Citizens of India do not need a visa to enter Nepal without restrictions. Citizens of almost all nations, including the US and all EU countries, can obtain a visa on arrival that is valid for up to 90 days. Only holders of passports from 12 countries, need to have a visa in advance.
Nepal has five seasons. Spring starts in March until May, it offers pleasant weather that is not too cold nor too hot. Summer arrives in June and ends in August, bringing hot temperatures of around 28°C. Monsoon from June to September receives rain almost every day. Autumn and pre-winter bring sunny and pleasant weather, while winter can be very cold.
Local Currency: Nepali rupee (NPR) is the official currency. 1 USD converts to 115 NPR.
Money & Payments: ATMs are available in major cities, such as Kathmandu and Pokhara. Credit cards are accepted in major hotels and restaurants. Tipping is expected.
Local Language: The official language is Nepali. English is mainly spoken in tourism areas.
Local Culture and Religion: Hinduism and Buddhism coexist in Nepal peacefully. Islam, Kiratism, and Christianity are in the minority.
Public Holidays: Some of the most celebrated public holidays are Maha Shivaratri, Buddha Jayanti, Sambidhaan Diwas, and Bhaitika.