When the cyst returns and creates pain or Fungus Hack Review functional limitation, that is the point at which surgery is considered. Surgical removal of cysts can be simple, or can be complex if the cyst is large or integrated into surrounding tissue. The surgical procedure for removing ganglion cysts involves making an incision directly over the area where the cyst lies, and careful separation of the cyst from the surrounding tissue without rupturing the cyst.
Once the cyst ruptures, the fluid that remains can potentially become walled off again, and finding the exact ending margin of the cyst wall becomes more difficult once it is 'deflated'. The cyst must be removed in its entirety, including all of the cyst wall and the original connecting tissue. If this is not done, the cyst may simply reform. The complete removal of all this tissue is not always easy, and sometimes even the slightest of remaining tissue not visible to the surgeon can allow for a return.
Removing cysts often requires identification of several different lobes, or branches of the cyst, if it is not in one smooth piece. This exploration often requires the surgeon to gently move around surrounding vital tissues, which could have cyst material wrapped around them. This can result in a complicated removal process, and can increase the risk or likelihood of the cyst returning after surgery. It also places the surrounding vital tissue, like nerves, at risk for damage during the surgery. In rare cases, the expansion of the cyst has already damaged the surrounding tissue, and there may be lasting effects even after the surgical healing has completed.