27347 Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee

Name of the Procedure:

Excision of Lesion of Meniscus or Capsule (e.g., Cyst, Ganglion), Knee

Summary

The excision of a lesion of the meniscus or capsule in the knee is a surgical procedure to remove abnormal growths such as cysts or ganglions from the knee joint. These growths can cause pain, swelling, or impede normal movement, and their removal can alleviate these symptoms.

Purpose

The procedure aims to address any pain or discomfort caused by cysts or ganglions in the knee, improve joint function, and prevent further complications such as joint damage or decreased mobility.

Indications

• Persistent knee pain or swelling that does not respond to conservative treatments.
• Interference with normal knee joint movement.
• Diagnosed cysts or ganglions confirmed through imaging studies.
• Patients who have not achieved relief with non-surgical treatments like physical therapy or medications.

Preparation

• Patients may be instructed to fast for several hours before the procedure.
• Medication adjustments, particularly blood thinners, may be required.
• Diagnostic tests such as an MRI or ultrasound might be conducted to locate and define the lesion accurately.

Procedure Description

1. The patient is usually administered regional or general anesthesia for comfort.
2. An incision is made near the knee area where the lesion is located.
3. The surgeon carefully excises the cyst or ganglion from the meniscus or capsule using specialized surgical tools.
4. The area is then thoroughly inspected to ensure complete removal of the lesion.
5. The incision is closed with sutures, and a sterile bandage is applied.

Duration

The procedure usually takes about 1 to 2 hours, depending on the complexity and size of the lesion.

Setting

This procedure is typically performed in a hospital or outpatient surgical center.

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist

Risks and Complications

• Infection
• Bleeding or hematoma
• Injury to surrounding tissues or structures
• Scar tissue formation
• Recurrence of the cyst or ganglion
• Adverse reactions to anesthesia

Benefits

• Relief from pain and discomfort.
• Improved knee joint function and mobility.
• Prevention of potential joint damage caused by the lesion.

Recovery

• Initial rest and limited movement to allow healing.
• Ice packs and elevation to reduce swelling.
• Follow-up appointments to monitor progress.
• Physical therapy might be recommended to restore full function.
• Expect recovery to take anywhere from a few weeks to several months, depending on the individual case and adherence to post-operative care.

Alternatives

• Non-surgical options such as aspiration of the cyst, physical therapy, or steroid injections.
• Pros and cons should be discussed with the healthcare provider to determine the best course of action.

Patient Experience

Patients will be under anesthesia and thus should not feel pain during the procedure itself. Post-operatively, they might experience some pain and swelling, which can be managed with prescribed pain medications and rest. Comfort measures such as ice and elevation, as well as a comprehensive pain management plan, will be provided to ensure a smooth recovery.