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August 22, 2026Libyan International Medical University JournalOpen Access

Aspiration versus Surgical Excision for Wrist Ganglion Cysts: A Systematic Review and Meta-analysis

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Authors

MGMuhammad Ramadhan GhifariGFGhossan FaisolFFFaiq Faisol

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Overview

Systematic review and meta-analysis reveals lower recurrence rates with surgical excision than aspiration for wrist ganglion cysts, indicating a need for individualized treatment.

Key Points

  • To systematically evaluate and compare the recurrence rates of wrist ganglion cysts following treatment with aspiration versus surgical excision.
  • Searched PubMed, Scopus, and ScienceDirect through April 2025 for studies comparing recurrence rates between aspiration and surgical excision in patients with wrist ganglion cysts.
  • Assessed study quality using Risk of Bias 2.0 and ROBINS-I tools and pooled data using random-effects meta-analysis across 19 studies totaling 1,633 patients.
  • Surgical excision significantly reduced the overall recurrence rate compared with aspiration (RR: 0.46; 95% CI: 0.30–0.69; I² = 73%; p = 0.0002).
  • Subgroup analyses showed reduced recurrence with surgery in cohort studies and dorsal ganglia cases, but the difference was not statistically significant in randomized studies (RR: 0.34; 95% CI: 0.11–1.04; p = 0.06).

Cite This Study

Ghifari et al. (2026) studied this question.

synapsesocial.com/papers/6a895eeeca7ade938187d29dhttps://doi.org/10.1055/s-0046-1827020
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Comparative Study of Surgical Excision and Steroid Injection in Managing Ganglion Cysts2024
  2. 2Plastic surgery treatment approaches and results for ganglion cysts: retrospective analysis of 1,784 patients2025
  3. 3COMPARATIVE STUDY OF ASPIRATION WITH TRIAMCINOLONE INJECTION VERSUS SURGICAL EXCISION IN THE MANAGEMENT OF DORSAL WRIST GANGLIONS: A PROSPECTIVE ANALYSIS2025
  4. 4Arthroscopic versus open excision of dorsal wrist ganglia2026
  5. 5Surgical Excision versus Ultrasound-Guided Treatment of Symptomatic Wrist Ganglia in Pediatric Patients2023 · 2 citations