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Ganglion cyst
A ganglion cyst is a benign tumor that originates in soft tissue, filled with viscous fluid, and is usually found nearby a joint, tendon, or tendon sheath in various areas of the body.
The most common symptoms associated with ganglion cyst are pain, discomfort, restriction of movement due to pain, numbness, weakness, and occasionally even paralysis of the muscles innervated by the compressed nerve. In symptomatic cases, it is recommended to undergo surgery to remove the cyst.
Microsurgical treatment of ganglion cyst
During the operation, using a high magnification microscope, microsurgical tools, and electrophysiological monitoring, the ganglion cyst is carefully removed while preserving the nerve fibers in order to maintain nerve function.
05
Peripheral nerve entrapment
Peripheral nerve entrapment is a condition in which the nerve is restricted in its movement and natural flexibility, and occurs mainly at designated points where the tissue density is high and pressure is created on the nerve tissue. This condition can be caused by constant pressure (due to movement or posture), bone spur, edema or adhesions as a result of injury or previous surgery.
Nerve entrapment can lead to carpal tunnel syndrome (CTS), cubital canal syndrome (ulnar nerve entrapment in the elbow), tarsal tunnel syndrome (TTS), pyriformis syndrome, peroneal nerve entrapment in the knee and ankle, lateral femoral coetaneous nerve (LFCN).
In the first stage, entrapment of the peripheral nerve can cause numbness, neuropathic pain, discomfort, and in more advanced stages significant weakness and muscular atrophy up to irreversible damage.
Microsurgical treatment of trapped peripheral nerve
During the operation, using a high magnification microscope, microsurgical tools, and electrophysiological monitoring, the nerve is carefully released from the pressure created by surrounding tissues, adhesions, and sometimes post-traumatic scars, with preservation of the nerve.
06
Painful neuroma
A painful neuroma is a benign process that develops from nerve tissue and usually is formed after injury to a peripheral nerve. As a result, it causes neuropathic pain - intense and intractable nerve pain with occasionally irradiation to nearby tissues. The nature of the pain is usually burn-like, stinging and stabbing. Numbness may also occur.
There are several types of neuroma:
• Traumatic neuroma: formed as a result of a nerve trauma caused by an accident, a gunshot wound, a direct injury and sometimes after surgical intervention.
• Amputation neuroma: Formed at the end of an amputated limb
• Morton's neuroma: applies pressure on a nerve in the foot and causes persistent pain in the toes
Microsurgical treatment of painful neuroma
During the operation, using a high magnification microscope, microsurgical tools, and electrophysiological monitoring, the nerve is released from the scar tissues caused by the external injury.
Once the injured nerve is released, the neuroma is removed and the end of the nerve is inserted into a nearby muscle in order to significantly reduce the risk of the neuroma recurrence.