In any cases assigned to the surgical treatment of Baker's cyst
The appearance of Baker's cyst in a patient the feeling of discomfort, pressure, pain below the knee. There are difficulties in flexion and extension of the legs, accompanied by pain. If the Baker's cyst is large, it can cause circulatory disorders due to the displacement of nearby blood vessels. Below the knee there is a feeling of cold skin, numbness, tingling, swollen.
Treatment of Baker's cyst begins with a full examination to identify the causes of the disease. Perform ultrasound (ultrasonography), MRI (magnetic resonance imaging) of the knee joint, make a puncture of the cyst contents. The results of the survey are selected tactics of treatment. Removal surgery of Baker's cyst is performed in case of failure of conservative methods of therapy. Surgical intervention helps to cope with the cyst once and for all.
Surgery to remove cyst Baker is assigned when compression of the tibial nerve with numbness of the foot, with a huge amount
education, in the case of the appearance of varicose veins on the affected side. In these cases, the delay in the removal of the cyst may lead to serious complications, such as neuropathy of tibial nerve, muscle atrophy of the foot, thrombosis of the deep veins of the lower leg with the blockage of pulmonary artery by a detached thrombus.
How is the operation for removal of Baker's cyst
Surgery is performed under local or regional anesthesia, anesthesia with the patient euthanasia is not applied. Cyst removal is performed within half an hour. After anesthesia, the surgeon removes mucous bags together with the contents as follows. The doctor makes an incision of the skin over the cyst on the posterior surface of the popliteal fossa, then the bag is carefully distinguished from the surrounding tissue, the stalk of the tumor is tied off or sewn in place of its attachment to the joint. Then the cyst is cut off at the base.
After removal of the cyst, the operative wound is carefully sutured, her sterile bandage, and the top is fixed with plaster Longuet or tight bandage. Postoperative observation of the patient in the hospital lasts 3-5 hours. A week after cyst removal, the patient is allowed to fully walk on his bad leg. Full rehabilitation can be expected on the 10th day when the doctor remove the stitches in the popliteal fossa. As a rule, the results of surgical treatment are good, and recurrence of the disease was not observed.