Clinical summary
Exérèse chirurgicale d'un kyste synovial dorsal du poignet - Pr Emmanuel H Masmejean
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Diagnostic : kyste arthrosynovial et ténosynovite des extenseurs.

Intervention :
AG/DD/GP sous loupes grossissantes.
Incision transversale centrée sur la tuméfaction. Une branche cutanée du nerf radial est repérée et mise à l'écart.

Dissection d'un volumineux kyste typique, et de son collet. Section de la partie distale du rétinaculum des extenseurs afin d'exposer l'origine du kyste. Il existe une synovite adjacente non spécifique des extenseurs. Ténosynovectomie.

Le collet du kyste est disséqué jusqu'à la capsule articulaire dorsale puis sectionné et électrocoagulé. Excision d'une collerette capsulaire qui communique avec l'espace médiocarpien, qui apparaît sain.

Hémostase. Lavage abondant au sérum physiologique. Fermeture avec surjet au Monocryl® 3-0. Pansement Stéristrips®.
Around the surgeon - Nurse(s)
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        Information about the operation
        Duration:01:48 Last update:25/10/2019
        Operation technical gestures
        1. Abord(00:19)
        2. Exérèse(01:05)
        3. Fermeture et immobilisation(00:27)
        Keywords