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Dear Doctor
My 3 1/2yr old son was diagnosed with a Bakers cyst about 4 months ago and it was surgically removed. It has already returned! Have been to orthepedic surgeon who informs that it should not be removed and that it is common for bakers cyst to return. I am still concerned as it is quite large however it does not seem to be overlly painful for my son. Do you agree that it should be left alone and hopefull it will disappear by itself.
Many thanks
Sharron
In Reply to: bakers cyst posted by Sharron on November 06, 1999 at 04:51:27:
Hi, Sharron.
Have you read the archives about Baker's?
Once you understand how they form, you will not be at the mercy of docs who do not explain. Any doc knows what I am saying and it is THEIR responsibillity to explain this to you along with precisely what they are going to do when they get in there.
The proper way for a Baker's Cyst to be removed includes locating the rip in the joint capsule that caused the cyst to form AND repairing that tear! If only the cyst is removed, it is VERY likely to recur---and continue recurring until the tear is repaired. Unfortunately, each time they go in to "remove the cyst" the more scarring there will be and the harder to find the tear. The first time it is not so hard since the tear will be right at the neck of the cyst.
Once you really understand the mechanism of Baker's formation, if you still have questions, write again.
Walt
In Reply to: Re: bakers cyst (Surgical removal INCLUDES repair of the defect.) NUGGET and Archive. posted by Walt Stoll on November 07, 1999 at 10:16:49:
my bakers cyst was removed. Post surgery I had extensive swelling,possibly due to too much activity. 50 ccs. of non cyst fluid was aspirated from the incision site. I have for the week following, worn a pressure bandage and stiff legged brace. there is still some swelling at the incision site but not as much as before the draining. I also have extreme pain in my calf. I am concerned about this pain and am wondering what to expect as far as healing time and what other complications might arise from this reoccurence of the swelling and fluid.
In Reply to: Re: bakers cyst (Surgical removal INCLUDES repair of the defect.) NUGGET and Archive. posted by Walt Stoll on November 07, 1999 at 10:16:49:
my bakers cyst was removed. Post surgery I had extensive swelling,possibly due to too much activity. 50 ccs. of non cyst fluid was aspirated from the incision site. I have for the week following, worn a pressure bandage and stiff legged brace. there is still some swelling at the incision site but not as much as before the draining. I also have extreme pain in my calf. I am concerned about this pain and am wondering what to expect as far as healing time and what other complications might arise from this reoccurence of the swelling and fluid.
In Reply to: Re: bakers cyst (Surgical removal INCLUDES repair of the defect.) NUGGET and Archive. posted by tommy k on February 15, 2000 at 11:50:10:
Hi, Tommy.
MY take on this would be that the defect in the joint capsule (that allowed the Baker's to form in the first place) was not identified, at surgery, and sutured closed: Only the cyst was removed.
There is an excellent chance that this Baker's will recur. The reason it has not recurred already is that, NOW, there is an incision there for the fluid to leak out of. Your calf likely hurts because some of the fluid is leaking down the fascial spaces because of gravity.
This is why it is critical for everyone with this condition to understand it thoroughly before throwing themselves on the sacrificial table and trusting the surgeon to do all of their thinking for them.
Walt
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