this is Nicole deal in this video we'll 00:04 be demonstrating excision of a dorsal 00:06 hand ganglion arising from the tendon 00:09 you can see here we're palpating the 00:11 mass which is between the index and the 00:15 long metacarpal heads and incisions made 00:22 directly over the mass dissection is 00:28 carried out taking care to preserve any 00:31 cutaneous nerves 00:56 the tendon is identified and carefully 01:00 protected as is the distal juncture ax 01:04 the mass is visualized and dissected off 01:07 the tendon 01:56 the mass is removed and sent for 01:58 pathology and the wound is irrigated and 02:03 closed using absorbable sutures in a 02:07 running fashion the patient is allowed 02:09 to begin immediate range of motion a 02:11 sterile dressing is applied