Lymphovenous anastomoses in patients with primary and secondary lymphoedema

Rosian K, Stanak M
Record ID 32018000320
English
Authors' objectives: Lymphoedema is a chronic disease that may be congenital (primary) or acquired (secondary). Without appropriate treatment, lymphoedema leads to pain and an impaired quality of life. We investigated the efficacy and safety of lymphovenous anastomoses (LVA), a minimally invasive supermicrosurgical procedure, in patients with primary and secondary lymphoedema.
Authors' results and conclusions: Based on the available evidence, no conclusions can be drawn as to whether the assessed procedure of LVA is at least as effective and safer as the comparator VLNT or conservative therapy.
Authors' recommendations: We currently do not recommend the inclusion of LVA in the Austrian catalogue of procedures and suggest a re-evaluation after 2021, provided that the ongoing studies report patient-related outcomes.
Authors' methods: One non-randomised controlled study and four prospective single-arm studies were evaluated. Overall, the level of evidence is "very low" for the outcomes of clinical effectiveness and safety.
Details
Project Status: Completed
URL for project: https://aihta.at/page/bewertung-medizinischer-einzelleistungen-mel-2018/en
Year Published: 2018
URL for published report: http://eprints.aihta.at/1170/1/DSD_110.pdf
URL for additional information: http://eprints.aihta.at/1170/
English language abstract: An English language summary is available
Publication Type: Full HTA
Country: Austria
MeSH Terms
  • Surgical Procedures, Operative
  • Minimally Invasive Surgical Procedures
  • Therapeutics
  • Lymphedema
  • Extremities
  • Podiatry
  • Quality of Life
  • Anastomosis, Surgical
Keywords
  • Lymphovenous anastomosis
  • primary and secondary lymphoedema
  • minimally invasive procedure
  • quality of life
  • supermicrosurgery
Contact
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
Contact Name: tarquin.mittermayr@aihta.at
Contact Email: office@aihta.at
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.