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  • Title: Long-Term Patency of Lymphovenous Anastomoses: A Systematic Review.
    Author: Tourani SS, Taylor GI, Ashton MW.
    Journal: Plast Reconstr Surg; 2016 Aug; 138(2):492-498. PubMed ID: 27064227.
    Abstract:
    BACKGROUND: With advancements in technology and microsurgical techniques, lymphovenous anastomosis has become a popular reconstructive procedure in the treatment of chronic lymphedema. However, the long-term patency of these anastomoses is not clear in the literature. METHODS: A systematic review of the MEDLINE and EMBASE databases was performed to assess the reported long-term patency of lymphovenous anastomoses. RESULTS: A total of eight studies satisfied the inclusion criteria. Pooled data from four similar experiments in normal dogs showed an average long-term (≥5 months) patency of 52 percent. The only experiment in dogs with chronic lymphedema failed to show any long-term patency. CONCLUSIONS: The creation of peripheral lymphovenous anastomoses with a moderate long-term patency rate has become technically possible. However, the long-term results in chronic lymphedema are limited.
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