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<p>No formal assessment has been made of the potential merits of providing lymphaticovenous
anastomosis surgery on the National Health Service. On 16 April 2024, the National
Institute for Health and Care Excellence (NICE) published interventional procedures
guidance that states that lymphovenous anastomosis during axillary dissection for
preventing secondary lymphoedema in adults with breast cancer, can be used in the
NHS while more evidence is generated, and that it can only be used with special arrangements
for clinical governance, consent and audit, or research. The NICE’s interventional
procedures guidance makes recommendations for the NHS on whether procedures are sufficiently
safe and efficacious for use in routine clinical practice.</p>
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