Melhor evidência

Diretrizes, consensos, metanálises, revisões sistemáticas e ensaios clínicos randomizados. 47 artigos.

Diretriz / consenso (8)

Nível de evidência 5 de 5

S2k guideline lipedema

This S2k guideline was developed on the initiative and under the German Society of Phlebology and Lymphology (DGPL) leadership. The guideline aims to optimize the diagnosis and treatment of lipedema. It is intended to bring…

Faerber G et al. · Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 27 ago 2024

Nível de evidência 5 de 5

[Management of patients with lymphatic diseases and lipoedema during the COVID-19 pandemic. Recommendations of the Spanish Group of Lymphology]

The COVID-19 pandemic poses a challenge to the management of non-COVID pathologies such as lymphatic diseases and lipoedema. The use of telemedicine can prevent the spread of the disease. A system is needed to help determine the…

Forner Cordero I et al. · Rehabilitacion · 8 ago 2020

Nível de evidência 5 de 5

[Differential diagnostics of lipedema and lymphedema : A practical guideline]

Lipedema is a symmetrical disorder of the subcutaneous adipose tissue that affects almost exclusively women in postpubescent age. The trinity of disfiguring hyperplastic adipose tissue of the proximal extremities, increasing pain…

Wollina U, Heinig B · Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 1 dez 2018

Nível de evidência 5 de 5

[S1 guideline on intermittent pneumatic compression (IPC)]

Under the direction of the German Society of Phlebology (Deutsche Gesellschaft für Phlebologie) and in cooperation with other specialist associations, the S1 guideline on intermittent pneumatic compression (IPC) was adopted in…

Schwahn-Schreiber C et al. · Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 1 ago 2018

Nível de evidência 5 de 5

S1 guidelines: Lipedema

The present, revised guidelines on lipedema were developed under the auspices of and funded by the German Society of Phlebology (DGP). The recommendations are based on a systematic literature search and the consensus of eight…

Reich-Schupke S et al. · Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 1 jul 2017

Metanálise / revisão sistemática (25)

Nível de evidência 5 de 5

Non-Invasive Radiofrequency Therapy for Musculoskeletal, Neurological, and Vascular Conditions of the Lower Limb: A Systematic Review and Meta-Analysis

Background/Objectives: Non-invasive radiofrequency (NIRF) therapy is increasingly used in physical rehabilitation. However, its efficacy across different lower limb pathologies remains unclear. This study aimed to evaluate the…

Vinolo-Gil MJ et al. · Journal of clinical medicine · 22 mar 2026

Lipedema: Progress, Challenges, and the Road Ahead

Lipedema is a chronic and progressive disease that predominantly affects women, characterized by a disproportionate increase in subcutaneous adipose tissue (AT), particularly in the lower limbs. It is associated with significant…

Cifarelli V · Obesity reviews : an official journal of the International Association for the Study of Obesity · 27 mai 2025

Nível de evidência 5 de 5

Carboxytherapy in Dermatologic Surgery and Aesthetic Medicine: Current Knowledge and Future Perspectives-A Systematic Review

Carboxytherapy (CXT) is a minimally invasive procedure based on percutaneous or subcutaneous microinjections of carbon dioxide. Due to the Bohr effect, it influences the hemoglobin dissociation curve, improving tissue…

Susini P et al. · Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 10 mar 2025

Objective Assessment of the Cardiorespiratory Fitness Among Individuals With Lymphedema and Lipedema: A Systematic Review and Meta-Analysis

Background: One of the main challenges in managing lymphedema and lipedema is the lack of valid and reliable objective measures for diagnosis and follow-up. This study was aimed at gathering evidence regarding the objective…

Vanaki A et al. · International journal of vascular medicine · 13 fev 2025

Nível de evidência 5 de 5

The Efficacy of Ketogenic Diets (Low Carbohydrate; High Fat) as a Potential Nutritional Intervention for Lipedema: A Systematic Review and Meta-Analysis

Lipedema is a frequently misdiagnosed condition in women, often mistaken for obesity, which significantly deteriorates both quality of life and physical health. Recognizing the necessity for holistic treatment strategies,…

Amato ACM, Amato JLS, Benitti DA · Nutrients · 27 set 2024

Nível de evidência 5 de 5

Comparing the safety and effectiveness of different liposuction techniques for lipedema

Lipedema is a relatively common, frequently misdiagnosed, chronic condition that is often treated using liposuction when conservative therapies fail. Techniques such as traditional tumescent liposuction (TTL), power-assisted…

Fijany AJ et al. · Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 31 jul 2024

[Searching for Evidence: A Systematic Review of the Pathology of Lipoedema]

Lipoedema is a symmetrically localised, painful hypertrophy of subcutaneous adipose tissue in the extremities with marked disproportion to the trunk, and almost exclusively affects females. Despite being first described over 80…

Funke S et al. · Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... · 20 nov 2023

Diagnostic imaging in lipedema: A systematic review

Diagnosing lipedema remains a challenge due to its heterogeneous presentation, co-existing diseases, and the lack of objective diagnostic imaging. This systematic review aims to outline the currently available diagnostic imaging…

van la Parra RFD, Deconinck C, Krug B · Obesity reviews : an official journal of the International Association for the Study of Obesity · 3 out 2023

Nível de evidência 5 de 5

Management of large volume liposuction in lipedema patients with von Willebrand disease: A systematic review and treatment algorithm

When performing large volume liposuction, perioperative management of lipedema patients with coagulation disorders remains challenging due to a lack of clinical experience. With a prevalence of 1% of von Willebrand disease (VWD)…

Schmidt J et al. · Clinical hemorheology and microcirculation · 1 jan 2021

[Current review of factors in the stem cell donor that influence the regenerative potential of adipose tissue-derived stem cells]

Regenerative therapies like cell-assisted lipotransfer or preclinical experimental studies use adipose tissue-derived stem cells (ASCs) as the main therapeutic agent. But there are also factors depending on the clinical donor…

Kuhlmann C et al. · Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... · 8 dez 2020

Ensaio clínico randomizado (14)

Nível de evidência 4 de 5

Liposuction versus conservative therapy for patients with lipoedema in Germany: a multicentre, randomised controlled clinical trial

Lipoedema is a painful, chronic disease of the subcutaneous adipose tissue, predominantly affecting women. Conservative complex decongestive therapy is the standard of care but offers limited symptom relief. Liposuction appears…

Podda M et al. · Lancet (London, England) · 5 set 2026

Nível de evidência 4 de 5

Changes in plasma fatty acid composition in females with lipedema following low-carbohydrate vs low-fat diets and associations with pain reduction

Lipedema is a chronic female disease characterized by a painful accumulation of adipose tissue in the limbs. Plasma fatty acid (FA) composition has been proposed as a potential modulator of pain. However, the pathophysiology…

Lundanes J et al. · Nutrition journal · 11 mar 2026

Nível de evidência 4 de 5

Effects of multimodal exercise program on edema, pain, exercise capacity, lower extremity muscle strength and function in patients with lipedema

Objectives: This study aimed to examine the effects of a multimodal exercise program on edema, pain, exercise capacity, lower extremity muscle strength, and function in patients with lipedema.Methods: The patients diagnosed with…

Sakizli Erdal E et al. · Phlebology · 15 mai 2025

Nível de evidência 4 de 5

Gastrointestinal hormones and subjective ratings of appetite after low-carbohydrate vs low-fat low-energy diets in females with lipedema - A randomized controlled trial

Ketosis seems to attenuate, or prevent, the rise in both ghrelin concentrations and subjective hunger ratings that follow weight loss. However, most of the previous studies have employed very-low energy diets (VLED) and are…

Lundanes J et al. · Clinical nutrition ESPEN · 19 nov 2024

Nível de evidência 4 de 5

Effect of a low-carbohydrate diet on pain and quality of life in female patients with lipedema: a randomized controlled trial

The primary objective of this study was to evaluate the effect of a low-carbohydrate diet (LCD) compared with a control diet on pain in female patients with lipedema. The secondary objectives were to compare the impact of the two…

Lundanes J et al. · Obesity (Silver Spring, Md.) · 16 abr 2024

Nível de evidência 4 de 5

Effect of pneumatic compression device and stocking use on symptoms and quality of life in women with lipedema: A proof-in-principle randomized trial

Does short-term use of pneumatic compression devices (PCD) and off-the-shelf compression alleviate symptoms and improve quality of life in women with lipedema and secondary lipolymphedema? Prospective, randomized controlled,…

Wright T, Scarfino CD, O'Malley EM · Phlebology · 15 dez 2022

Nível de evidência 4 de 5

A randomised controlled multicentre investigator-blinded clinical trial comparing efficacy and safety of surgery versus complex physical decongestive therapy for lipedema (LIPLEG)

Lipedema is a chronic disorder of the adipose tissue that affects mainly women, characterised by symmetrical, excessive fatty tissue on the legs and pain. Standard conservative treatment is long-term comprehensive decongestive…

Podda M et al. · Trials · 30 out 2021

Nível de evidência 4 de 5

The Effects of Complete Decongestive Therapy or Intermittent Pneumatic Compression Therapy or Exercise Only in the Treatment of Severe Lipedema: A Randomized Controlled Trial

Background: Lack of diagnostic awareness of lipedema and frequent confusion with obesity or lymphedema may be an obstacle for treatment. The clinical effects of conservative treatment methods are not clearly known. This study…

Atan T, Bahar-Özdemir Y · Lymphatic research and biology · 9 dez 2020

Nível de evidência 4 de 5

Low-frequency vibrotherapy considerably improves the effectiveness of manual lymphatic drainage (MLD) in patients with lipedema: A two-armed, randomized, controlled pragmatic trial

Purpose: Although the exact prevalence of lipedema is unknown the number of women suffering from this condition is ever-growing. When treated conservatively, manual lymphatic drainage is regarded the gold standard. However, the…

Schneider R · Physiotherapy theory and practice · 30 mai 2018

Nível de evidência 4 de 5

Evaluation of patient-relevant outcomes of lymphedema and lipedema treatment: development and validation of a new benefit tool

Patient-relevant treatment benefit is traditionally measured with health-related quality of life (HRQoL) instruments. The Patient Benefit Index (PBI) methodology allows for a more direct measurement, with the patients rating both…

Blome C et al. · European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 22 out 2013