VASCULAR SURGERY ANGIOLOGY

VASCULAR SURGERY - ANGIOLOGY

At the "Corte della Salute," it is possible to undergo diagnostic and therapeutic evaluations for both major and minor venous and arterial diseases, minimally invasive surgery for varicose veins, sclerotherapy, and vascular colour Doppler ultrasound.

Venous insufficiency in the lower limbs manifests with varying severity, ranging from the dangerous deep vein thrombosis to the more strictly aesthetic aspects of minor venous disease. However, both require a precise diagnostic definition to ensure that the treatments achieve the best results.

Sclerotherapy for telangiectasias and varicose veins of the lower limbs:

This involves halting circulation within the varicose vein by injecting an irritant chemical substance into it. This leads to the permanent closure of the vein through the initiation of a localized inflammatory process.

Sclerotherapy can be used as a complement to surgical intervention, allowing the removal of varicose venous branches. In this way, without the need for surgical incisions, after the larger veins are removed, it is possible to achieve complete healing of the leg.
In selected cases, sclerotherapy can also be performed on larger venous branches, such as the saphenous vein. It should be noted that, globally, this treatment, while minimally invasive, has a recurrence rate of approximately 20-30%, where the vein reopens.

Recently, the introduction of sclerosing foam has allowed for more effective closure of very large venous trunks, both in the saphenous veins and in collateral veins.
The surgical treatment of varicose veins, aimed at reducing symptoms, preventing stasis-related disease, and improving aesthetic outcomes, initially involves stripping the great saphenous vein, which can be performed easily in Day Surgery. Multiple varicectomies are often combined to improve aesthetic results.
The introduction of new techniques (such as modern radiofrequency) now provides a valid alternative to stripping with considerable benefits:

  • Avoiding inguinal incisions, the trauma of stripping, and postoperative sequelae, with short convalescence and a quick return to daily activities.
  • Most procedures are carried out under local anaesthesia, requiring an intervention similar to a dental extraction.
  • Hospital stay is typically limited to a single day, with discharge in the afternoon and, in some cases, especially for observation not related to the surgical procedure, only one overnight stay.
  • Traumatism is limited to micro-incisions of about 1 millimetre, which allow for the removal of varicose veins without the need for stitches, ensuring excellent aesthetic results (no varicose veins, no scars).
  • Nearly complete reduction in the incidence of serious complications, such as thrombosis or bleeding, and minimal minor complications, such as pigmentation, inflammation, and pain.

Vascular surgery in the arterial sector.

We treat carotid artery disease, abdominal aortic aneurysms, and peripheral arterial disease. Regarding carotid artery disease, we perform non-invasive diagnostics, including carotid colour Doppler ultrasound (TSA).

From an operational standpoint, we have been performing carotid bifurcation surgery for over 25 years, opting in the last 15 years for the technique of endarterectomy with eversion and reimplantation of the internal carotid artery.

We also treat aneurysms of the abdominal and infrarenal aorta.

In peripheral arterial disease surgery, we perform above and below-the-joint bypasses.

Moreover, in recent years, perhaps more than in other fields of surgery, vascular surgery has undergone rapid developments, particularly with the introduction of so-called "minimally invasive" procedures. These are surgical interventions that, through minimal skin incisions or even just needle punctures of arteries, allow for the dilation of narrowed blood vessels or the exclusion of dilated areas of the artery (such as aneurysms). In this field, with the collaboration of colleagues in haemodynamics, we have developed highly advanced endovascular techniques.

The Specialists
Dr. Bisetti Paolo
Dr. Gornati Rosella 

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