Vascular and Endovascular Surgery Unit - Civitavecchia / Pathology
Disorders of veins




GSV( great saphenous) ligature and stripping

Short saphenous vein ligature
and section + leg multiple flebectomies


Anatomy of the superficial and deep venous system
Veins pathology

The varicose veins of the lower limbs are the most common vascular disease with dilated saphenous veins and collateral, which determine unsightly, cumbersome and risk of phlebitis. We always recommend the removal of insufficient veins. Remains the best method of removing varicose veins the stripping and ligation and section of the saphenous and related matters under the day-hospital, with demission on the same day of surgery.
There are several less invasive methods (treatment with radiofrequency, laser) which are indicated in selected cases. Indeed, in special circumstances (young subjects, leg varicose vein not particularly excessive) to treat varicose veins with laser method (EVLT), with very satisfactory results and ready return to normal daily activities.
The laser is also useful in the treatment of teleangectasies (annoying and unsightly capillaries of the lower limbs).
For the varicocele, depending on the age and circumstances, can be brought on surgical treatment or endovascular with the spermatic veins sclerotization.
In case of interest of lesser saphenous vein, after the leg, we are doing ligation and section of the lesser saphenous vein to the popliteal level.
The deep venous thrombosis (DVT) are treated with anticoagulant and become of surgical interest in the case of embolic risk  (cava filter prophylaxis), in situations of repeated embolic episodes or unable to perform appropriate anticoagulant treatment.
A  recent origin of the  iliac-femoral-popliteal tract DVT can benefit from treatment of embolic disoctuction with special catheters for embolectomy.

UOCVE - Ospedale San Paolo
Largo Donatori di Sangue 00053 Civitavecchia
tel 0766.591460/1/2/3 - fax 0766.591464
info@chirurgiavascolarecivitavecchia.org
chirurgiavascolarecivitavecchia@aslrmf.it
ch.vasc.civitavecchia@virgilio.it