Patient guide
Scientific evidence translated into plain language.
This section reports basic information on venous and lymphatic disease and on limb lipedema, as well as on pelvic venous disorders, following the data reported in the scientific literature, cited in the text with full bibliographic detail, so that patients can deepen their knowledge of the subject even further. Click on a title to read more.

Varicose veins: signs, symptoms and diagnosis
The six stages of chronic venous disease and what a properly performed duplex ultrasound has to cover.
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The saphenous vein: remove it or preserve it?
Reflux in the saphenous vein does not mean the vein is diseased: it means it sits between two points at different pressure.
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Varicose vein therapy: repair instead of destroy
Every ablative technique shares the same strategy. Restoring drainage halves the risk of recurrence.
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The CHIVA strategy
Office-based haemodynamic correction of venous insufficiency: turning reflux into a physiological drainage flow.
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The evidence-based treatment of leg spider veins
Up to 30% of treatments end in skin pigmentation. In 26% of the apparently cosmetic cases the cause runs deeper.
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Pelvic venous disorders
Lower abdominal discomfort, pain during intercourse, a sense of constipation, back pain, varices around the perineum. Our PHLEBOgynaecology pathway.
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Lipedema
It is not obesity and it is not water retention. It is a chronic disease of adipose tissue that calls for differential diagnosis and a multidisciplinary pathway.
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Lymphedema
It is not just a swollen leg: treating it early and appropriately makes a great difference.
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