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A Journal on Heart and Vascular Diseases

Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2016 August;64(4 Suppl 2):1-80

language: Italian

Linee guida flebo-linfologiche SIF-SICVE 2016 della Società Italiana di Flebologia e della Società Italiana di Chirurgia Vascolare ed Endovascolare

Heinrich EBNER 1, Francesco STILLO 2, 3, Gaetano LANZA 4, Nicola MANGIALARDI 5, Giovanni B. AGUS 6, Marco APPERTI 7, Eugenio BERNARDINI 8, Marcello BERNARDINI 9, Benedetto BERNARDO 10, Giuseppe BIANCHINI 11, Roberto BISACCI 7, Stefano CAMPARINI 12, Nicola CHIULLI 13, Domenico CORDA 14, Aldo CRESPI 15, Antonio DE FIORES 16, Roberto DI MITRI 17, Walter DORIGO 18, Juliane A. EBNER 19, Guglielmo EMANUELLI 20, Francesco FERRARA 21, Giuseppe GENOVESE 7, Elena GIACOMELLI 18, Benedetta GIANNASIO 18, Bruno GOSSETTI 22, Mirko GUERRA 17, Vincenzo MATTALIANO 23, Antonello MUSIANI 15, Olindo PIERONI 24, Riccardo PICCIOLI 25, Massimo PISACRETA 26, Carlo PRATESI 18, Sonia RONCHEY 27, Gennaro QUARTO 28, Antonio SELLITTI 29, Giovanni M. SPINELLI 30, Enzo STRATI 31, Antonio TORI 32, Marco VIANI 33, Pierluigi ZOLESIO 34

1 Associazione Atesina per lo Studio delle Malattie Chirurgiche dei Vasi e del Torace, Bolzano, Italy; 2 Centro Malformazioni Vascolari Casa di Cura Guarnieri, Roma, Italy; 3 Villa Verde, Reggio Emilia, Italy; 4 U.O.C. Chirurgia Vascolare, Ospedale Multimedica IRCCS, Castellanza, Varese, Italy; 5 U.O.C. Chirurgia Vascolare, Presidio Ospedaliero S. Filippo Neri, Roma, Italy; 6 Chirurgia Vascolare, Università degli Studi, Milano, Italy; 7 Centro Interuniversitario per la Ricerca e Formazione in Flebologia, Perugia, Italy; 8 Studio Flebologico Bernardini, Livorno, Italy; 9 U.O. Chirurgia Generale Ospedale di Volterra, USL Toscana Nord, Volterra, Pisa, Italy; 10 U.D. di Chirurgia Vascolare ed Endovascolare CdC GEPOS, Telese Terme, Benevento, Italy; 11 Divisione di Chirurgia Vascolare, Centro Angiomi, IRCCS Istituto Dermopatico dell’Immacolata, Roma, Italy; 12 U.O.C. Chirurgia Vascolare, Azienda Ospedaliera Brotzu, Cagliari, Italy; 13 Studio Flebologico Ippocrate, Pescara, Italy; 14 Polimedica San Franco, Pavia, Italy; 15 S.S. Prevenzione e Cura Lesioni Vascolari ASL NO, Novara, Italy; 16 Laboratorio di Diagnostica Vascolare, Clinica Guarnieri, Roma, Italy; 17 Centro Vascolare Toscano, Casa di cura di San Rossore, Pisa, Italy; 18 Chirurgia Vascolare, Università degli Studi di Firenze, Italy; 19 U.O.C. Chirurgia Vascolare e Toracica, Ospedale Centrale, Bolzano, Italy; 20 U.F. Chirurgia Vascolare, Istituti Clinici Zucchi, Monza, Italy; 21 Studio Flebologico Ferrara Acerra, Napoli, Italy; 22 Cattedra di Chirurgia Vascolare Università degli Studi “Sapienza”, Policlinico Umberto I, Roma, Italy; 23 Responsabile Chirurgia Flebologica, Casa di Cura Barbantini, Lucca, Italy; 24 Studio Medico Flebologico Dott. Olindo Pieroni, Potenza, Italy; 25 Ambulatorio Flebologico Medilaser, Crema, Italy; 26 U.C. Cardiochirurgia e Chirurgia Vascolare, Dipartimento Cardio-Nefro-Vascolare, Ospedale Luigi Sacco, Milano, Italy; 27 U.O.C. Chirurgia Vascolare, A.C.O. San Filippo Neri, Roma, Italy; 28 Dipartimento Universitario di Medicina Clinica e Chirurgia, Università degli Studi Federico II, Napoli, Italy; 29 Servizio di Angiologia e Flebologia Chirurgica, ASL Salerno, Nocera/Pagani, Italy; Italy; 30 Studio Flebologico Spinelli, Perugia, Italy; 31 Medical Center di Bianco, Reggio Calabria, Italy; 32 Centro Medico Altem, Busto Arsizio, Varese, Italy; 33 S.S. Dipartimentale di Chirurgia Generale ad indirizzo Vascolare, A.S.S.T. Fatebenefratelli Sacco, Milano, Italy; 34 Servizio di Riabilitazione, Ospedale Businco, Cagliari, Italy


Phlebology is not a specialty for its own in Italy. Phlebological patients are treated by vascular and general surgeons, dermatologists, phlebologists, angiologists, internists and even general practitioners. Even tough guidelines present a series of recommendations based on evidence-based medicine, guidelines may also be a tool to unify the diagnostic and therapeutic approach in a vast medical field like phlebology. Since vascular surgeons and phlebologists are particularly involved in phlebology-related pathologies the scientific societies of the Italian Society of Phlebology (SIF) and the Italian Society for Vascular and Endovascular Surgery (SICVE) decided to cooperate for the preparation of phlebo-lymphological guidelines. These guidelines comprehend also an important chapter dealing with the lymphology of the lower extremities; phlebological active physicians are often faced with lymphatic pathologies and a good differential diagnosis can be sometimes very helpful. Sclerotherapy and Surgery as the major therapeutical alternatives are extensively analyzed, but also the compression therapy, the medical and physical therapy are presented under the critical view of evidence based analyses. Separate chapters deal with the treatment alternatives for superficial and deep venous thromboses and the recommendations for the treatment of venous ulcers. The current scientific evidences were confronted with the experiences of Italian specialists and the particular practice and reality in Italy. They represent therefore the actual valid positions and recommendations in Italy which shall be updated regularly.

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