A new classification of varicose veins to compare various surgical strategies

A. Berni, S. Cavaiola**, T. Tombesi, R. Mele, L. Tromba, A. Fiorellino, L. Corbellini*

Cattedra di Semeiotica e Metodologia Clinica Chirurgica, III Istituto di Clinica Chirurgica Generale, “La Sapienza” University – Rome (Italy)
*Cattedra di Chirurgia Generale, “G. D’Annunzio” University – Chieti (Italy)
**Istituto di Tecnologie Biomediche, Consiglio Nazionale delle Ricerche – Rome (Italy)

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• Angiology

Abstract. – Considering the presupposition that chronic venous insufficiency (CVI) and varicose veins classifications are extremely difficult, and that none of those presently in use are sufficiently complete, the authors propose the classification of the haemodynamic venous disease (HVD) and of the varicose veins from the clinical, anatomotopographical, etiopathogenetical and haemodynamical point-of-view. This type of classification allows us to closely follow the disease’s evolution, to distinguish the benign forms from the more aggressive ones, and to evaluate the results of the medical, surgical and schlerotherapical treatments, from the efficiently, functional, instrumental and aesthetically point-of-view.