The very latest frontiers of vascular surgery
Specialist in Vascular Surgery, during his long professional career he has played several roles of primary importance, such as that of Primary at the Complex Structure of Vascular Surgery of the Sant’Anna and San Sebastiano Hospital, role held until July 2018. He currently carries out his professional activity in his Studio in Caserta, and at the Villa del Sole Nursing Home in the same city, where he treats in particular the pathology of the diabetic foot and that of varicose veins, customizing the different treatments available according to the needs of the individual patient.
by Roberta Imbimbo
Dr. Nardi, what is the pathology of the diabetic foot?
The diabetic foot is one of the most serious complications of diabetes mellitus; a highly disabling pathology that develops as a consequence of diabetic neuropathy, an alteration of the peripheral nervous system that is manifested by tingling, cramps, gait disorders and alteration of the patient’s perceptive sensitivity (inability to perceive pain, hot and cold). Since in most cases diabetic neuropathy is also accompanied by an alteration of the circulation affecting the lower limbs (arteriopathy or vascular lesions), even a small wound could degenerate causing very serious damage, such as the formation of bleeding ulcers capable over time to evolve into gangrene (massive putrefaction and tissue necrosis that will have to undergo amputation). The timeliness of the diagnosis is therefore essential to avoid the progression of a disease that cannot be underestimated at all: the patient must necessarily keep the blood sugar level under control, following the prescribed visits, including that of the circulation of the lower limbs. If the vascular surgeon finds an arterial pathology, the same can be appropriately treated with drug therapy; in severe cases, peripheral angioplasty can be used, a minimally invasive interventional radiology procedure that is used to dilate an obstructed blood vessel, or with the bypass that improves blood circulation in the legs, preventing the disease from progressing inexorably.
What are the latest frontiers in the treatment of varicose veins, a jointly medical and aesthetic problem that afflicts many women?
The treatment of varicose veins can consist in closing the dilated vessel by injecting sclerosing substances in the form of liquid or foam, or in ablative endovascular techniques such as laser, radiofrequency, injection of particular glues, or even in the surgical removal of the vessel itself, obtained with different methods, all consisting of removing the venous segment through a small cut, all strictly under local or locoregional anesthesia and with the utmost respect for aesthetics. As in all medical branches, even in phlebology today there is a marked tendency to use increasingly minimally invasive, painless and repeatable techniques over time; methods increasingly patient-oriented due to ease of execution, effectiveness of treatment and extreme rarity of complications and side effects.
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