Відділення судинної хірургії Policlinico San Donato є центром передового досвіду у сфері складних втручань. Команда керує Школою спеціалізації із судинної хірургії при Міланському університеті, що свідчить про її глибоку експертність. Тут пропонують різні методи лікування, зокрема ендоваскулярні втручання із застосуванням радіочастоти, склеротерапію та амбулаторну флебектомію за Мюллером. Клініка має акредитацію UNI EN ISO 9001:2015. Мультидисциплінарний підхід передбачає залучення фахівців із різних галузей серцево-судинної медицини, щоб забезпечити точний підхід до кожного випадку.
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Сан-Донато є лідером за кількістю кардіохірургічних операцій та процедур інтервенційної кардіології у дорослих та дітей. Щорічно лікарі виконують понад 2 000 операцій на серці та судинах, 6 000 процедур гемодинаміки та 1 400 процедур радіочастотної абляції.
Спеціалізація клініки – кардіологія, кардіохірургія, аритмологія, кардіореабілітація, загальна хірургія.
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\n\nЗа даними клініки, тут розроблено першу у світі генну терапію стовбуровими клітинами для пацієнтів з важким комбінованим імунодефіцитом (ADA-SCID).
\n\nСан-Рафаель спеціалізується на онкології, онкогематології, нейрохірургії, кардіохірургії, гінекології.
\n\nЩороку лікарі медичного центру проводять понад 50 000 операцій.
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Endovenous ablation allows faster return."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any minor or major complication within 3 months (bruising, nerve symptoms, wound issues); serious ones under 2%."},"contraindications":["Active infection, including skin infection at operative site","Acute deep vein thrombosis","Severe peripheral arterial disease","Pregnancy","Unfitness for anesthesia due to severe cardiopulmonary disease"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after conventional ligation and stripping; overnight stay only if needed."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Walking is fine throughout. Strenuous exercise resumes after about 2-4 weeks, once wounds heal; sooner after endovenous ablation."},"final_result_months":{"min":2,"max":6,"unit":"months","qualifier":"Bruising and induration resolve over weeks; final appearance and symptom relief assessed after several months."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After wound check and suture removal; short-haul flights earlier, walking and calf movement in flight, thrombosis risk assessed by surgeon."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From day of surgery; 5-10 days for wound review and suture removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"From day of surgery; 30-90 days for clinical review, with duplex ultrasound if indicated."}}],"indications":["Symptomatic varicose veins (pain, heaviness, swelling, itching, cramps)","Great or small saphenous vein reflux confirmed on duplex ultrasound","Complications: thrombophlebitis, bleeding, skin changes or venous ulcer","Failed or unsuitable endovenous ablation or less invasive treatment"],"main_risks":["Bruising and hematoma","Pain or tenderness along the vein track","Wound infection","Nerve injury causing numbness or tingling (saphenous or sural nerve)","Deep vein thrombosis and pulmonary embolism (rare)","Lymphatic leak or groin lymphocele","Recurrence of varicose veins","Scarring or skin pigmentation","Anesthesia-related risks","Bleeding from the groin or stripping track"],"pain":"Moderate pain and tenderness along the treated leg for several days to 2 weeks, usually controlled with simple oral analgesics; compression helps reduce bruising and discomfort.","preparation":["Exam and duplex ultrasound vein mapping with skin marking","Preoperative anesthesia fitness assessment and routine blood tests","Fasting before general anesthesia","Review current medications with surgeon or anesthetist","Shower and shave groin and leg","Arrange transport and help at home after discharge","Obtain compression stockings or bandages for postoperative use"],"recovery_timeline":[{"phase":"First 48 hours","description":"Compression bandaging, early walking, rest with leg elevated when sitting; bruising and tightness are common.","restrictions":["No prolonged standing or sitting","No driving until able to perform an emergency stop comfortably"]},{"phase":"Days 3-14","description":"Gradual return to daily activity and office work; compression stockings worn for about 1-2 weeks; wounds heal and bruising fades.","restrictions":["Avoid heavy lifting and strenuous exercise","Avoid hot baths and prolonged immobility"]},{"phase":"Weeks 2-6","description":"Return to full activity and exercise; residual lumpiness, tenderness or numbness gradually settles.","restrictions":["Increase exercise gradually"]},{"phase":"Months 2-6","description":"Final appearance and symptom relief evaluated; scars mature.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Daily activities resume within 1-2 weeks after surgery; walk from day 1. Endovenous ablation: about 1-5 days."},"result_longevity":"Ligated and stripped trunk does not reflux again; new varicose veins can develop over years as venous disease progresses, with recurrence in a proportion of patients.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Patients needing repeat treatment within 5 years. Recurrence on imaging or exam is higher, about 20-37%."},"scars":"A small groin incision (about 3-5 cm) and tiny stab incisions along the leg; usually fade to fine, inconspicuous scars, though pigmentation or thickened scars can occur.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session for one leg; the other leg is usually treated separately if needed."},"stages":[{"code":"surgery","label":"High ligation, vein stripping and stab phlebectomies","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Standard single-stage open surgery for one leg."},"success":{"metric":"Patients free of symptomatic recurrence needing retreatment","value":88,"unit":"percent","horizon":"5 years","population":"Adults with symptomatic great saphenous vein reflux after ligation, stripping and phlebectomy","evidence_status":"limited"},"techniques":[{"name":"High ligation and stripping of the saphenous vein with stab phlebectomies","suits_whom":"Patients with saphenous reflux and visible varicosities, especially when endovenous ablation is unsuitable.","recovery":"Return to desk work in about 1-2 weeks; bruising for 2-3 weeks."},{"name":"Ambulatory (stab) phlebectomy","suits_whom":"Patients with surface tributary varicose veins without significant saphenous reflux.","recovery":"Usually quick recovery, often within several days to 1 week."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for one leg with ligation, stripping and phlebectomies."},"initial_assessment_documents":["Leg duplex ultrasound report","Photos of both legs standing","List of blood thinners","Previous vein treatment or surgery records","Deep vein thrombosis report, if available"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery for one leg; stay about 7-10 days for wound check and suture removal before 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sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A quote with no consultation with the treating surgeon before surgery is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding at the incision sites","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Bleeding at your incision sites.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Skin that feels warm to the touch","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Skin that feels warm to the touch.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Numbness or pain near the removed vein","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Irritation of a nerve near the removed vein, which can cause numbness or pain.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines and changes, so the home doctor knows what to continue","document":"written discharge summary","source":{"url":"https://www.midyorks.nhs.uk/hospital-discharge","host":"midyorks.nhs.uk","quote":"You will be given a written discharge summary which includes details of your medication and any changes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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