Vascular Surgery · The Team
The same specialist, from your first examination through your final follow‑up
The vascular and phlebology department at Palazzo Manzoni in Brescia is led by Prof. Edoardo Cervi, with Dr. Fabio Viotti and Dr. Andrezza Silvia Guedes on the team. Three specialists. One principle: the doctor who examines you at the first visit is the one who plans your treatment and reviews you at every follow-up.
The department is led by Prof. Edoardo Cervi (vascular surgery, phlebology, proctology, vascular diagnostics, sclerotherapy, endovenous laser, hemorrhoid treatment), with Dr. Fabio Viotti (phlebology and endovenous laser) and Dr. Andrezza Silvia Guedes (lipedema, aesthetic phlebology, carbossiterapia and mesoterapia). Single-surgeon continuity is the working principle: the same specialist sees you at consultation, performs any indicated procedure, and reviews you at every follow-up.

How This Department Works
How this department works
The vascular and phlebology department at Palazzo Manzoni operates around a set of principles that shape how a patient experiences the service.
Single-surgeon continuity
The specialist who sees you at the first consultation is the specialist who performs your examination in depth, plans any indicated procedure, performs it, and reviews you at every follow-up. There is no hand-off mid-pathway to a different clinician. The relationship between patient and specialist is the entire shape of the care.
Right specialist for the right condition
Vascular and phlebology care spans the full range from varicose veins and venous insufficiency to lipedema, aesthetic phlebology, and hemorrhoid treatment. Within our team, each specialist has clinical focus and expertise. We match you to the specialist whose knowledge best fits your condition.
Examination-first, recommendation second
Your consultation begins with an ecocolordoppler assessment of the venous system — which veins are competent and which are not. The examination itself comes before any discussion of options. Sometimes it reveals a path different from what you expected.
A team that is willing to say no
Not every vein needs treatment, and not every patient needs surgery. Patients seeking a procedure their anatomy does not support, or at the wrong time, are told so plainly. Some are recommended to wait, or not to proceed. The trust this builds is what the practice is built on.
The Team
Specialists,
mapped to the work they do

Prof. Edoardo Cervi
Lead Vascular Surgeon
Vascular surgeon and phlebology lead. General and vascular surgery, ultrasound-guided sclerotherapy, endovenous laser, hemorrhoid treatment, vascular diagnostics.

Dr. Fabio Viotti
Phlebologist
Phlebology consultation and endovenous laser. Careful venous mapping before and after every treatment.

Dr. Andrezza Silvia Guedes
Lipedema & Aesthetic Phlebology
Lipedema, aesthetic phlebology and vascular diagnostics. Ultrasound-guided sclerotherapy, cryosclerotherapy, transdermal laser, carbossiterapia and mesoterapia.
Procedures and Specialists
The procedures and the specialists assigned to them
A condensed reference of the team’s scope, by procedure family. You are matched to the right specialist at your initial consultation; all diagnostic and treatment procedures are performed by the team members listed for that procedure.
Vascular and phlebology consultation
Ecocolordoppler of venous, arterial, supra-aortic, abdominal and aortic vessels
Cervi
Viotti
Guedes
Varicose veins and venous insufficiency
Endovenous laser (EVLA), ultrasound-guided foam sclerotherapy
Cervi
Viotti
Capillaries and aesthetic phlebology
Liquid sclerotherapy, cryosclerotherapy, transdermal laser
Cervi
Guedes
Lipedema and body phlebology
Conservative lipedema pathway, carbossiterapia and mesoterapia
Guedes
Hemorrhoid treatment
Foam endosclerosis and radiofrequency
Cervi
What You Can Expect
What you can expect
Consultation duration
~45 minutes
Vascular and phlebology consultation with ecocolordoppler assessment and discussion of options.
Diagnostic equipment
Ecocolordoppler
Duplex ultrasound of venous, arterial, supra-aortic, abdominal and aortic vessels — the basis of every treatment decision.
Treatment setting
Ambulatory
Minimally invasive, ambulatory procedures inside the restored historic palazzo at Via dei Mille 14, Brescia.
Anaesthesia
Local
Local anaesthetic for sclerotherapy, endovenous laser and most procedures.
Length of stay
Same day
Ambulatory treatment; you walk out and return home the same day.
Follow-up
Structured
Scheduled reviews to confirm the treated segment has closed and to map any residual insufficiency.
Direct specialist access
Included
Between visits, with reasonable response time.
Languages
IT / EN
Italian (primary), English.
Take the Next Step
Your next step starts
with a conversation
At Palazzo Manzoni in Brescia, every consultation is personal, unhurried, and designed to give you clarity about your next step.
Address
Via dei Mille 14, 25122 Brescia, Italia
Phone
Hours
Mon-Fri 8:30-18:30 · Sat 9:00-13:00
01
Get in touch
Call, email, WhatsApp, or book online.
02
Meet your specialist
A personal consultation to understand your situation.
03
Your plan, your pace
Together you decide the best path forward.