I take the "nuke it" approach; I wipe Word files completely clean; apply a base layer of formatting; output to html; put the html in my much-beloved NoteTab Pro (thank you, thank you, @capidamonte for turning me on to NoteTab!), attach a standardized css that I keep handy, insert various Sigil formatting (like the chapter breaks), regex the chapters to create headers, and then put that fine-tuned html into Sigil. Works GREAT. Best method I've found thus far. I just delete all the crapola that MS puts in the beginning of the html as "styles," most of it is utter garbage. HTH.
Hitch
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