Question: My wife has had multiple ultrasounds. One ultrasound tech found a bad perforator at 5mm, but they wanted to do open surgery. Another ultrasound tech from the Dr she wanted to use who does laser and RF could not find the perforator. What to do?
Answer: Ultrasounds can vary from visit to visit depending on time of day and hydration. If she is symptomatic in the area of the perforator, re-evaluation is warranted. Perforators can be treated with thermal ablation or VenaSeal closure. It does not need to be an open technique. Intervention should be based on her symptoms and an abnormal ultrasound, not just an abnormal study.