Stab Phlebectomies Stab phlebectomy for varicose veins is an ambulatory procedure that permits removal of nearly any incompetent vein below the knee or around the ankle. The varicose veins are carefully identified with an indelible marking pen while the patient is standing. The patient is then placed lying down for further marking. A diluted solution is injected into the tissues in large volumes until the tissues are engorged and distended with the anesthetic. Tiny stab incisions are made. The varicose vein is carefully dissected with the phlebectomy hook. The vein is undermined along its course, all attachments to the vein are freed, and the vein is then grasped with the hook and removed. The entire varicose vein is progressively extracted from one stab incision to the next. Skin closure may be done with steri strips or possibly suturing. Bandages are carefully applied.