Developed techniques for minimally invasive surgery; Minilaparotomy treatment of Uterine Prolapse. Culdolaparoscopy, First Transvaginal Endoscopic Cholecystectomy done in August 20 1999 , Minilaparoscopy Assisted Natural Orifice Surgery (MANOS) , The Laparoscopy leash , Transvaginal Cholecystectomy without abdominal ports. Secured Independent Tools a Deployment System for Laparoscopy, Single Port Laparoscopy and Natural Orifice Transluminal Endoscopic Surgery. A laparoscopy safety surveillance step suggested as a safe practice modification.