Appendectomy may be performed laparoscopically (as minimally invasive surgery) or as an open operation. This surgery can be minimally invasive and done laparoscopically. Sacrohysteropexy can be performed as an open operation or laparoscopically (via keyhole incisions). This is usually performed laparoscopically, through several very small incisions. Rectopexy and anterior resection have been performed laparoscopically with good results. A kidney can be removed through an open incision or laparoscopically. Hernias are also able to be repaired laparoscopically. A myomectomy may be performed through an open incision, laparoscopically, or through the vagina (hysterescopy). Time needed for recovery after treatment is reduced if hernias are operated on laparoscopically. Ovarian drilling is performed laparoscopically and either transumbilical (culdoscopy) or transvaginal (fertiloscopy). Surgery, if done should generally be laparoscopically (through keyhole surgery) rather than open. It can usually be performed by a keyhole approach or laparoscopically. Performing these advanced surgeries laparoscopically was the second unorthodox conceptual change that Nezhat introduced. The procedure is now routinely performed laparoscopically. The procedure is now commonly performed laparoscopically.