Other developments include capabilities for laparoscope of Minimal Access Surgery. The culdoscope is a non-flexible endoscope, basically a modified laparoscope. In 1993, the first kidney removal using a laparoscope was performed. The surgery can be performed as an open surgery or by a laparoscope. It is also possible to perform the surgery without a laparoscope, using larger abdominal incisions. If performed by laparoscope, 3 to 5 small incisions are made on the abdomen. The second type of laparoscope is very rare in the laparoscope market and in hospitals. In 2011, the Miller-Abbott tube might be accompanied by another, called a laparoscope. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.