If you have a surgical procedure, one or more separate small incisions are made in the abdominal skin.

http://www.patient.co.uk/health/laparoscopy-and-laparoscopic-surgery

If you have a surgical procedure, one or more separate small incisions are made in the abdominal skin. These allow thin instruments to be pushed into the abdominal cavity. The surgeon or gynaecologist can see the ends of these instruments with the laparoscope and so can perform the required procedure.