Abstract: A surgical apparatus including a housing with a handle end and a manipulation end, a rotatable manipulation mechanism guided within the housing and extendible beyond the end of the housing, an inflatable diaphragm situated on the housing and a channel for passing a gas through or along the manipulation mechanism from the handle end of the housing to the manipulation end. The invention is also directed to a method of performing laparoscopically-assisted vaginal hysterectomies using the apparatus.