ABSTRACT
Two-handed manipulation is required to perform laparoscopic suturing and knot tying. This necessitates an assistant to hold the camera and laparoscope and to stabilize the laparoscopic ports. A 0° laparoscope should be used to permit a direct view. Proper placement of ancillary trocars is imperative for optimal suturing and knot tying. The tips of the instruments must be in front of the laparoscope, and should enter the field of view tangentially rather than in coaxial orientation, to prevent obscuring of the operative field. For laparoscopic surgery, the same principles of suture choice and suturing materials are applied as for conventional surgery.
